CBCT-Guided Apicoectomy in East Finchley

An apicoectomy is needed when infection persists after a root canal. A 2D x-ray often misses important details. A CBCT scan provides a 3D view that shows the exact size and location of the infection, reveals complex root canal anatomy, and helps us map nearby nerves and sinus cavities. For patients in East Finchley, using CBCT leads to a more predictable outcome, lower risk of complications, and a minimally invasive approach. For example, a patient from Muswell Hill had an infection on an upper molar that was very close to the sinus lining; the CBCT helped us plan the surgery to avoid complications, something a standard x-ray might miss.

You may need an apicoectomy if a previous root canal treatment has failed and retreatment is not suitable. The most common reason is a persistent infection or inflammation around the root tip. Tiny, undetected branches of the main canal can harbour bacteria. You might also be a candidate if you have a cyst at the root tip that needs removal, or if a fractured instrument from a prior procedure prevents retreatment. If you notice a bump on your gum that does not heal, ongoing discomfort, or swelling near a treated tooth, seek an assessment at our Finchley practice.

First, you have a 60 minute consultation including the CBCT scan to confirm that an apicoectomy is the right approach. The surgery itself typically takes between 60 and 90 minutes. Dr. Reddy will use a local anaesthetic to numb the area. A small gum incision provides access to the infected root tip. The infected tissue and the very end of the root are removed under a dental operating microscope for high magnification. A small filling seals the end of the root canal to prevent reinfection. The gum tissue is then sutured back in place. You return for a follow-up 7 to 10 days later for suture removal and to check healing.

After your apicoectomy you may have mild to moderate swelling and discomfort for 2 to 3 days. Over-the-counter painkillers like ibuprofen help. An ice pack on the outside of your cheek for 20 minutes on and 20 minutes off during the first 24 hours can reduce swelling. Eat soft foods for a few days and avoid chewing on the operated side. Keep the area clean by rinsing with warm salt water and avoid vigorous brushing near the sutures. The modern apicoectomy has a high success rate, typically 85 to 95 percent. Red flags include increasing pain after day 3, persistent bleeding that does not stop with pressure, or a fever above 38°C. For emergencies after hours, call 111 or go to the nearest A&E.

While an apicoectomy is often the best option to save a tooth with a lingering infection, there are alternatives. The main option is a retreatment of the original root canal, where the filling is removed, the canals are cleaned again, and a new filling is placed. This may be advised if the initial work was compromised. A tooth extraction is another alternative. It is the simplest and least expensive upfront, but it removes the natural tooth and will require a replacement like an implant or bridge to restore function and prevent shifting of adjacent teeth. At your consultation, we will discuss the pros and cons of each option for your case.

To make an informed choice, ask the right questions, whether you meet with us or another practice in North London. Consider: what is the success rate for this procedure in the clinician’s hands? Do they use a dental operating microscope and CBCT planning? What are the total costs, including the scan and follow-up visits? What risks apply to your tooth based on its location? How much experience does the clinician have with this procedure? What happens if the apicoectomy fails?

The cost of a private apicoectomy reflects the complexity of the microsurgical work and the advanced technology used. Prices vary with tooth position, with front teeth usually simpler than molars. You will receive a full, personalised quote after the initial consultation and CBCT scan, with no hidden fees. As a private practice, NHS treatment is not offered. We accept several private dental insurance plans, including Max Bupa, Denplan, and Cigna. Please bring your insurance details to your consultation so we can help you understand coverage.