CBCT-Guided Apicoectomy for North Finchley Patients

A root-end surgery is needed when infection or inflammation remains in the bone around the end of the tooth after a root canal. It is the right choice if retreatment cannot be done or has not worked. You might need this if you have a persistent toothache, swelling, or an abscess that does not heal. It suits complex root anatomies, such as a curved or blocked canal that cannot be cleaned through conventional methods. The goal is to remove the infected root tip and seal the end to prevent future infection, preserving the tooth.

CBCT scanning is the standard for planning an apicoectomy. Instead of a flat 2D X-ray, our on-site CBCT creates a detailed 3D model of your tooth, jawbone, and nearby nerves. For patients traveling from North Finchley, this means we plan the full procedure with precision before starting. The scan shows the exact shape and position of the root tips, reveals hidden canals or fractures, and maps nerve and sinus locations to avoid during surgery. This technology raises the success rate, which sits around 85 to 95 percent, shortens the operation, and supports a smoother recovery.

First, you will have a 45-minute consultation that includes the CBCT scan so we can assess the tooth and plan your treatment. The surgical appointment typically lasts 60 to 90 minutes. We numb the area with local anaesthetic so you feel pressure but no pain. A small gum incision gives access to the infected root tip. With a dental operating microscope for magnification, we remove the infected tissue and the end of the root. A small filling seals the root end, and the gum is stitched back. A recent patient from North Finchley showed an infection near the sinus; the 3D imaging allowed safe navigation to avoid complications. Most patients return to normal activities within a few days.

Proper aftercare supports a quick recovery. For the first 24 hours expect some swelling and mild discomfort. We provide instructions for using ice packs on the cheek in 20-minute cycles to reduce swelling. Pain is usually manageable with over-the-counter medicine like ibuprofen. Stick to soft foods for a few days and avoid chewing on the surgical side. Avoid strenuous activity for 48 to 72 hours. Stitches typically come out or dissolve within a week. Red Flags: contact our practice immediately if you have increasing pain after day 3, heavy bleeding, a fever above 38°C, or swelling that worsens. Office hours are Mon, Wed, Fri 9 to 5 and Tue, Thu 11 to 7. For emergencies outside hours, visit the nearest A&E or call NHS 111.

While an apicoectomy helps save a tooth, other options exist and will be discussed during your visit. The main choices are: 1. Root Canal Retreatment: If possible, redoing the original root canal may be the first choice. This is a non-surgical option but may not be feasible if the canal is blocked or a post is present. 2. Tooth Extraction: Removing the tooth solves the infection but leaves a gap that may cause nearby teeth to shift. You would then consider a replacement such as a dental implant or bridge, which involves additional procedures and costs. During your consultation at our Finchley practice, we will explain which option fits your clinical situation, budget, and long-term dental health goals.

To make an informed choice, here are important questions to ask any provider in the North Finchley area about this procedure: - Do you use a CBCT scanner for planning every apicoectomy? - Do you use a dental operating microscope during the surgery? - What is your personal success rate with this procedure? - What are the full costs, including the scan, surgery, and follow-up appointments? - What type of material do you use to seal the root end? - Who manages my care if complications occur after office hours? - What are the risks specific to the tooth being treated, such as proximity to a nerve?