How much is an apicectomy in London?

An apicectomy at Sure Smile Clinic London starts from £750, including your review appointments and follow-up X-rays.

Is an apicectomy painful?

Not during — the area is fully numbed. Afterwards expect swelling and tenderness for three to five days, controlled with standard painkillers.

How successful is root-end surgery?

Modern microsurgical technique succeeds in roughly 85–90 per cent of suitable cases, which compares very well with replacing the tooth.

What if the apicectomy fails?

If infection persists, options are retreatment, extraction with a bridge, or extraction with an implant . We discuss all of these before you decide.

How long does the appointment take?

Allow around 90 minutes for the surgery itself, plus time for anaesthetic and post-operative instructions.

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Apicectomy

Apicectomy (Root-End Surgery) in London

Saving a root-filled tooth when infection persists at the root tip.

A root-filled tooth that still aches or has a recurring gum boil may need root-end surgery rather than extraction. Book an assessment below.

Ready to book your apicectomy appointment?

Send us your details and we'll be in touch — usually within one working day.

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Why patients choose us for their apicectomy

Keeps a tooth that would otherwise be lost
Treats infection conventional retreatment cannot reach
Around a 90-minute single appointment
Local anaesthetic, sedation available
Dissolvable stitches
Far less costly than implant replacement

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Apicectomy or re-root canal?

Where the existing root filling is poor, retreatment through the crown is usually the first choice — it addresses the whole canal system. Surgery is preferred when there is a well-fitting post and crown, a blocked or ledged canal, or a fractured instrument in the way.

What happens during surgery

A small flap is raised to expose the bone over the root tip
Infected tissue is removed and sent for analysis if indicated
The last 3 mm of root is trimmed away
The root end is prepared and sealed with a biocompatible material
The flap is repositioned with fine dissolvable sutures

Success and healing

Modern microsurgical apicectomy with magnification has a success rate of around 85–90 per cent. Swelling and bruising settle over three to five days; bone healing shows on X-ray over six to twelve months, and we review it with follow-up radiographs.

Your treatment journey