Microscope Root-End Surgery for North Finchley Patients

An apicoectomy is usually advised when a previous root canal failed and retreatment is not possible or has failed. It targets infection or inflammation at the tip of the tooth root. You might be a candidate if imaging shows a persistent infection even without symptoms. It is preferred when retreatment is difficult, for example if there is a large post and crown that could be damaged by reopening. A North Finchley patient had a crowned molar with a low grade ache. A 3D CBCT showed a small cyst at the root tip that a standard root canal could not fix, making an apicoectomy the best option to save both the tooth and the crown.

The process focuses on your comfort and accuracy. First, you attend a 60-minute consultation with a 3D CBCT to map the root structure. The surgery itself lasts about 60-90 minutes. Local anaesthetic is used so you feel only pressure, not pain. A small gum incision gives access to the root tip. With magnification from the operating microscope, Dr. Reddy removes infected tissue and the end of the root. The cleaned root canal is then sealed with a biocompatible filling. The gum is stitched closed and you return in about 7-10 days for a 15-minute visit to remove stitches and review healing.

Recovery is an important part of the treatment's success. For the first 24-48 hours, you can expect some swelling and mild discomfort. Use an ice pack on the cheek for 20 minutes on, 20 minutes off to manage this. You will be able to manage any pain with over-the-counter medication like ibuprofen. Stick to soft foods for a few days and avoid chewing on the surgical side. Keep the mouth clean, but avoid brushing the surgical site directly for the first week; we will provide a specific mouthwash. Most people return to normal activities within 2-3 days. Red flags requiring a call: contact our practice immediately if you experience increasing pain after day 3, a fever above 38C, or uncontrolled bleeding during office hours. For out-of-hours emergencies, call 111 or visit the nearest A&E.

While apicoectomy is highly effective, you should know your other options. The main alternative is tooth extraction. This involves removing the tooth completely, which solves the infection but leaves a gap. This gap would then need to be filled by a dental implant or a bridge to restore function and prevent other teeth from shifting. While an implant is a strong long-term solution, our practice philosophy is to save the natural tooth where possible, as nothing is as good as your own. Another option is a root canal retreatment, but an apicoectomy is usually chosen when this approach is not feasible or has already been unsuccessful. We discuss all options openly during your consultation.

To decide on your treatment, here are key questions to ask any provider in North London. Start with their experience and whether they use a dental microscope, which improves success. Ask what the quoted fee covers including the 3D scan, the surgery, and follow-up visits. Inquire about the long-term success rate, which should be over 90 percent with modern techniques. Ask about the recovery and what support is available if you have concerns after surgery. Also confirm they accept your dental insurance such as Denplan or Cigna.

As a specialised procedure, the cost reflects the advanced training and technology. The final fee depends on complexity and tooth location. We provide a clear, all-inclusive quote after your initial consultation and 3D CBCT scan, with no hidden fees. The quote covers the surgery, imaging, 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. Please bring your insurance details to your consultation so we can explain your coverage.