Oral surgery ·
Oral surgery

Multi-rooted tooth resection

Apical resection on teeth with multiple roots.

About this service

On molars and other multi-rooted teeth, when inflammation persists at one or more root tips after root canal therapy, surgical resection is performed - each problematic root is accessed and pathological tissue is removed locally. Technically more demanding than single-rooted resection, but with the right indication it delivers excellent results.

Step by step

How the procedure works

  1. CBCT scan for precise per-root planning.
  2. Local anaesthesia (sedation optional).
  3. Surgical access under the gum, on the buccal side.
  4. Resection of each problematic root individually (2-3 mm).
  5. Removal of granuloma/cyst, retrograde MTA filling.
  6. Suturing and follow-up at 7 days.

When it is needed

Materials & technology

Piezo-surgery (Mectron) for precise cuts near sinus and nerve. MTA materials for retrograde filling. Microscopic precision where needed.

Frequently asked questions

Is it riskier than single-rooted resection?
Somewhat - more roots mean a larger procedure. But with CBCT planning and piezo-surgery risks are minimised.
How successful is it?
Clinical success 80-90% with modern technique. Lower than for single-rooted teeth but still very good.
What if one root fails while another stays healthy?
Then hemisection (removal of just the failed root) can be considered, or extraction of the whole tooth.
From our blog

Learn more

Oral surgery

Related services

All services: Oral surgery

Let us talk about your smile

No commitment, no pressure. The 30-minute consultation gives you a clear picture - what can be done and what it costs.

Book a visit +381 63 405 402