CBCT-Guided Endodontic Surgery in East Finchley

Endodontic surgery, also called an apicoectomy, is usually advised when a standard root canal treatment fails to clear an infection. You may need this procedure if a persistent infection, inflammation, or a cyst affects the bone near the tooth end. It's also suitable when complex root anatomy, such as curved or narrow canals, makes non surgical retreatment unlikely to succeed. Our aim is to save the natural tooth wherever possible, and this microsurgical procedure often offers the last and best chance to do so.

CBCT, or Cone Beam Computed Tomography, is central to modern endodontic surgery. Unlike a standard 2D dental x-ray, a CBCT scan provides a detailed three‑dimensional image of your tooth, jawbone, and surrounding structures. This matters for several reasons. First, it lets us pinpoint the exact location and extent of the infection with unmatched accuracy. Second, it reveals complex anatomy like hidden canals or tiny fractures that often drive treatment failure. Finally, it helps us plan the surgery precisely, avoiding nerves and sinuses, which makes the procedure safer and more predictable. For example, a patient from Highgate had a persistent infection on a molar. The CBCT scan showed a hidden, untreated canal branch that was unseen on a 2D x-ray, enabling an apicoectomy that saved the tooth.

Your treatment starts with a 60 minute consultation that includes a detailed CBCT scan to confirm surgery is the right option. During the procedure, lasting about 60 to 90 minutes, the area is fully numbed with local anaesthetic so you feel no pain. Dr. Reddy uses a high powered dental operating microscope and makes a small gum incision to reach the root tip. The infected tissue and the end of the root are removed, and a small biocompatible filling seals the root canal. Finally, a few stitches help the gum heal. You return for a follow up in 7 to 10 days to have the stitches removed and to check healing.

After surgery you may have mild discomfort and swelling, which peaks around 48 to 72 hours. This is manageable with over the counter painkillers such as ibuprofen. Apply ice packs for 20 minutes on, 20 minutes off, for the first day to reduce swelling. Eat soft foods for a few days and avoid hard, crunchy, or spicy items. Rinse gently with warm salt water starting the day after surgery to keep the area clean. Call the practice during office hours (Mon, Wed, Fri 9 to 5, Tue, Thu 11 to 7) if you have severe or increasing pain after day 3, a fever, or persistent bleeding. For emergencies outside these hours, visit A&E or dial 111.

Endodontic surgery is highly effective, but you deserve options. One alternative is non surgical root canal retreatment if the initial treatment can be improved. However, when there is a post inside the tooth or complex anatomy, surgery tends to be more predictable. The other option is tooth extraction. Removing the infection by extraction creates a gap that may cause neighbouring teeth to shift and affect your bite. Replacing the tooth with a dental implant or bridge offers a reliable long term solution but involves more procedures and higher costs. We will discuss the pros and cons of each option as they relate to your case.

The cost of CBCT guided endodontic surgery varies with case complexity and the tooth treated. After your initial consultation and CBCT, we provide a detailed treatment plan and a full breakdown of costs with no hidden fees. Our aim is to deliver the highest standard of care to save your tooth long term. We are a private practice and do not offer NHS treatment. However, we accept several private dental plans including Denplan, Cigna, and Max Bupa. Please contact our team to discuss your insurance coverage and payment options.

To make an informed choice about your care, whether with us or another practice in North London, here are key questions to ask. What is the success rate for this procedure in your hands? Modern endodontic microsurgery has a success rate of over 90 percent, and it is important to confirm this. How will the CBCT scan be used to improve safety and outcome of the surgery? Ask for a clear explanation of the total cost, including the scan, the surgery, and any follow up visits. Finally, inquire about the recovery process and what to expect in the first week after treatment.