ENDODONTICS
Mary Hudson
BDS (Liverpool) MSC (London) MFDS RCPS (Glasgow) MRD RCS
Dental Surgeon
Kajal Gohil
BDS MJDF MSC (ENDO)
Endodontics and Root Canal Treatment
Endodontics is the specialist field of dentistry dedicated to diagnosing and treating conditions affecting the dental pulp, the soft, nerve-containing tissue at the centre of the tooth, and the surrounding root structures. Conditions such as deep decay, cracks, trauma, or infection can compromise the pulp, leading to pain, swelling, and, if untreated, the potential loss of the tooth.
Our clinicians provide advanced endodontic care using modern technology and evidence-based techniques. We are committed to relieving discomfort, eliminating infection, and preserving your natural tooth wherever possible.
What Is Root Canal Treatment?
Root canal treatment (endodontic treatment) is a procedure aimed at saving a tooth that has become infected or severely inflamed. The process involves removing the diseased pulp, disinfecting and shaping the root canals, and then sealing them with a biocompatible material. A final restoration, often a crown, is recommended to strengthen the tooth and restore full function.
When Is Root Canal Treatment Needed?
Root canal treatment may be recommended when you experience:
Persistent or severe toothache
Prolonged sensitivity to heat or cold
Pain on biting or pressure
Facial or gum swelling
A dental abscess
Deep decay or a large existing filling affecting the nerve
Cracks, fractures, or trauma to the tooth
Radiographic evidence of infection at the root tip
Early diagnosis and timely treatment improve outcomes and help prevent the infection from spreading to surrounding tissues.
Benefits of Timely Endodontic Care
Effective pain relief from nerve inflammation or infection
Prevention of further infection and associated complications
Preservation of the natural tooth, avoiding extraction
Restoration of normal chewing and function
Long-term support for oral health, reducing future dental risks
What to Expect During Treatment
We aim to provide a calm, comfortable experience and clear communication throughout your care. Root canal treatment is typically completed over several appointments, usually two, although more complex cases may require additional visits.
1. Comprehensive Consultation
A detailed clinical examination, supported by X-rays, allows us to assess the tooth, diagnose the condition accurately, and plan your treatment. In some cases, a Cone Beam CT (CBCT) scan may be recommended to provide a three-dimensional view of the tooth and surrounding structures, particularly when the anatomy is complex or the infection is difficult to evaluate on standard X-rays.
2. Local Anaesthesia
The area is fully anaesthetised to ensure a comfortable procedure. Most patients find the experience similar to having a routine filling.
3. Rubber Dam Isolation
A small protective sheet is placed around the tooth to maintain a clean, sterile environment during treatment.
4. First Appointment: Cleaning and Medicament Placement
The infected or inflamed pulp is removed, and the canals are thoroughly cleaned and disinfected. A medicament is then placed inside the canals to reduce bacterial activity and promote healing between visits.
5. Second Appointment: Further Cleaning and Obturation
At your follow-up appointment, the canals are further refined, cleaned, and then sealed (obturation) with a biocompatible filling material to prevent reinfection.
6. Restoration
A temporary or permanent filling is placed. In most cases, a crown is recommended afterwards to strengthen and protect the treated tooth.
Appointment Length:
Each visit typically lasts 60–90 minutes, depending on the complexity of the tooth and the anatomy of the canals.
Aftercare and Recovery
Following treatment, it is normal to experience mild tenderness for a few days. This is usually manageable with over-the-counter pain relief.
To support healing:
Avoid chewing on the treated tooth until the final restoration is completed
Continue excellent oral hygiene with daily brushing and flossing
Attend all recommended follow-up visits
Contact us if you notice significant pain, swelling, or symptoms that worsen
Success Rates and Treatment Limitations
Root canal treatment is highly predictable, with success rates commonly reported between 85–95%, especially when followed by appropriate restoration.
However, outcomes may be influenced by:
Complex or unusually shaped root canals
Cracks or fractures in the tooth
Long-standing infections
Delays in placing the final crown or restoration
Your clinician will discuss your specific prognosis and any factors relevant to your tooth.
Frequently Asked Questions
Is root canal treatment painful?
With modern anaesthesia and techniques, treatment is generally very comfortable and comparable to having a filling.
How long does root canal treatment take?
Root canal treatment is usually completed over two appointments, each around 1 hour to 90 minutes.
First visit: cleaning and placement of medicament
Second visit: further cleaning and obturation
More complex cases may require additional appointments.
Why might I need a crown afterwards?
A crown strengthens the tooth and helps prevent future fractures, significantly improving long-term success.
Can a root canal fail?
Occasionally, reinfection can occur. If this happens, retreatment or alternative options may be recommended.
What happens if I choose not to proceed?
Without treatment, infection is likely to worsen, often resulting in pain, abscess formation, and eventual loss of the tooth.
Book Your Endodontic Consultation
If you are experiencing tooth pain, sensitivity, or have been advised to consider root canal treatment, we are here to help. Contact reception today to book a consultation on 01865 557808.
