Endodontic Surgery Prices for West Finchley Patients

Endodontic surgery is not a first line treatment. It is usually chosen after a conventional root canal has failed or retreatment is not possible. You might be a candidate if a persistent infection shows up on an X ray even if you have no symptoms. It is also used to treat cysts or challenging anatomy like a blocked or curved canal that limits a standard root canal. Our 3D CBCT scans reveal the root in detail to decide if surgery is the best option to save your tooth. The main goal is to remove the infection while preserving tooth structure and avoiding extraction and implants or bridges.

The procedure is straightforward. We numb you with local anaesthetic. Dr. Ashok Reddy, who holds an MSc in Endodontics, performs it in about 60 to 90 minutes. A small incision gives access to the tip of the tooth root. The infected tissue and the end of the root are removed. A small filling seals the canal. The gum is stitched closed with a few stitches that are removed after about a week. We use a dental operating microscope for the precision required. A West Finchley patient with a persistent infection on a molar from a previous root canal was found to have a hidden fourth canal on a CBCT scan and treated with an apicoectomy, saving the tooth from extraction.

The price for private endodontic surgery (apicoectomy) at our Finchley practice typically starts from around £850. The final cost depends on the complexity and location of the tooth—molars at the back of the mouth are more challenging to access and treat than front teeth. Our fee includes the initial 3D CBCT scan for precise diagnosis, the surgical procedure itself performed under a microscope, and all follow-up appointments, including suture removal. There are no hidden fees. We accept private dental insurance from providers like Max Bupa, Denplan, and Cigna. During your consultation, we'll provide a detailed, personalised treatment plan with a fixed quote so you can make a fully informed decision.

Recovery is generally quicker than patients expect. For the first 24-48 hours, you can expect some localised swelling and mild discomfort, which is easily managed with over-the-counter painkillers like ibuprofen. We recommend applying an ice pack to the area for 20 minutes on, 20 minutes off, to minimise swelling. Stick to soft foods for a few days and avoid chewing directly on the treated tooth. You'll need to keep the area clean by rinsing gently with saltwater. Most people return to work the next day. A patient from Highgate recently had an apicoectomy on a Thursday and was back to their desk job on Friday with minimal issues. You must call us if you experience severe, increasing pain after day 3, a fever, or uncontrolled bleeding during office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7). For out-of-hours emergencies, visit A&E or call 111.

When considering endodontic surgery, it's important to know your other options. The main alternative is tooth extraction. Removing the tooth resolves the infection but creates a gap that can cause surrounding teeth to shift and bone loss. To replace the tooth you would need a dental implant with crown or a fixed bridge, both more invasive and costly than saving your natural tooth. In some cases, a highly complex root canal retreatment might be an option, but if this has failed or isn't possible, surgery remains the best course to preserve your own tooth. Our philosophy is to save natural teeth whenever possible.

To choose what's right for you in the West Finchley area, ask the right questions at any practice. Inquire about the success rate for this procedure at their practice. Ask if they use a dental operating microscope and 3D CBCT scanning, as these are standard of care. Get a clear breakdown of the cost—does the quoted price include all scans and follow-up visits? Ask about the dentist's qualifications, for instance if they hold a postgraduate degree like an MSc in Endodontics. Finally, ask what happens if the procedure fails and what the long term plan would be.