Apical Surgery in Hong Kong
At Sola Dental, our dentists perform apical surgery under an operating microscope to ensure precision, visibility, and the highest success rates. This advanced technique removes infected tissue and seals the root end from inside the jaw, offering patients a final opportunity to preserve their natural tooth before considering extraction.
What Is Apical Therapy?
Apical surgery is a surgical approach to endodontic treatment where the dentist accesses the root tip directly through the jawbone rather than from the tooth crown.
The "apex" refers to the tip of the tooth root. During the procedure, a small surgical window is created in the cortical bone overlying the root, infected and inflamed tissue around the root tip is removed, and the apex itself may be trimmed.
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​This differs fundamentally from standard root canal treatment, which approaches the tooth from the crown downward. When that conventional pathway fails or is blocked, apical surgery offers an alternative route to eliminate infection and restore tooth health.
Sealing Materials and Why They Matter
The root end filling material is critical to surgical success. At Sola Dental, we select from proven biocompatible options:
Costs, Timeline, and What to Expect
The final cost depends on the complexity of the case, whether multiple roots require treatment, and the depth of the surgical preparation. Our team provides a detailed treatment estimate during your consultation. Most patients can return to normal function, including eating, within a few days.
Contraindications and When to Extract Instead
Not every tooth is a candidate for apical surgery. According to endodontic guidelines, surgery should not be pursued when:
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Local anatomical factors make the root end inaccessible (very deep bone, proximity to vital anatomy)
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The tooth cannot be made functional or restorable (poor crown to root ratio, inadequate ferule)
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Vertical root fractures are present
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Severe periodontal disease exists with clinical attachment loss to the apex
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The tooth has insufficient bone support to support a crown restoration
In these cases, extraction and replacement with a dental implant or bridge may offer a better long term prognosis than multiple surgical attempts.
Why Choose Sola Dental for Apical Surgery?
All endodontic procedures, including apical surgery, are performed under a dental operating microscope
At Sola Dental in Tsim Sha Tsui, all endodontic procedures, including apical surgery, are performed under a dental operating microscope. This level of magnification and visibility allows our dentists to:
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Visualize the apex anatomy and identify accessory or lateral canals
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Remove all infected tissue completely and precisely
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Prepare the root end for a complete seal against reinfection
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Perform apicectomy at the correct angle without over resection
We also offer comprehensive imaging options, including CBCT scans to visualize complex anatomy before surgery. During your consultation, we explain your options clearly, whether surgery is truly indicated or if microscopic endodontic treatment from the crown might succeed.
Why Choose Sola Dental for Apical Surgery
Dental Surgeon - Aileen Loo
Apical Surgery is one of the more technically demanding procedures in dentistry, and outcomes improve significantly when it is done under magnification by an experienced hand.
At Sola Dental, every endodontic case is carried out under a dental operating microscope, giving us the visibility to find missed canals, remove obstructions, and seal the tooth accurately.
