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Endodontics

Root Canal Treatment

Root canal treatment aims to address the problem inside a tooth and preserve your natural tooth. We examine the cause of your pain and the condition of the tooth, then discuss whether root canal treatment, a filling or another approach is appropriate.

Ask about this treatment

When might treatment be needed?

Endodontics focuses on the soft tissue inside a tooth and the tissues around its roots. Deep decay, cracks or injury can inflame or infect the pulp, which contains nerves and blood vessels. Root canal treatment aims to remove the affected tissue and retain the natural tooth. Lingering temperature sensitivity, pain when biting or swelling may warrant an examination; symptoms alone cannot establish the diagnosis. American Association of Endodontists ↗

ILLUSTRATED TREATMENT GUIDE

See how the treatment works

Inside the tooth — illustrative 3D rendering

Inside the tooth

The pulp is the tissue containing nerves and blood vessels inside the tooth.

Filling the canals — illustrative 3D rendering

Filling the canals

Affected tissue is removed, the cleaned canals are filled, and the top of the tooth is restored.

These AI-generated illustrations simplify the concept; they do not show true scale, your individual anatomy or a predicted result.

The main steps, from assessment to follow-up
  1. Assessment

    Pulp health, roots and remaining tooth structure are examined.

  2. Treating the canals

    Affected tissue is removed; the canals are cleaned and filled.

  3. Restoring the tooth

    An appropriate filling or crown helps return the tooth to function.

A simplified guide. The sequence and timing depend on individual findings.

TREATMENT OPTIONS

Explore your treatment options

Explore the main approaches below. At your assessment, we clarify which options suit you and which procedures can be provided at our clinic.

Root canal treatment

Root canal treatment may be considered when decay or injury has seriously affected the pulp.

The approach

With local anaesthesia, affected tissue is removed and the canals are cleaned, shaped and filled. A suitable filling or crown completes the restoration.

What to keep in mind

Visits vary by tooth. Symptom relief does not remove the need for the final restoration, and some teeth cannot be retained because of their structural condition.

Patient information source ↗

Root canal retreatment

A treated tooth can develop disease again because of complex anatomy, an untreated canal or leakage through a restoration.

The approach

Retreatment removes the earlier filling, allowing renewed inspection, cleaning and sealing. Access may require work on an existing crown.

What to keep in mind

A sound final restoration remains necessary. Understanding the cause of failure helps compare retreatment with surgery or extraction; retreatment is not appropriate for every tooth.

Patient information source ↗

Assessment of cracked teeth

Pain on biting or releasing pressure may prompt assessment for a crack.

The approach

Its extent, position and pulp involvement influence treatment. Some teeth need a protective restoration; others also need root canal treatment.

What to keep in mind

Deep cracks can limit the options. A crack does not heal like a broken bone. Prompt assessment and subsequent bite and restoration reviews matter, and treatment cannot guarantee that the crack will not progress.

Patient information source ↗

Endodontic follow-up after trauma

Even a small chip after an accident needs assessment because neighbouring teeth may have hidden injuries.

The approach

Treatment depends on whether a tooth is fractured, displaced or knocked out. Pulp condition and root development guide repair and any endodontic treatment.

What to keep in mind

The initial appearance may not reveal the full injury, making follow-up important. Root canal treatment is not automatic after every injury, particularly in developing teeth. Seek prompt professional care.

Patient information source ↗

Caring for the treated tooth

Some tenderness can follow treatment. Attend the planned restoration and review appointments, keep up daily oral hygiene and follow the clinician's recovery advice. Avoid eating until numbness has worn off. A treated tooth still needs regular dental care; treatment is not a guarantee against future problems. NHS recovery advice ↗, AAE ↗

This information does not replace an examination and an individual treatment plan.

Common questions

Will I need a restoration after root canal treatment?

An appropriate permanent filling or crown is needed to protect the tooth. Your dentist will explain the options.

How many appointments will I need?

Timing and the number of visits depend on your assessment. You can share preferred days in your request.

Root canal or extraction?

The remaining tooth structure, root condition and ability to restore the tooth are assessed. Root canal treatment may preserve a restorable tooth; extraction and replacement options are discussed when it cannot be restored.

Can a previously treated tooth be treated again?

Retreatment is possible in some teeth. The cause of the problem and the existing filling or crown are assessed first. Non-surgical retreatment and root-end surgery are different options, and suitability varies.

Does relief from pain mean treatment is finished?

No. Symptom relief does not mean the canal filling and final restoration are complete. Attend the permanent restoration appointment if you have a temporary filling, and keep the recommended reviews.