Endodontic Microsurgery
The most common type of endodontic microsurgery is an apicoectomy, also known as an apico procedure, which involves removing the tip of the root canal tooth because of lingering infection in the area. First, the endodontist uses local anesthetic to numb the area. Then, a small incision is made in the gums so the surgeon can access the root of the tooth.
This treatment removes the affected area of the root, then a filling is placed so the end of the tooth is resealed. It is a fast and simple treatment, and most patients can return to their normal activities within a day or two.

If there are ongoing problems after a root canal treatment, then endodontic microsurgery is one solution that could potentially save the tooth and prevent the need for tooth extraction.
Your dentist might refer you to an endodontist to determine if microsurgery, also known as a root canal apicoectomy, is necessary.