Microscope Apicoectomy for North Finchley Patients

An apicoectomy is usually advised when a standard root canal fails to clear infection or retreatment is not possible. You might need this procedure if you have ongoing pain, swelling, or an abscess near a treated tooth. It is also the best option when a new crown or bridge makes reaching the root canal from above impractical. For example, a patient from North Finchley came to us with a dull ache and a small pimple on the gum above a crowned molar. A 3D CBCT scan showed a persistent cyst at the root tip that a previous root canal could not clear. An apicoectomy saved both the tooth and the crown.

The process aims for your comfort. You will have a 60 minute consultation with a 3D CBCT to map the roots. The surgery lasts about 90 to 120 minutes. We begin by numbing the area with local anaesthetic, so you feel pressure but not pain. Then a small gum incision gives access to the bone and the infected root tip. Using the microscope for magnification, we remove the infected tissue and the end of the root. A small filling seals the root end to prevent reinfection. Finally the gum is stitched. Most patients find the procedure straightforward.

Your recovery is a priority. In the first 24 to 48 hours expect swelling and possibly bruising. Ice packs for 20 minutes on, 20 minutes off help. Mild to moderate discomfort is normal and can be controlled with over the counter painkillers such as ibuprofen. Stick to a soft diet for a few days and avoid chewing on the surgical side. Avoid strenuous activity for 48 hours. You return in about a week to check healing and remove stitches. Red flags requiring immediate contact include severe or increasing pain after day 3, a high fever, or persistent bleeding. Call during office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7). For after hours, call 111 or visit A&E.

While an apicoectomy often works well, other options exist. A non surgical root canal retreatment might be possible if the tooth can be accessed again. This involves removing the old filling, cleaning the canals again, and refilling. If there is a post or a complex crown, this may not be feasible. The only other option is tooth extraction. This removes infection but creates a gap that might need a dental implant or bridge, adding time and cost. An implant is a strong option, but our aim is to save a healthy natural tooth whenever possible. An apicoectomy achieves this with a success rate over 90%.

To make an informed choice whether you meet with us or another practice serving North Finchley, here are key questions. Do you use a dental operating microscope for all apicoectomies? What is your personal success rate with this procedure? What does the quoted fee include—does it cover the initial 3D scan and all follow up visits? What are the specific risks in my case? Who performs the surgery a general dentist or someone with advanced endodontic training? Understanding these points will help you feel confident in your treatment plan.

As a private practice, we provide a detailed, fully costed treatment plan with no hidden fees after your initial consultation and 3D scan. The cost of an apicoectomy reflects the complexity of the procedure, the advanced technology used such as the microscope and CBCT scanner, and the extensive postgraduate training required to perform it successfully. We accept several private dental insurance plans, including Max Bupa, Denplan, and Cigna. Our team will help with any necessary paperwork for your claim. Please contact us for a personalised quote based on your specific clinical needs.