Laser-Assisted Apicoectomy in Finchley | Save Your Tooth

An apicoectomy is usually recommended when a prior root canal has failed and infection remains. You might be a candidate if you have symptoms such as a non-healing bump on the gum, ongoing pain or swelling around the tooth, or when retreatment is not practical. For example, a patient from North Finchley came to us with a persistent abscess years after a root canal. A 3D CBCT scan showed a tiny, untreated canal branch at the root tip causing the issue. A laser apicoectomy helped resolve the infection and save the tooth. It is also preferred when a post and crown make top access to the root canal difficult without causing damage.

The procedure is designed for comfort and is done under local anaesthetic. You will have a 60-minute consultation that includes a 3D CBCT scan to map the tooth’s root structure. The surgery itself typically takes 60 to 90 minutes. During the procedure, Dr. Reddy makes a small gum incision to access the root tip. A dental operating microscope provides high magnification, and a precision laser removes the infected end of the root and sterilises the area. This approach is often more precise and causes less bleeding than a traditional drill. A small filling seals the end of the root canal and the gum is stitched. You’ll receive detailed aftercare instructions at the end.

Proper aftercare helps you recover smoothly. In the first few days you may have some swelling and discomfort, which you can manage with over-the-counter pain relief. Apply an ice pack to your cheek for 20 minutes on and 20 minutes off to reduce swelling. Eat soft foods like soup, yogurt, and smoothies, and avoid vigorous rinsing or spitting. By the end of the first week the discomfort should be much less, and you’ll have a follow-up visit to check healing and remove stitches. If you notice increasing pain after day three, a fever, heavy bleeding, or pus from the site, contact us during office hours. For emergencies outside those hours, visit your local A&E or call 111.

While a laser apicoectomy is highly effective, there are other options to consider. Root canal retreatment is the first alternative if feasible, as it avoids gum surgery but may not be possible if a large post or complex anatomy blocks access. Tooth extraction is another option, but it creates a gap that can affect surrounding teeth. Replacing the tooth with an implant or bridge is more complex and costly than saving the tooth with an apicoectomy. We will always review every possibility to preserve your natural teeth first.

To make an informed care choice, consider asking these questions whether you come to us or another practice in North London. What is your success rate for this procedure, and how does it compare with others? What are the benefits of using a laser versus a traditional drill? Is the quoted fee all inclusive, covering the 3D scan, surgery, and follow-up visits? Based on my CBCT scan, what are the specific risks in my case? How much experience do you have with this procedure? What are the signs that healing is not progressing as expected?

A laser-assisted apicoectomy is a complex surgery, and the price reflects the advanced training and technology involved. The final fee depends on the tooth’s location and the surgery’s complexity. You will receive a full, transparent quote after your initial consultation and 3D CBCT scan. We are a private clinic and do not offer this treatment on the NHS. We do accept several private dental plans, including Denplan, Max Bupa, and Cigna. Our team will assist with any paperwork needed to make a claim.