A Guide to Endodontic Surgery Costs in East Finchley

Endodontic surgery is not a first option. A dentist with advanced endodontic training recommends it when a standard root canal cannot fully resolve the infection. You might need this if a persistent infection sits at the tip of the tooth root that ordinary methods cannot reach. This can occur with complex root anatomy such as a sharply curved canal or when a cyst is present. For example, a patient from Muswell Hill was referred after a general dentist found a lingering abscess on an X‑ray years after a root canal; an apicoectomy saved the tooth. It is also used when removing old posts or fillings from a prior root canal would be too risky.

The process focuses on a good outcome. First, you’ll have a 60‑minute consultation during which we use our in‑house 3D CBCT to map the root and diagnose accurately. Then the surgery itself typically lasts 60 to 90 minutes and is done under local anaesthetic, so you feel pressure but not pain. We make a small gum incision, remove infected tissue and the tip of the root, and seal the end of the root canal. A follow-up visit about a week later removes stitches and checks healing. Bone healing can take months, but you should regain normal function sooner.

The cost starts from £950 at our East Finchley practice. This reflects the procedure’s complexity and the technology used. Our price covers the full surgery by Dr. Ashok Reddy, who has MSc in Endodontics, the use of a dental operating microscope for precision, all necessary 3D CBCT scans for diagnosis and planning, and all follow-up appointments to monitor healing. There are no hidden fees. The only extra cost may be the initial consultation. We are a private practice and do not provide NHS services. We do accept private dental insurance plans from providers such as Max Bupa, Denplan, and Cigna. We will supply the documents needed for your claim.

Recovery matters for the outcome. In the first 24 to 48 hours you may see some swelling and mild to moderate discomfort. Over the counter pain relief such as ibuprofen helps. An ice pack on the cheek for 20 minutes at a time can reduce swelling. Stick to soft foods like soup, yogurt, and smoothies for a few days and avoid chewing on the treated side. You may rinse with warm salt water after 24 hours to keep the area clean. Most patients return to work within one or two days. Red flags: call the practice during office hours if pain increases after day three, if you have a fever, or persistent bleeding. For emergencies outside these hours go to A and E or call 111.

Yes. The main alternative is tooth extraction. While it may be cheaper at first, it creates a gap that needs a replacement to prevent shifting of other teeth. That means costs for a dental implant with a crown or a bridge that crowns adjacent teeth. Another option is non surgical retreatment, but an apicoectomy is usually advised when retreatment has failed or isn’t possible. Our aim is to save natural teeth whenever we can, and an apicoectomy is an effective way to do that.

To make an informed choice, here are important questions to ask any provider, including us or another practice in North London. A recent patient from Barnet found this list helpful. What is your success rate for this procedure? Studies put success around 85 to 95 percent. Does the quoted price include the 3D CBCT scan and all follow up visits? What options exist if I choose not to have this surgery? What experience do you have with complex cases like mine? Will you use a dental operating microscope? This last question matters, as microscopes improve precision and outcomes.