Advanced Root Canal Surgery for North Finchley Patients

Root canal surgery, also called an apicoectomy, is not the first option. It is a precise procedure when a conventional root canal has failed or is not possible. You might be a candidate if infection persists after previous treatment, with bacteria hidden in tiny canals at the root tip. It’s also used when complex anatomy such as a very curved or blocked canal prevents a normal root canal from working. A 3D CBCT scan at our Finchley clinic helps decide if this is best for you. A common scenario is a patient from North Finchley who had a root canal years ago and now has a recurrent abscess; an apicoectomy can fix this without removing a good crown.

Your treatment is designed for precision and comfort. First, you’ll have a 60 minute consultation with a 3D CBCT scan to map the root structure. Then the surgery itself, usually 60-90 minutes. Dr. Reddy will numb the area with local anaesthetic so you feel no pain. He makes a small gum incision to reach the root tip, removes infected tissue, seals the end of the root, and closes the area with a few stitches. A dental operating microscope gives magnification to keep the area clean and sealed. A follow-up visit is typically scheduled 7-10 days later to check healing and remove stitches.

Recovery from an apicoectomy is usually straightforward. In the first 24 to 48 hours you may notice some swelling and mild discomfort, which you can manage with over-the-counter pain relief such as ibuprofen. Apply an ice pack to your cheek for 20 minutes on and 20 minutes off to reduce swelling. Eat soft foods like soups, yogurt, and pasta for a few days and avoid chewing on the treated side. Avoid vigorous rinsing and strenuous activity for the first 48 hours. Most people return to normal activities the next day. One patient from Friern Barnet, a teacher, had the procedure on Thursday and was back at work Monday with minimal issues. Red flags to watch for during office hours (Mon, Wed, Fri 9-5; Tue, Thu 11-7) include increasing pain after day 3, persistent bleeding, fever above 38C, or spreading swelling. For emergencies outside hours, go to A&E or call 111.

While surgery is effective, you have options. The main alternatives discussed during your consultation are: Non surgical retreatment, where we remove the old filling, clean the canals again, and place a new filling. It is less invasive than surgery but may not be possible if a large post is in the tooth or the canal is blocked. Tooth extraction and replacement, if the tooth cannot be saved. The tooth is removed and can be replaced with an implant, bridge, or partial denture. While an implant is a strong long term solution, our practice aims to save the natural tooth whenever possible as it is usually more cost effective and conservative.

To ensure you receive the best care, whether with us or another practice in North London, here are key questions to ask: Do you use a dental operating microscope for all root canal surgeries? What is your success rate for this procedure? Is a 3D CBCT scan included in the assessment and cost? Who performs the procedure and what postgraduate training do they have in endodontics? What are all the costs, including the consultation, scan, surgery, and follow-up? What happens if the procedure is unsuccessful?

Root canal surgery is a private treatment and costs reflect the advanced training and technology required. Following your consultation and 3D scan, we will provide a detailed treatment plan with a full, transparent breakdown of costs and no hidden fees. The final price depends on the tooth's location and the complexity of the case. Our practice accepts private dental insurance plans from providers including Max Bupa, Denplan, and Cigna. Please bring your insurance details to your appointment, and our team will be happy to assist you with any necessary paperwork to help you understand and utilise your coverage.