Endodontic Surgery (Apicoectomy) Price in East Finchley

The price for endodontic surgery (apicoectomy) at our East Finchley practice typically ranges from £800 to £1,200. The final cost depends on the tooth's location because front teeth are less complex than molars, and the overall complexity of the case. We offer clear pricing with no hidden fees. Your quoted price includes: a thorough consultation with Dr. Ashok Reddy (GDC: 85978), who holds an MSc in Endodontics; detailed 3D CBCT scanning to map the root anatomy and infection; the surgical procedure itself, performed under local anaesthetic with a dental operating microscope for precision; and all necessary follow-up visits to monitor healing. We are private only and do not provide NHS services. We do accept major private plans, including Max Bupa, Denplan, and Cigna. Please contact us to discuss your coverage.

An apicoectomy is usually recommended when a previous root canal treatment has failed and infection remains at the tip of the root. You might need this procedure if a 3D scan shows a cyst or persistent inflammation that cannot be cleaned through a conventional retreatment. It is also the best option when retreatment is not possible due to a post and crown that cannot be safely removed. For example, a patient from Muswell Hill recently came to us with a crowned front tooth that had a persistent infection visible on their scan. An apicoectomy allowed us to resolve the infection without disturbing the cosmetic crown, saving the tooth. The goal is to address the source of the infection directly when other methods are not viable.

First, you will have a 60-minute consultation where we use our 3D CBCT scanner to confirm that surgery is the right option. On the day of treatment, the procedure lasts between 90 and 120 minutes. Dr. Reddy will apply local anaesthetic to ensure you are numb and comfortable. Next, a small incision is made in the gum to access the infected root tip. The infected tissue and the very end of the root are removed. The root canal is then sealed from the end with a small filling. Finally, a few small stitches are placed to help the gum heal. You will return for a check-up 1–2 weeks later to have the stitches removed and to assess healing.

First 24 to 48 hours bring swelling and some discomfort. We provide instructions for pain management, typically using over-the-counter medications like ibuprofen. Apply an ice pack to the cheek for 20 minutes at a time to reduce swelling. Eat soft foods such as soup, yogurt, and smoothies. In the first week, the initial discomfort should lessen significantly after 3 to 4 days. Avoid strenuous activity and continue with a soft diet. Be gentle when brushing near the surgical site. If you notice increasing pain after day four, a fever, or persistent bleeding, contact us during office hours. For severe issues outside these hours, call 111 or visit the nearest A&E.

While an apicoectomy is highly effective, you should know other options. Root canal retreatment is often the first choice if possible. It avoids surgery but may not be feasible if a large post is present. It has a similar success rate and treats the problem from inside the tooth. Tooth extraction is the last option. Removing the tooth resolves the infection but creates a gap that needs restoration with a dental implant or a bridge, which generally involves higher long-term costs and treatment time. We always aim to save the natural tooth whenever possible.

To make an informed choice, consider these questions for any provider, whether at our Finchley practice or elsewhere: What is the success rate for this procedure in your hands? Do you use a dental microscope and 3D CBCT scanning for planning and surgery? Is the quoted price inclusive of the consultation, scans, and all follow-up visits? What are the specific risks in my case? Who performs the procedure and what postgraduate training do they have in endodontics? What happens if the surgery fails?