Endodontic Surgery (Apicoectomy) Costs in Finchley

The cost of an apicoectomy in the London area typically ranges from £700 to £1,500. This variation is driven by several factors, with case complexity as the main driver. A back molar with multiple roots is more demanding than a single-rooted front tooth. At our Finchley practice, the fee covers the full surgical procedure performed by a dentist with postgraduate qualifications in endodontics (MSc), the use of a dental operating microscope for precision, all necessary 3D CBCT scans for diagnosis, and your follow-up visits to monitor healing. For context, a patient from North Finchley needed surgery on a molar near a nerve, which required careful planning with our 3D scanner and influenced the final cost.

Endodontic surgery is appropriate if a conventional root canal has failed and is not healing but you want to save the tooth. It is often the best option when there is a persistent infection or a cyst at the root tip that cannot be reached by redoing the root canal from the crown. This can happen if the canal is blocked by a dental post or a separated instrument. An apicoectomy allows us to directly access and clean the root tip, and it has an 85–95% success rate in saving the tooth. If you have ongoing discomfort or swelling around a root-treated tooth in Finchley, a consultation is the first step to see if this path fits you.

First you have a 60-minute consultation with a 3D CBCT scan to locate the infection and plan the surgery. The surgical appointment itself lasts 60 to 90 minutes. You will be fully numb with local anaesthetic and feel only pressure. Dr. Reddy will make a small gum incision, remove infected tissue and the root tip, and seal the canal with a biocompatible filling. The gum is stitched with small sutures. A patient from Golders Green who was anxious appreciated the straightforward steps. You return about a week later for a 15-minute follow-up to check healing and remove the stitches.

After the procedure you can expect some manageable discomfort and swelling. In the first 24 to 48 hours swelling peaks. Pain is usually managed with ibuprofen. Eat soft foods for a few days and avoid chewing on the treated side. You can return to work the next day, but avoid strenuous activity for 3 to 4 days. Keep the area clean by rinsing with salt water after 24 hours. Call the practice during office hours if pain increases after day 3, there is uncontrolled bleeding, or a fever above 38C. For emergencies outside hours, call 111 or visit the nearest A&E.

While apicoectomy has a high success rate, there are alternatives. One option is to attempt re-treatment of the original root canal by removing the old filling and re-cleaning the canals. This is possible if the initial treatment was incomplete but not always. The other main option is tooth extraction. This is simpler and cheaper at first, but it leaves a gap that needs a long term replacement like a dental implant or bridge to restore function and prevent shifting of other teeth. These replacement options carry their own costs. During your consultation we will openly discuss whether an apicoectomy is the best choice for you compared with these other options.

To make an informed health choice, here are key questions to ask, whether you visit our Finchley practice or another provider in North London: What is the total cost including the consultation, 3D scans, and all follow-up visits? What is your success rate for this specific procedure? Do you use a dental operating microscope and 3D CBCT scanning for planning and treatment? What are the risks involved in my case? What are my alternatives and why do you recommend apicoectomy over them? What postgraduate training do you have in endodontics?