CBCT-Guided Root-End Surgery for West Finchley Patients

Root-end surgery, called an apicoectomy, is usually advised when a standard root canal fails and infection remains at the root tip. You may be a candidate if you notice a persistent bump on the gum, swelling, or a dull ache that does not go away. It also fits when retreatment is not possible because removing a crown or post is not possible. Our 3D CBCT scanner shows the exact location and extent of the infection, confirming whether this microsurgical step helps save your tooth.

The process focuses on precision and your comfort. First, we take a detailed 3D CBCT scan during your initial 60-minute consultation to map the root anatomy. The surgical appointment typically lasts 60-90 minutes. Dr. Reddy administers a local anaesthetic, so you feel pressure but not pain. Next, we make a small gum incision to access the infected root tip. Using a dental operating microscope for high magnification, we remove the infected tissue, resect the very end of the root, and seal the canal with a biocompatible filling. Finally, we place a few small stitches to aid gum healing. A recent patient from West Finchley with a persistent upper molar infection benefited from the scan identifying a tiny, previously untreated canal branch, which led to a successful outcome.

Recovery is a key part of the treatment's success. For the first 24-48 hours expect some swelling and mild to moderate discomfort, manageable with over-the-counter painkillers such as ibuprofen. Use a cold pack on your cheek for 20 minutes on, 20 minutes off to reduce swelling. Eat soft foods like soup, yogurt, and smoothies for the first few days. Returning to work is usually possible the next day, but avoid strenuous exercise for about a week. The stitches are usually removed 5-7 days after the procedure. Red flags requiring a call: contact us during office hours (Mon Wed Fri 9-5, Tue Thu 11-7) if you experience severe, increasing pain after day 3, uncontrolled bleeding, or a fever above 38C. For after-hours emergencies, call 111 or visit your nearest A&E.

While apicoectomy has a high success rate (over 90 percent with modern techniques), it is important to know your options. The main alternative is tooth extraction. After extraction, the missing tooth needs replacement with a dental implant, a fixed bridge, or a removable denture to restore function and prevent other teeth from shifting. While an implant offers a strong long-term solution, our practice aims to save natural teeth whenever possible. Root-end surgery often remains the more conservative approach, preserving your original tooth structure. During your consultation, we will discuss the pros and cons of each option for your case.

Root-end surgery is a complex microsurgical procedure, so the cost reflects the advanced technology and training involved. A personalised treatment plan and a clear quote will be provided after your initial consultation and CBCT scan. The fee covers the surgical procedure, all imaging, and follow-up visits. There are no hidden charges. As a private practice, NHS treatment is not offered. We accept several private dental plans, including Max Bupa, Denplan, and Cigna. Please bring your insurance details to your appointment so we can help you understand coverage.

To make an informed choice, ask questions during your visit with us or another practice in the West Finchley area. Consider asking: Why is an apicoectomy a better option than retrying the root canal? What is your success rate for this procedure? Does the quoted fee include the initial CBCT scan and all follow-up visits? What signs of success or failure should I watch for during healing? Based on the 3D scan, what specific challenges or risks exist in my case?