Endodontic Surgery Costs for Finchley Central Patients

Private endodontic surgery such as an apicoectomy at our Finchley practice typically begins at £950. The price reflects the procedure’s complexity and the use of advanced technology. Your total payment includes the initial assessment with 3D CBCT imaging to map the root, the surgery performed under a microscope, and all follow up visits to monitor healing. The final price can vary based on tooth location and root anatomy. We accept private plans from providers like Max Bupa, Denplan, and Cigna. After your first assessment we provide a clear fixed quote with no hidden fees.

Endodontic surgery is not a first line option. It is used when a standard root canal has failed and infection remains at the root tip. You might need this if an abscess shows on an X ray even without pain, or if a cyst forms at the root end. It is also the best option when complex root anatomy, such as a severe curve, makes retreatment unlikely to succeed. A Finchley Central patient recently required an apicoectomy after a persistent low grade infection on a crowned front tooth did not respond to non surgical retreatment. The procedure saved the tooth and the crown.

Your treatment is planned in stages. First a 60 minute consultation with a 3D CBCT scan to locate the infection and plan the surgery. The operation typically lasts 60 to 90 minutes. Dr. Reddy uses a local anaesthetic so you feel pressure but not pain. He makes a small gum incision, removes the infected root tip and surrounding diseased tissue, and seals the end of the root canal. The gum is closed with tiny stitches. A follow up visit is arranged for 7 to 10 days to remove the stitches and check healing. Complete bone healing takes several months, but you should be comfortable long before then.

Days 1 to 3 can bring local swelling and mild to moderate discomfort managed with over the counter pain relief such as ibuprofen. An ice pack applied for 20 minutes on and 20 minutes off during the first day helps reduce swelling. Eat soft foods and avoid chewing on the treated side. Weeks 1 to 2 see the discomfort and swelling subside. Stitches are usually removed after about a week. You should continue brushing normally but be very gentle around the surgical site until it is fully closed. If you experience increasing pain after day 3, a fever above 38C, or uncontrolled bleeding, contact the practice during office hours (Mon, Wed, Fri 9 to 5, Tue, Thu 11 to 7). For emergencies outside these hours, call NHS 111 or visit A and E.

Apicoectomy has a high success rate of 85 to 95 percent. One alternative is a non surgical root canal retreatment, which involves redoing the original root canal to clear the infection. It is chosen if the initial treatment was compromised but is not suitable if the infection is isolated to the root tip. Another option is tooth extraction followed by a dental implant. This provides a permanent replacement but is more invasive and costly, starting around £2,500 for the implant plus the crown. Loss of your natural tooth is something we aim to prevent. During your consultation we explain why surgery can be the most effective and conservative path for your case.

To make an informed choice, ask the right questions whether you come to us or another practice in the Finchley area. Here is what to ask: the total all inclusive cost of the apicoectomy including the 3D scan and follow ups; your personal success rate with this procedure; whether you use a dental operating microscope and 3D CBCT for planning and surgery; the specific risks in your case such as proximity to nerves or sinuses; why surgery is a better option than retreatment or extraction in your situation; and what postgraduate qualifications you hold in endodontics.