CBCT-Guided Endodontic Surgery in Finchley

Endodontic surgery is not a first-line treatment, but it serves as a critical option for saving a natural tooth in specific cases. We typically recommend an apicoectomy when a conventional root canal treatment is not enough or not possible. You may need this procedure if you have a persistent infection that hasn’t healed after a root canal, often visible on an x-ray. It is also chosen if a cyst or inflamed tissue around the root tip needs removal. In some cases, complex root anatomy, such as a sharply curved root or a blocked canal, makes traditional treatment impossible. For example, a patient from North Finchley with a crowned front tooth could not have retreatment without harming the crown. A CBCT-guided apicoectomy helped resolve the infection while preserving the crown.

The plan is crafted to ensure comfort and success. First, you have a consultation that includes a 3D CBCT scan, taking about 20 to 30 minutes. This scan underpins diagnosis and surgical planning. Dr. Reddy, who holds an MSc in Endodontics, uses the 3D image to map the infection and nearby nerves. The surgery itself lasts about 60 to 90 minutes. Under local anaesthetic, a small gum incision provides access to the root tip. The infected tissue is removed, the end of the root is resected, and a small biocompatible filling seals the canal. Sutures are placed, and you receive detailed aftercare instructions. A follow-up visit occurs a week later to check healing and remove the stitches.

Postoperative care is straightforward. For the first 24 to 48 hours you may notice some swelling and mild discomfort, which responds to over-the-counter pain relievers such as ibuprofen. An ice pack applied to the area for 20 minute intervals helps reduce swelling. Eat soft foods for a few days and avoid chewing at the surgical site. Rinsing or spitting vigorously should be avoided to protect healing. Most patients resume normal activities the next day. A Barnet patient who had surgery on a Thursday returned to work on Monday with minimal discomfort. Red flags requiring a call—please reach us during office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7) if you have severe or increasing pain after day 3, uncontrolled bleeding, a fever above 38°C, or noticeable swelling that spreads. For emergencies outside hours, go to A&E or call 111.

While retreatment of the root canal shows a high success rate, there are other options to consider. Root canal retreatment is the usual first choice when feasible, involving removing the old filling material, cleaning the canals again, and resealing. It may not work if a crown and post cannot be safely removed. Tooth extraction solves the infection but creates a gap that then requires a dental implant, bridge, or partial denture, adding time and cost. Our philosophy is to save the natural tooth whenever clinically possible.

To make an informed choice, consider asking any dentist at our Finchley practice or elsewhere: Why is endodontic surgery a better option than retreatment or extraction? What does the CBCT scan reveal that a standard x-ray misses? What is your success rate for this procedure? What are the full costs, including the scan, the surgery, and follow-up visits? What material is used for the root-end filling What does the recovery involve and how much time should I plan to take off work?

The price for CBCT-guided endodontic surgery depends on the tooth and its location. You receive a precise, all-inclusive quote after the initial consultation and the diagnostic CBCT. This fee covers the 3D scan, the surgical procedure performed with a dental operating microscope, and all follow-up visits. There are no hidden fees. We operate as a private-only practice and do not offer NHS services. We do accept private dental insurance plans, including Max Bupa, Denplan, and Cigna. Please contact our reception team to review your case and payment options.