Apicoectomy Costs in West Finchley | Advanced Endodontic Care

Private apicoectomy costs in the North London area typically range from £800 to £1,500. The exact price depends on the tooth location, infection severity, and the technology used. Our fee covers an initial consultation with 3D CBCT for precise diagnosis, the surgery performed under a dental operating microscope, local anaesthetic, and all follow-up visits to monitor healing. We aim to provide a transparent, all-inclusive price with no hidden charges. We accept private insurance from Max Bupa, Denplan, and Cigna to help cover part of the cost. After your initial assessment, we provide a detailed cost breakdown.

An apicoectomy is not a first line treatment. It is advised by an endodontist when a root canal has failed and infection remains at the root tip. You may be a candidate if you have persistent pain or swelling months after treatment, if a new abscess forms, or if a 3D scan shows a cyst or fracture at the tip. For example, a patient from West Finchley came to us with a molar that was still painful a year after treatment elsewhere. Our CBCT revealed a persistent infection in a small curved canal that was not fully cleaned. The apicoectomy cleanly addresses the root end and can save the tooth. The British Endodontic Society reports an success rate above 85 percent, making it a reliable option to preserve your natural smile.

The process aims to be as comfortable as possible. You start with a 60 minute consultation to use our in-house 3D CBCT for a detailed view of the tooth root. On the day of the surgery, usually 60 to 90 minutes, we numb the area with local anaesthetic. Dr. Reddy makes a small gum incision to access the root tip. Under a dental operating microscope, he removes the infected tissue and the end of the root, then seals the canal with a biocompatible filling. The gum is closed with a few stitches. A brief 15 minute follow up about a week later lets us remove the stitches and check healing.

Recovery is the priority. In the first 24 to 48 hours expect some swelling and mild discomfort, which you can manage with ibuprofen and an ice pack on the cheek for 20 minutes at a time. Eat soft foods like soup, yogurt, and smoothies, and avoid vigorous rinsing or strenuous activity. After a few days the discomfort should lessen quickly. You can brush normally but be gentle around the surgical site for the first week. Long term no special care is needed beyond good oral hygiene. Red flags call during office hours: if pain increases after day 3, persistent bleeding, fever, or pus. For after hours emergencies call 111 or go to the nearest A and E.

An apicoectomy can save a tooth, but you should know other options. One is non surgical root canal retreatment, where we remove the old filling, clean the canals again, and reseal the tooth. This may help if the initial treatment was incomplete. Another option is tooth extraction followed by a replacement like a dental implant. An implant works well long term and can start from £2,500 plus crown. Our approach is to try to save a natural tooth whenever possible. During your consultation, Dr. Reddy will discuss the pros and cons of each option for your situation.

To choose what is right for you, ask the right questions whether you are seeing us or another North London practice. Consider asking: What is your success rate with this procedure? Do you use a dental operating microscope and 3D CBCT for apicoectomies? Is the price quoted all inclusive, covering the consultation, surgery, and follow ups? What complications could occur and how do you manage them? Based on my scan, what are the chances this procedure will save my tooth long term? What are my other options if I choose not to have the apicoectomy?