Microscope Apicectomy: Saving Teeth in Finchley Central

An apicectomy is advised when a standard root canal has failed and infection stays at the root tip. You might need it if you have a persistent lump on the gum, localized tenderness, or an infection seen on an X-ray that does not heal. It is often the last option before extraction. A patient near Finchley Central once had a crowned front tooth with a persistent infection that retreatment could not fix; an apicectomy allowed us to clean the root tip and save the crown. The procedure also suits teeth with complex root-tip anatomy or cysts that cannot be treated with a regular root canal. A 3D CBCT scan at our clinic helps confirm if this is right for you.

The process focuses on precision and comfort. You’ll have a 60-minute consultation that includes a 3D CBCT scan for planning. The surgery itself typically lasts 90 to 120 minutes. Under local anaesthetic, we make a small gum incision to reach the infected root tip. Dr. Reddy uses a dental operating microscope with up to 25x magnification to remove the infected tissue and the end of the root. The root canal is sealed from the tip, and the gum is closed with a few small stitches. Most patients feel pressure rather than pain. A quick follow-up to remove stitches and check healing is scheduled for 7 to 10 days later.

Your comfort is our priority after the procedure. Expect some swelling and bruising, peaking around 48 to 72 hours. Using an ice pack for 20 minutes on and 20 minutes off helps on the first day. We provide guidance for mild to moderate discomfort with over-the-counter pain relief such as ibuprofen. Stick to soft foods for several days and avoid heavy exercise for 48 hours. Keep the area clean by rinsing gently with saltwater after 24 hours. Red flags requiring immediate contact: call our practice at 0203 488 0335 during office hours (Mon, Wed, Fri 9 to 5; Tue, Thu 11 to 7) if you have uncontrolled bleeding, increasing severe pain after day 3, or a fever above 38 C. For after-hours emergencies, call 111 or go to the nearest A&E.

The main alternative is tooth extraction. While sometimes needed, our aim is to save natural teeth whenever possible. After extraction, the gap would need to be restored with an implant, bridge, or partial denture. An implant is permanent but requires a longer treatment and higher cost. A bridge needs preparation of adjacent teeth. We discuss these options openly, but with microscope-assisted apicectomy success around 85 to 95 percent, it often makes the best long-term choice.

To make an informed choice about your treatment, whether with us or another practice near Finchley, consider these questions: Do you use a dental operating microscope for all apicectomy procedures? What is your personal success rate with this procedure? Is the price quoted inclusive of the 3D scan and all follow-up visits? What risks are tied to my tooth’s location? Why is an apicectomy a better option for me than extracting the tooth and placing an implant? What qualifications and experience do you have in performing complex endodontic surgery?

Because we are a private practice focused on endodontics, NHS treatment is not offered. An apicectomy is a complex surgery, and the price reflects the advanced equipment and time required. Prices typically start around £950, depending on tooth location and complexity. This includes the 3D CBCT scan, the procedure, and follow-up visits. There are no hidden fees. We accept private insurance from providers such as Max Bupa, Denplan, and Cigna. We provide a fully itemised treatment plan and quote at your first consultation.