Root End Surgery

Even a tooth which has already decayed does not necessarily have to be removed. Your regular dentist can save a decaying tooth by filling its root canal. Root canals are located in the dental root and, in the case of a healthy tooth, contain blood vessels and nerves. Despite the careful execution of root canal procedures, bacteria are usually still able to accumulate on the root tip, which could then lead to inflammation.


A root end surgery cleans the area around the tip of the tooth by removing all inflammatory areas of the tooth and the inflamed tissue at the root tip. We carry out this procedure using microscope magnification in order to see precisely all of the details in the root canals. In some cases, a laser sterilization as an additional measure will be considered together with the classic disinfection of the area. Finally, the root canals are then closed tightly.

How else can I save my tooth?

The removal of bacteria is the most important objective of a root end surgery. Therefore, several further methods have been developed to aid in the sterilization of the root tip:


  • The maintenance of root canals via electric ultrasonics, or Piezo technology, with the instrument’s fine and precise tips, allows for a minimally invasive sanitation deep in the root canal. Piezo technology yields better results compared to conventionally used drills.
  • Another method of disinfecting the root tip can be done using a Nd:YAG laser.
  • To reduce post-operative pain and facilitate the healing process, we promote the blood’s growth factors by enhancing it with the patient’s own blood plasma. For this we extract 10 ml of the patient’s blood and process it into PRF (platelet rich fibrin).


Unfortunately, statutory health insurance does not bear the costs of these additional, scientifically proven treatment measures.