Root-End Surgery (Apicoectomy) Costs in Finchley

An apicoectomy is not a first-line treatment. It is typically advised when a standard root canal has already been performed but infection or inflammation persists at the tip of the tooth root. You might be a candidate if an infection remains after retreatment, perhaps due to a complex root structure or a post and crown that is difficult to remove without damaging the tooth. Dr. Ashok Reddy, who holds an MSc in Endodontics, will review a 3D CBCT scan to decide if an apicoectomy can save your tooth and avoid extraction.

The private apicoectomy fee at our Finchley practice starts from £950. This microsurgical procedure requires skilled technique and equipment. The final price depends on the tooth and the infection’s severity. Our quote includes: an initial consultation and a 3D CBCT scan for precise diagnosis, the surgical procedure under local anaesthetic, use of a dental operating microscope for maximum precision, and all follow-up visits to monitor healing. We are private-only and do not offer NHS services. We also accept plans from major insurers including Max Bupa, Denplan, and Cigna. We provide a detailed cost breakdown at your consultation with no hidden fees.

The procedure aims for comfort. The area is numbed with local anaesthetic. Dr. Reddy makes a small gum incision to reach the bone and the infected root tip. Under a microscope, the inflamed tissue and the end of the root tip are removed. The root canal is cleaned and sealed with a small biocompatible filling. The gum tissue is then closed with sutures. The whole procedure typically lasts 60 to 90 minutes. A Hendon patient with a persistent molar infection, previously untreatable by standard methods, had a successful 75‑minute apicoectomy and saved the tooth.

Recovery is usually straightforward. Expect mild swelling and some discomfort for the first two to three days, managed with ibuprofen. Apply an ice pack to the area for 20 minutes on, 20 minutes off during the first 24 hours to reduce swelling. Eat soft foods for a few days and avoid chewing on the treated tooth. Most people can return to work the next day. Stitches are typically dissolvable and will fade over a couple of weeks. Red flags requiring immediate contact include increasing pain after day three, a fever above 38C, or persistent bleeding during office hours (Mon, Wed, Fri 9 to 5; Tue, Thu 11 to 7). For emergencies outside these hours, visit the nearest A&E or call 111.

While apicoectomy is highly effective, you should know your options. Root canal retreatment is often preferred if possible, as it avoids surgery. However, retreatment may not be feasible if a large post or complex crown is in place. Tooth extraction is another option. It is the simplest and least expensive initial choice, but it creates a gap that must be filled with a long-term replacement like an implant or bridge, which starts from £2,500.

To decide, here are essential questions to ask a provider in Finchley: what is the success rate for this procedure on this tooth; do you use a dental operating microscope and 3D CBCT scanning; what are your qualifications for this microsurgery; is the quoted cost all-inclusive, covering consultations and follow-ups; what are the signs of success and how is it monitored; what happens if the apicoectomy fails; and what specific risks apply to your tooth given its location.