Apicoectomy is the removal of a tooth’s root end, and is the most common endodontic procedure. An apicoectomy is often required when infection or inflammation is present in the bony, root end of the tooth after edondontic treatment such as root canal. It may be necessary to open the gum tissue overlying the bone to expose the root. The end of the root is excised, and the root canal is then sealed with a small filling. To protect the surgical area and encourage the healing process, a few stitches are placed to complete the procedure.