Apicoectomy (Root-End Surgery) in Gurgaon

In Gurgaon, apicoectomy—root-end surgery—may be considered when inflammation persists around a tooth root after root canal treatment and other options have been assessed. The procedure removes the root tip and nearby inflamed or infected tissue with the aim of preserving the tooth; whether it can be retained depends on its condition. Marwaha Dental Clinic in DLF Phase 2, Gurugram offers root-end surgery; Dr Divya Marwaha can assess whether it may be appropriate. The clinic has served patients since 2004.

Choosing the best dentist for apicoectomy

A useful consultation explains why root-end surgery is being considered, what alternatives have been assessed, whether the tooth remains restorable, and what the surgical and healing stages involve. Dr Divya Marwaha is an experienced dental surgeon and BDS Gold Medalist, with advanced training at AIIMS, New Delhi. Many happy patients and families continue to choose Dr Divya for their dental care, including patients returning for 10–15 years. Learn more about Dr Divya Marwaha and Marwaha Dental Clinic.

When might root-end surgery be considered?

Persistent inflammation around a root end after root canal treatment may justify surgery after alternatives have been evaluated. The American Association of Endodontists explains when endodontic surgery may be considered. Surgery may also be considered if a canal is blocked and cannot be managed nonsurgically; whether the tooth can be restored still matters. The AAE's retreatment guide explains this blocked-canal option. A severe root fracture, inadequate bone support or a tooth that cannot be restored may prevent retaining it. These decisions require assessment of the individual tooth. The clinic's root canal retreatment guide covers the separate nonsurgical treatment question.

For persistent infection after root-canal treatment, the dentist checks whether the tooth can be restored, how the canals inside its roots were filled and the shape of the roots. Feasible options may include repeat canal treatment without surgery, root-end surgery or extraction. Their suitability and likely benefit depend on the individual tooth. Watching the affected area, further diagnosis or referral may also be considered. BAOS/Somerset: Apicectomy options

What happens during an apicoectomy?

Apicoectomy removes the end of the tooth root—the root tip—and nearby inflamed or infected tissue. The gum is opened to expose the underlying bone and root end. After the root tip is removed, a small root-end filling may be placed to seal the canal. The AAE explains the apicoectomy procedure.

Which risks depend on the tooth’s position?

Possible risks of root-end surgery include gum recession—the gum pulling back—injury to nearby teeth, persistent infection or treatment that does not work. Surgery at some back upper teeth can affect the sinus, an air space near those teeth. At some back lower teeth, a sensory nerve that provides feeling may be affected. The surgeon checks the anatomy and discusses the risks for your tooth, including whether it can remain functional. These possibilities depend on the site and do not predict what will happen to you. BAOS/Somerset: Apicectomy risks

What are anaesthesia and healing like?

Endodontic surgery is usually performed with local anaesthesia. Some discomfort and slight swelling can occur while the incision heals; recovery differs from a nonsurgical root canal treatment. Follow the procedure-specific postoperative instructions from the treating dentist. If pain does not respond to the advised care, contact the treating dentist. The AAE's patient guide describes surgical comfort and aftercare.

Sutures—stitches—help the gum tissue heal while bone healing around the root end continues over subsequent months. The timing is not an exact recovery schedule for an individual person. The treating dentist's follow-up advice applies to your procedure.

Attend the recommended dental review and have imaging if the clinician advises it to check healing around the root end. The timing and need for images depend on the tooth, symptoms, previous treatment and the clinician’s plan. Gloucestershire Hospitals: Apicectomy healing review

When does a dental infection need urgent care?

A suspected dental abscess needs urgent dental assessment; it should not be left to resolve on its own. See dental abscess treatment in Gurugram and NHS information about dental abscesses.

If a dental infection makes it difficult to breathe, speak or swallow, causes major swelling in the mouth, swelling or pain around an eye, sudden vision changes, or difficulty opening your mouth, seek local emergency medical care now. These infection warning signs need urgent action and are not the same as discomfort or slight swelling while a surgical incision heals.

Visit Marwaha Dental Clinic in DLF Phase 2

Marwaha Dental Clinic is in DLF Phase 2 at J-4/33, DLF Phase II, opposite Sahara Mall, Gurugram – 122002. MG Road and Sikanderpur are nearby areas. The clinic is open Monday–Saturday, 11AM–7PM. Call +91-9818379780 or use WhatsApp to arrange an assessment or ask about availability. See the DLF Phase 2 clinic or the root canal treatment page.

Frequently Asked Questions

It may be considered when inflammation persists around the root end after root canal treatment and alternatives have been evaluated. It may also be considered when a blocked canal cannot be managed nonsurgically, provided the tooth remains restorable. The AAE explains these indications and discusses root canal retreatment as a separate option.

It removes the root tip and nearby inflamed or infected tissue. The gum is opened to expose the bone and root end. The AAE describes the procedure.

No. It is a tooth-preserving procedure, but retention depends on the tooth. Severe root fracture, inadequate bone support or inability to restore the tooth may prevent retaining it. The AAE explains root canal restorability limits.

No. A root-end filling may be placed after the root tip is removed to seal the canal. The AAE describes this step.

Sutures—stitches—help the gum heal while bone healing around the root end continues over subsequent months. That is not an exact individual recovery schedule; follow your treating dentist's postoperative advice. The AAE describes the healing process.

Attend the recommended dental review and have imaging if the clinician advises it to check healing around the root end. The timing and need for images depend on the tooth, symptoms, previous treatment and the clinician’s plan. Gloucestershire Hospitals: Apicectomy healing review

Contact the treating dentist if pain does not respond to the advised postoperative care. If a dental infection causes difficulty breathing, speaking or swallowing, major swelling in the mouth, eye swelling or pain, sudden vision changes, or difficulty opening the mouth, seek local emergency medical care immediately. Do not wait for a dental appointment. These infection warning signs are different from discomfort or slight swelling while the surgical incision heals. The AAE gives postoperative pain advice; NHS emergency advice lists serious infection signs.

Arrange an apicoectomy assessment

To discuss root-end surgery with Dr Divya Marwaha, call Marwaha Dental Clinic on +91-9818379780 or message the clinic on WhatsApp. Appointments are at the clinic in DLF Phase 2, Gurugram.