Symmetry

Apical microsurgery

A tooth-saving operation under the microscope when canal treatment no longer helps.

Apical microsurgery is a tooth-saving operation that eliminates a chronic focus of infection near the root apex when conventional canal treatment is impossible or has failed. Under the operating microscope the surgeon opens access to the apex, removes infected tissue and the cyst, resects 2-3 mm of the root and performs a retrograde filling with bioceramic. The defect is filled with osteoplastic material and covered with a membrane. Success rate: 90-95%.

When to come

  • A cyst or granuloma near the root apex.
  • Re-treatment is impossible (post, crown, complex anatomy).
  • Inflammation persists despite canal treatment.
  • A fistula beside a previously treated tooth.
  • A need to preserve a tooth under a crown or bridge.

What's included

3D diagnostics (CBCT)

We assess the lesion size, root anatomy and adjacent structures to plan access precisely.

Anaesthesia

Local anaesthesia fully numbs the operating area.

Microaccess under the microscope

The incision is far smaller than in classic resection; microscope precision ensures complete infection removal.

Apex resection and cyst removal

We remove infected tissue and the cyst, resecting 2-3 mm of the root apex.

Retrograde bioceramic filling

The bioceramic-based material is antibacterial and stimulates bone regeneration.

Defect filling and membrane

We fill the bone defect with osteoplastic material and cover it with a membrane.

Follow-up at 6-12 months

A control CBCT assesses bone regeneration.

How the visit goes

  1. 13D scan (CBCT) and planning.
  2. 2Anaesthesia.
  3. 3Microaccess to the root apex under the microscope.
  4. 4Cyst removal and 2-3 mm root resection.
  5. 5Retrograde bioceramic filling.
  6. 6Defect filling, membrane and sutures.
  7. 7Control CBCT at 6-12 months.

Why it matters

  • Saves a tooth that would otherwise be extracted.
  • The microscope means complete infection removal.
  • Bioceramic stimulates bone regeneration.
  • A smaller incision than classic resection - less trauma, 90-95% prognosis.

FAQ

How is this different from extraction?
We save your tooth. Instead of extracting, we remove the infection at the apex and keep the tooth in function.
Is it painful?
The operation is under full local anaesthesia. Afterwards, moderate swelling is possible, managed by the doctor's prescriptions.
Why under the microscope?
The apex and lateral canals are tiny. Magnification allows complete infection removal — this determines success.
How long is healing?
Soft tissue in 1–2 weeks; bone takes longer, so a control CBCT is done at 6–12 months.
What is the prognosis?
With the protocol followed, the success rate is 90–95%.

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A cyst near the root is not a death sentence for the tooth. Under the microscope we clear the infection and save it.

073 123 25 80

Price

from 15 000 ₴