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Specialist Level Dentistry – Endodontic Treatment in Hammersmith

What is Endodontics, or Root Canal Treatment?

The aim of Root Canal Treatment (also known as Endodontic treatment) is to save a tooth that has been badly damaged due to decay, disease or injury. This is achieved by cleaning out any debris and infected tissue inside the tooth and then sealing it.

  • You may need Root Canal Treatment if you are suffering from toothache, painful tooth, sensitivity to hot or cold, or pain in the gum surrounding a particular tooth. These symptoms may also indicate that other treatments are needed, however. This means that you should always see your dentist for an examination as soon as any of these symptoms are noticed.
  • Many millions of teeth each year are saved from extraction by having Root Canal Treatment. Most people prefer to save their natural tooth because generally it will function better than an artificial tooth. A natural tooth is usually stronger and more efficient for biting and chewing.
  • Root Canal Treatments will not be performed unless it is likely that the tooth in question can be restored to full health. Teeth that have been nurtured to full health with Root Canal Treatment are then restored with a Crown or Filling. In some cases Root Canal Treatment may not be appropriate and extraction may be the best option.

X-Rays of a Tooth before and after Root Canal Treatment


Why choose 92 Dental to have Root Canal Treatment?

General dentists are trained to perform Root Canal Treatment, but it is often best to seek out a dentist with a Special interest in Endodontics.

92 Dental’s Root Canal Treatments are handled by:

  • Dr Boryana Nikolova Dr Boryana Nikolova
    Dentist with Special Interest in Endodontics
  • Endodontics

Dr Boryana Nikolova completed her postgraduate training at the prestigious UCL Eastman in London. Her excellence in Endodontics means that she is frequently referred complex cases from all over London.

To book an initial consultation with Dr Nikolova, please click here or call our receptionist Jenny on 020 8748 1381.

root canal treatment

When do you need Root Canal Treatment?

root canal treatment

Root Canal Treatment is often the best course of treatment if a tooth is severely damaged by trauma, gum disease, or a deep cavity.

  • The tooth may become painful, sensitive to heat or cold, darkened or the gum surrounding it may become swollen and sore. These are all signs of infection that needs treatment to prevent it spreading to other areas of the mouth and face.
  • Symptoms such as pain and sensitivity may seem minor at first, but infections from decay can cause serious harm to your health if left untreated. Therefore we urge you to see your dentist as soon as any of these symptoms are noticed.
  • As the above symptoms may also indicate other dental problems, a consultation will be needed before a Root Canal Treatment is performed.

What happens when you have Root Canal Treatment at 92 Dental?

Root Canal Treatment comprises of a consultation and few subsequent dental visits. The first two of these need to happen at least 7 days apart and involves the cleaning out of the inside of the tooth and subsequently sealing the tooth. The third and fourth sees the healed tooth fully restored with a Crown or Filling.

  1. During the initial consultation, the dentist will examine the tooth and test the tooth’s sensitivity in order to clarify the exact nature of the patient’s dental problem. X-rays will also be taken to ascertain whether Root Canal Treatment will allow the complete restoration of the tooth.

    During the first two procedures, local anaesthetic will be given to block any pain that may occur. Root Canal Treatment is generally a pain free procedure, and the local anaesthetic will ensure that this is the case. A thin sheet of latex called a rubber dam is used to isolate the tooth and keep it clean and dry during treatment.

    To reach the pulp (nerve space) of the tooth the dentist will make a small opening in the tooth. The dentist will then use specialised instruments to remove the infected tissue and disinfect the root canal space. Medication is put inside the root canals to manage any remaining bacteria, and the access cavity in the tooth is sealed.

  2. The second visit involves another round of the disinfection protocol and then sealing the root canal system with a root filling. We wait to see that all the symptoms have resolved before we complete the treatment.

    Although Root Canal Treatments have a reputation for being unpleasant for the patient, the procedure is actually painless. These first two visits of a Root Canal Treatment usually take an hour and a half each.

  3. Finally, the tooth will be fully restored with a Crown or Filling. This will prevent the tooth from breaking down and will protect it from reinfection. The root canal treatment will be reviewed in one year with radiograph.

Root Canal Treatment Case Study

  • Before RCT
  • After RCT
Before RC Treatment

Two teeth in need of endodontic (root canal) treatment. The tooth to the left has short and incomplete root fillings (white material down the roots) and established infection (dark areas) around the tip of its roots. The other tooth is heavily filled and was painful at the time of the first visit.

After RC Treatment

After treatment: densely filled root canals appearing like long white material down the roots of these teeth all the way to the tip. The infection in the jaw, the dark areas, have healed around the tooth on the left. The other tooth has been crowned to protect it.

If you think you may need Root Canal Treatment, please click here to book an appointment, or call our receptionist Jenny on 020 8748 1381.