Advanced Apicoectomy with Microscope near Finchley Central

An apicoectomy is typically recommended when a previous root canal has failed and retreatment isn't suitable or has also failed. You should consider a consultation if you have a root-treated tooth and symptoms like persistent pain, swelling near the tooth, or a recurring pimple-like bump on the gums. A 3D CBCT scan at our Finchley practice can confirm infection or a cyst at the root tip, making an apicoectomy a necessary step to prevent tooth loss. Our practice focuses on endodontics with the goal to save natural teeth whenever possible, and this procedure supports that aim.

First, you have a 60 minute consultation with a 3D CBCT to map the tooth's root structure and infection precisely. This helps plan carefully. The surgery is a single visit and lasts about 60-90 minutes. It is done under local anaesthetic, so you feel pressure but not pain. We make a small gum incision to reach the root tip, remove infected tissue, and seal the end of the root canal. The microscope is essential, offering up to 25x magnification for accuracy. Finally, a few small stitches close the gum. You return 7-10 days later for a brief check and stitch removal.

Postoperative care is straightforward but important. In the first 24-48 hours expect swelling and mild discomfort, manageable with over-the-counter pain relievers like ibuprofen. Apply ice for 20 minutes on and 20 minutes off during the first day to reduce swelling. Stick to soft foods and avoid chewing on the treated side for several days. Do not rinse the mouth vigorously in the first 24 hours. Most patients feel back to normal within 3-5 days and can return to work the next day. Red flags requiring a call: contact during office hours if you have severe, increasing pain after day 3, uncontrolled bleeding, or fever above 38 C. For emergencies outside these hours, go to the nearest A&E or call 111.

A patient from Finchley Central had a persistent mild ache on an upper molar that had a root canal years earlier. CBCT showed a small hidden infection at the root tip that the previous treatment missed. With the microscope, Dr. Reddy performed an apicoectomy, cleaning and sealing the root. Symptoms resolved within a week. Another case involved a patient told extraction was the only option. We did an apicoectomy to save the tooth, enabling a new crown and avoiding a costly implant.

Besides an apicoectomy, discuss these options. Non-surgical root canal retreatment: redo the original root canal to clean and seal the canals again when feasible, though not always possible with a post or complex anatomy. Tooth extraction: last resort if the tooth cannot be saved; a missing tooth would then need replacement with a dental implant, bridge, or denture. Our aim is to preserve the natural tooth where there is a good chance of success.

To choose wisely, ask these questions of any dentist in Finchley: What is the success rate for this procedure in your hands? Do you use a dental operating microscope and 3D CBCT scanning for all apicoectomies? What is the total cost, including consultation, scan, surgery, and follow-up visits? What are my other options if I decline the procedure? What are the specific risks in my case? What postgraduate qualifications do you have in endodontics?

A microscope-guided apicoectomy is a micro-surgical procedure that reflects advanced training and technology. We are a private practice and do not offer NHS treatment. The final fee comes after a full assessment and 3D scan during the consultation. The price covers the initial consultation, imaging, the procedure, and follow-up appointments with no hidden fees. We accept private plans such as Max Bupa, Denplan, and Cigna. Please contact reception to confirm your plan before your appointment.