3D-Guided Endodontic Surgery near Finchley Central

3D guided surgery is not for every case. It suits complex situations where precision is essential for success. You may need this treatment if a previous root canal failed and conventional retreatment is not possible, often because of a post or complex anatomy. It also suits apicoectomy on a tooth with roots near critical structures such as nerves or sinuses. The 3D guide helps us target the infection precisely while avoiding surrounding tissues. Dr. Ashok Reddy, who holds an MSc in Endodontics, will assess your case with a 3D CBCT scan to decide if this approach fits you. Studies show modern apicoectomy techniques have about 90 percent success, higher than older methods.

Before the day of surgery, we plan carefully. First, you have a 60-minute consultation and a high-resolution 3D CBCT scan of your tooth. The digital model lets us map root anatomy and plan the procedure virtually. Next, we design and print a custom surgical guide that fits over your teeth. On the procedure day, usually 90 to 120 minutes under local anaesthetic, we place the guide in your mouth. It has a precise channel that directs our micro-instruments to the infection, reducing removal of healthy tissue. Finally, we seal and stitch the area. Using a guide improves accuracy and safety compared with freehand techniques.

Recovery starts at the end of the procedure. For the first 24 to 48 hours expect mild to moderate discomfort and some localized swelling. Manage with over-the-counter pain relief such as ibuprofen and apply ice for 20 minutes at a time. Eat soft foods for a few days. Keep the area clean by rinsing with saltwater or antiseptic mouthwash starting the day after surgery. Most patients feel much better within 3 to 5 days, and stitches are usually removed after one week. Avoid strenuous activity for 48 hours. Call our practice during office hours if you have severe, increasing pain after day 3, uncontrolled bleeding, or a high fever.

While 3D guided surgery offers high precision, other options exist. The main alternative is traditional freehand endodontic surgery performed with a microscope but without a static guide. It remains effective but depends more on the practitioner's skill and may require removing more bone. Another option is tooth extraction, which removes the infection but creates a gap that needs a dental implant or bridge. Our philosophy is to save the natural tooth whenever possible, and we will discuss why guided surgery may provide a better long-term outcome for your case.

To ensure you receive the best care, whether with us or another practice in North London, here are key questions about 3D guided surgery: Do you use a 3D CBCT scanner in-house for planning? What software do you use to design the surgical guide? Can you show me a similar case treated with this technology? What are the success rates for this procedure in your hands? Is the cost of the CBCT scan and the 3D printed guide included in the total fee? What training does the dentist have in microsurgical endodontics?

3D guided endodontic surgery is highly specialised and the cost reflects the advanced technology and planning involved. A definitive quote follows a full assessment and CBCT scan. The fee covers the initial scan, digital planning, fabrication of the 3D surgical guide, the surgery itself, and follow-up appointments. There are no hidden fees. We are a private practice and do not offer NHS services. We do accept private dental insurance from Denplan, Cigna, and other providers. Please contact our team to discuss coverage and get a personalised treatment plan.