In cases where a tooth has been infected for a very long time & no treatment has been sought, there may develop a severe infection at the root tip. In such cases, an apicoectomy may be done. In this procedure, the gum tissue near the tooth is opened to see the underlying bone and to remove any infected tissue. The infected portion of the root-tip is also removed and the root canal sealed completely to ensure no seepage of infection into the canal.

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