Endodontic Surgery (Apicoectomy) Costs in North Finchley

Endodontic surgery is not a first option. It is usually recommended when a standard root canal fails to clear infection or retreatment isn’t feasible. You might be a candidate if pain or swelling persists months after a root canal, or an X ray shows infection at the root end. It also helps when a complex crown or post makes it hard to access the root canals from above. Our 3D CBCT scans let us map the root precisely and decide if surgery offers the best chance to save the tooth.

At our Finchley practice, endodontic surgery typically starts at £850. We publish clear prices with no hidden fees. The price usually covers: initial consultation and a 3D CBCT scan, local anaesthetic, the surgical procedure with use of a dental operating microscope, stitches and follow up including stitch removal if needed, and monitoring healing. Factors that raise the final price include the tooth's location and the complexity of the root structure. We accept private insurance from Max Bupa, Denplan, and Cigna and will provide a detailed quote after the consultation.

A patient from North Finchley came with ongoing discomfort a year after a molar root canal. A 3D scan showed a small cyst at one root tip that the previous treatment could not resolve. An apicoectomy was performed in a single 90 minute visit, cleaning the infection from the root tip and sealing it, saving the tooth and the crown. Healing was complete within about a week.

The process begins with a 60 minute consultation and a 3D scan to plan the treatment. On the day of the surgery, the area is fully numbed with local anaesthetic. The surgery lasts about 60 to 90 minutes. Dr. Reddy makes a small gum incision to access the root tip. With magnification, the infected tissue and the end of the root are removed. A small filling seals the root tip and the gum is stitched. Expect some pressure during the procedure but no pain. We schedule a follow up about a week later to check healing and remove stitches.

First 24 to 48 hours bring swelling and mild discomfort. Use an ice pack on the outside of your cheek for 20 minutes on and 20 minutes off. Over the counter pain relief such as ibuprofen usually helps. Eat soft foods and avoid hard textures near the surgical site. In the first week the swelling fades and discomfort eases. Avoid strenuous activity for a few days and brush the other teeth normally while being gentle around the area. Seek care during office hours if you have increasing, severe pain after day 3, a fever, or heavy bleeding. For emergencies after hours, call 111 or go to the nearest A and E.

There are two main alternatives to an apicoectomy, and we discuss which option fits you best. Root Canal Retreatment involves removing the old filling, re cleaning the canals, and refilling them. This is often preferred if the canals are accessible, but it is not possible if a large post or complex crown blocks access. Tooth Extraction is the last resort if the tooth cannot be saved. The missing tooth would then need replacement with an implant or bridge to restore function and prevent shifting. Our approach aims to save the natural tooth first.

To decide on your treatment whether with us or another practice in the North Finchley area, consider these questions: Does the quoted price include the initial consultation and 3D CBCT scan? What is your success rate for this procedure? Is a dental microscope used during the surgery? What are the costs if the procedure fails and an extraction is needed later? What experience do you have with complex endodontic surgery? Are follow up appointments included in the initial fee?