Laser-Assisted Apicectomy in East Finchley

An apicectomy is usually considered after a root canal but the problem remains. It is needed when infection stays at the root tip. You may be a candidate if you have persistent pain, swelling, or a recurring gum boil near a treated tooth. It is also used for complex roots with small branches that could not be reached in the first treatment, or if a cyst has formed at the root tip. The laser offers better disinfection and precision and gentler tissue removal, making it preferred for these complex cases.

The procedure is done under local anaesthetic and lasts about 60 to 90 minutes. First, Dr. Reddy makes a small gum incision to access the bone. With a dental microscope and a laser, the infected tissue and the root tip are removed precisely. The laser helps disinfect the area better than traditional methods. Then a small biocompatible filling seals the end of the root canal to prevent reinfection. Finally the gum tissue is repositioned with tiny dissolvable stitches. Using the laser often leads to minimal bleeding and less trauma, helping faster healing.

After the procedure you can go home the same day. You may have mild discomfort, swelling, or bruising, usually peaking around day two. An ice pack on the cheek for 20 minutes on, 20 minutes off, for the first day helps. Eat soft foods like soup and yogurt and avoid rinsing hard or chewing on the treated side. Over-the-counter anti inflammatory medicines like ibuprofen usually control the pain. Avoid strenuous activity for a couple of days.

Healing is usually fast. The stitches dissolve on their own and you can return to a normal diet as you feel comfortable. Brush gently around the surgical site. Rinse with warm salt water after meals to keep the area clean. Most patients feel back to normal within a week or two. Attend the follow up appointment at 7 to 10 days so we can check healing. Call during office hours if you have severe or increasing pain after day three, persistent bleeding, or a fever. For emergencies outside these hours call 111.

While a laser apicectomy is a good option to save a tooth, it helps to know the alternatives. The main options are root canal re treatment or tooth extraction. Re treatment removes the original filling and cleans and reseals the canals. This is often tried first when possible because it has a high success rate. It may not be possible if there is a post in the tooth or complex anatomy. Extraction removes the tooth. While this stops the infection, you would need a replacement such as an implant or bridge to maintain chewing and prevent shifting of other teeth, which adds time and cost.

As a specialist procedure, private laser apicectomy in London typically costs between £950 and £1,200 depending on how tricky the tooth is. Our fee reflects the laser, the dental operating microscope, and high standard care. This price includes the surgery, all x rays including 3D CBCT scans, and follow up visits. We are a private practice and do not offer NHS treatment. We do accept private insurance from Max Bupa, Denplan, and Cigna. We will provide a fully itemised treatment plan with no hidden fees at your consultation.

To make an informed choice about your care whether with us or another practice in North London, ask the right questions. We suggest: What is your success rate with this procedure? Do you use a dental microscope and lasers for all apicectomies? What are the benefits of using a laser in my case? What is included in the quoted fee and are there extra costs? What are the risks and what happens if the procedure is not successful? How much experience do you have with this procedure? Finally ask about aftercare support and who to contact if you have concerns during recovery.