Microsurgical technique
Precise, tissue-sparing approach.
Surgical treatment of periapical lesions.
Apicoectomy (root-end resection)
When re-endo is not feasible, we remove the infected root tip and lesion, seal the canal retrograde and preserve your tooth.
Microsurgical technique
Precise, tissue-sparing approach.
Modern materials
MTA/bioceramics for retrograde sealing.
Patient comfort
STA/block anesthesia; gentle handling.
What’s included
Apicoectomy treats the root end while preserving the crown and most of the root. The dentist first considers whether the problem can be treated through the root canal.
- Cystectomy and root-end resection (apicoectomy).
- Retrograde filling / MTA sealing as indicated.
- Hemostasis, suturing and healing control.
- Removal of granuloma/cyst if present.
Why do it
Surgery is not suitable for every tooth. A vertical root fracture, extensive damage or loss of supporting tissues can change the treatment plan. Alternatives are discussed at consultation.
- Preserves your natural tooth.
- Eliminates chronic infection and symptoms.
- Reduces reinfection risk via retrograde seal.
Treatment steps
- 01AssessmentExam, RVG/CBCT as indicated; plan discussion.
- 02AnesthesiaTopical/block or STA for comfort.
- 03SurgeryAccess, cystectomy, root-end resection, retrograde seal.
- 04ClosureHemostasis and suturing; post-op instructions.
- 05Follow-upReview in 7–10 days; suture removal if needed.
Book an appointment at MasterDent
The dentist will determine the treatment plan and scope during your consultation.
Why MasterDent
Modern materials
MTA/bioceramics for retrograde sealing.
Patient comfort
STA/block anesthesia; gentle handling.
Transparent prices
Only official price list items shown.
Indications
Symptoms or an X-ray finding alone do not establish the need for surgery. The decision follows assessment of the tooth and the feasibility of root canal retreatment.
- Chronic apical periodontitis / cystic lesion.
- Orthograde re-treatment not feasible or failed.
- Separated instrument/post blocking the path.
Aftercare
Soft tissue healing and bone recovery take different amounts of time. The surgeon schedules follow-up appointments and imaging when indicated.
- Cold compress 10–15 min on/off during first 6–8 h.
- Avoid vigorous rinsing for 24 h; brush carefully away from sutures.
- Soft diet 1–2 days; avoid heat, alcohol, sports for 48 h.
- Take prescribed analgesics/antiseptics as directed.
- Contact us if pain/swelling/bleeding increases.
How root-end surgery preserves a tooth
An educational cutaway explains the treatment area; this is not a patient case.
Treating the root end while preserving the tooth
The cutaway shows the root canal and the small shortened root end. Apicoectomy removes only a small terminal portion of the root and affected tissue nearby.
MasterDent dentists
The MasterDent clinical team.
Patient reviews
Patient reviews of the MasterDent clinic.
Anna Spasska
★★★★★
The clinic is excellent! I have been visiting it for many years and everything is always at a high level — treatment, cleanings and orthodontics.
Source: Google · 2025-05-28
blik
★★★★★
Very satisfied with visiting the MasterDent clinic. Friendly staff, professional doctors and modern equipment. I recommend it.
Source: Google · 2025-10-15
Максим Куз
★★★★★
I recommend the clinic. I have had various procedures here — everything was done well and professionally, and I am completely satisfied with the result.
Source: Google · 2026-02-20
YANA BAI
★★★★★
Very nice clinic, friendly staff and great doctors. Everything is clean, comfortable and professional.
Source: Google · 2023-05-27
Official prices (UAH)
Treatment is selected individually. Preliminary prices are listed below; the final cost will be confirmed by the doctor at consultation.
| Apicoectomy using a piezotome | 4 000 грн |
| Suture removal | 150 грн |
Apicoectomy: choosing a treatment to preserve the tooth
Root-end surgery or root canal retreatment?
Apicoectomy treats the area around the root end. It is not a replacement for appropriate root canal treatment in every case. Previous fillings, the restoration and supporting tissues are assessed first.
Retreatment through the crown may be an option. If access is not feasible or the problem persists, surgery may be discussed with its alternatives and prognosis.
Learn about microscope-assisted root canal treatment.
Assessment before root-end surgery
The clinician reviews imaging, root anatomy and supporting tissue. A poor prognosis, including some root fractures or substantial loss of support, may make preservation unsuitable.
If CBCT is required, you are referred to an imaging centre. MasterDent has no on-site CBCT scanner. Bring existing scans and details of earlier treatment.
What does the estimate cover?
The main clinic price item is cystectomy and root-end resection of one tooth. This is different from extraction. Materials and follow-up procedures are discussed in your individual plan.
If preservation is not suitable, extraction and replacement are considered separately. The surgeon explains the reasoning before treatment.
Read about tooth extraction.
Monitoring healing
Follow-up assesses the wound and longer-term response. Removal of sutures and improved comfort do not mean that bone healing is complete. Further imaging may be needed.
MasterDent in Pozniaky, Kyiv, is at 24/4 Revutskoho Street. The surgeon explains care and symptoms that require an earlier review.
Find clinic contact details.
Clinic location
MasterDent dental clinic is located in Kyiv, Darnytskyi district, in the Pozniaky neighborhood, at 24/4 Revutskoho Street, about a 10–15 minute walk from Pozniaky metro station.
Address: 24/4 Revutskoho Street, Kyiv, Ukraine
Convenient parking and public transport stops are located nearby.
Frequently asked questions
How is apicoectomy different from extraction?
Only the very end of the root and affected tissue are removed during apicoectomy. The crown and most of the tooth remain. Extraction removes the tooth itself. The prognosis determines which option is appropriate.
Can inflammation around a root be treated without surgery?
Sometimes root canal treatment or retreatment is possible. Access, previous treatment and tooth condition are reviewed before surgery is considered.
See root canal treatment.
Is saving the tooth guaranteed?
No. Root condition, supporting bone, the restoration and the cause of inflammation affect the outcome. Risks and alternatives are discussed before surgery and follow-up is required.
Is root-end surgery painful?
Local anaesthesia is checked before surgery. Discomfort, swelling and pain can occur afterwards. The surgeon gives an individual care plan; tell them immediately about sharp pain during the procedure.
Do I need CBCT before apicoectomy?
The clinician decides whether it is required to assess root anatomy and adjacent structures. If necessary, you are referred to an imaging centre. MasterDent has no on-site CBCT scanner.
How much does apicoectomy of one tooth cost?
The table shows the current clinic item for cystectomy and root-end resection of one tooth. Your full estimate depends on the agreed treatment and any additional procedures.
See the full clinic price list.
When are sutures removed and healing checked?
The surgeon schedules review according to the wound and suture material. Soft tissue and bone heal on different timelines, and follow-up imaging may be required.
Which symptoms need an earlier appointment?
Contact the surgeon for persistent bleeding, worsening pain or swelling, fever or feeling unwell. Do not heat the area or start antibiotics without a prescription.
Use the clinic contact numbers.