Endodontic Surgery Costs for West Finchley Patients

The price for an apicoectomy at our Finchley practice starts from £950. The amount reflects the procedure’s complexity and the technology we use. Final pricing varies by tooth type and case details. What’s included: a consultation with Dr. Ashok Reddy, 3D CBCT mapping, the surgical procedure under local anaesthetic with a microscope, and follow-up visits. We are private-only and do not offer NHS care. We do accept private plans such as Max Bupa, Denplan, and Cigna. A detailed treatment plan with all costs will be provided before you proceed.

Endodontic surgery is usually recommended when a standard root canal does not resolve an infection. You might need an apicoectomy if you have persistent pain, swelling, or a recurring abscess around a treated tooth. It is often the last option to save a tooth that would otherwise be extracted. A West Finchley patient who had a root canal years ago and now has a small infection at the tip of the root is a typical scenario. A 3D scan often shows a cyst or persistent inflammation that only surgery can remove effectively. This option suits patients who want to keep their natural teeth.

The process centers on precision and comfort. It starts with a 60-minute consultation using a 3D CBCT to review the root anatomy. The surgery itself lasts about 60 to 90 minutes. Dr. Reddy numbs the area and makes a small gum incision to reach the root tip, removes infected tissue and part of the root, and seals the canal with a filling. The gum is sutured back. A follow-up occurs about a week later to check healing and remove sutures. The bone then heals over the following months.

Days 1-3: expect swelling and mild to moderate discomfort. Over-the-counter pain relief helps. An ice pack on the cheek for 20 minutes on, 20 minutes off for the first 24 hours reduces swelling. Eat soft foods like soups, yogurt, and smoothies. Avoid vigorous rinsing or spitting. Weeks 1-2: the initial discomfort eases. Continue soft foods and avoid chewing at the surgical site. Warm salt water rinses can begin after 24 hours. Avoid smoking and heavy exercise for a week. Red flags: call during office hours if pain increases after day 3, bleeding continues, fever above 38 C, or a bad taste at the site.

An apicoectomy has a high success rate, often above 90 percent. It is important to know your options. Root canal retreatment may be possible from the crown, but a post or crown can block access. Tooth extraction is another option; removing the tooth is simpler and cheaper upfront but creates a gap that can cause shifting. Replacing the tooth with a dental implant is usually the best long-term solution, though the total cost (from £2,500 for the implant plus the crown) is higher than saving the tooth. We will discuss the best option for your clinical situation at your consultation.

To ensure you receive good care, whether with us or another West Finchley practice, consider asking these questions. Does the quoted cost cover the consultation and the 3D CBCT scan? What is the success rate for this procedure? Do you use a dental operating microscope for apicoectomies? What complications could occur and how are they handled? Who performs the procedure and what postgraduate training in endodontics do they have? What are the costs of alternatives like extraction and an implant?