Apicoectomy Costs for North Finchley Patients

The final price for an apicoectomy is determined on a case-by-case basis. Factors that influence the cost include the specific tooth needing treatment (front teeth are generally more straightforward than molars), the complexity of the root structure, and the need for advanced imaging. Our fee, provided after a thorough assessment, will cover the entire procedure from start to finish. This includes local anaesthetic, the use of a dental operating microscope for precision, the surgical procedure itself, and all follow-up appointments to monitor healing. There are no hidden fees. As a private practice, we accept insurance from providers like Max Bupa, Denplan, and Cigna, but we do not offer NHS treatment for this procedure.

An apicoectomy is typically recommended when a conventional root canal treatment has failed and infection persists at the root tip. You might be a candidate if a 3D CBCT scan shows a cyst or inflammation around the root that isn't healing, or if a retreatment of the root canal is not possible due to a post or complex anatomy inside the tooth. For example, a patient from North Finchley recently came to us with a persistent low-grade ache on a front tooth that had a root canal years ago. The scan showed a small, persistent infection. An apicoectomy allowed us to clean the area directly and save his natural tooth, avoiding an extraction. This procedure is a last resort to save a tooth that would otherwise need to be removed.

The apicoectomy is a precise, planned procedure performed under local anaesthetic. First, we'll ensure you're completely numb and comfortable. Next, a small incision is made in the gum to access the infected root tip. Using a dental operating microscope, we remove the very end of the root and any infected tissue. Then, a small filling is placed to seal the end of the root canal. Finally, a few stitches are placed to help the gum heal. The entire procedure usually takes between 60 to 90 minutes. You'll be able to go home the same day with detailed aftercare instructions.

After your procedure, you can expect some mild discomfort and swelling for 2-3 days, which is manageable with over-the-counter painkillers like ibuprofen. We recommend applying an ice pack to the area for 20 minutes on and 20 minutes off during the first 24 hours to minimise swelling. You should stick to soft foods for a few days and avoid chewing on the treated side. It's important to keep your mouth clean with gentle rinsing. We will see you again in about 7-10 days to remove the stitches and check on your healing. If you experience severe pain, persistent bleeding, or a high fever, you must call our practice during office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7). For out-of-hours emergencies, please call 111 or visit A&E.

While an apicoectomy has a high success rate (studies show around 85-95%), it's not always the only option. One alternative is a non-surgical root canal retreatment, which may be suitable if the initial treatment can be improved. Another choice is extraction of the tooth. While this is a simpler procedure, it leaves a gap that would ideally be filled with a dental implant or bridge to maintain function and prevent other teeth from shifting. For instance, if a molar has a suspected vertical root fracture, an apicoectomy is unlikely to succeed, and extraction followed by an implant would be the more predictable long-term solution. We will always discuss the pros and cons of each option with you.

To make an informed choice, it's important to ask the right questions, whether you're consulting with us or another practice in North London. Be sure to ask: What is your experience with this specific procedure? Does the quoted price include the consultation, 3D CBCT scan, and all follow-up visits? What success rate should I expect for my specific tooth? What are the risks involved and what happens if the procedure fails? What technology, like an operating microscope, will be used? Asking these questions will help you understand the treatment fully and choose a provider you trust.