Assessment and options
We discuss symptoms, medical history, examination findings, any indicated imaging and alternatives, including not proceeding with treatment.
Root canal treatment aims to manage infection or inflammation within a tooth by cleaning, disinfecting and sealing its root canal system. Whether treatment is suitable depends on the diagnosis and the tooth’s overall prognosis.
We discuss symptoms, medical history, examination findings, any indicated imaging and alternatives, including not proceeding with treatment.
Local anaesthetic is generally used. A dental dam is commonly used to isolate the tooth during root canal treatment.
The tooth may require a definitive filling or crown. Follow-up and ongoing care are important to its long-term prognosis.
May be considered when a tooth’s pulp is inflamed or infected and the tooth is suitable for preservation.
May be considered when a previously root-treated tooth develops persistent or recurrent disease. Complexity and prognosis vary.
Local anaesthetic is normally used to make treatment as comfortable as possible. Some tenderness afterwards can occur. Tell your clinician about pain or concerns.
Appointment length and the number of visits depend on the tooth and case complexity. Your clinician will explain the expected plan.
Root canal treatment aims to preserve a tooth, but no outcome can be guaranteed. Restorability, infection, anatomy and the final restoration all affect prognosis.
Some teeth, especially heavily restored back teeth, may benefit from cuspal coverage. Your dentist will discuss the appropriate definitive restoration.
An endodontic assessment starts from £75 and is charged separately. Treatment prices vary by tooth and complexity; see the full fee schedule.
Do not use the website demo form. Contact your dentist or an appropriate urgent dental service promptly. Seek emergency medical help for breathing or swallowing difficulties.
Treatment is provided under local anaesthetic; sedation is not offered. Most root canal treatment appointments last approximately 90–120 minutes, although the duration varies with the tooth and complexity. Some cases require more than one appointment.
You will receive written postoperative instructions after your appointment. Mild tenderness when biting can occur for several days. Avoid chewing until the local anaesthetic has worn off, and avoid hard foods on the treated tooth until it has been appropriately restored. If a temporary restoration has been placed, arrange definitive restoration as advised. Over-the-counter pain relief may help if suitable for you; follow your clinician’s advice and the medicine instructions.
Contact the practice if pain worsens, swelling develops or a temporary restoration is lost. Seek urgent medical attention for swelling affecting breathing or swallowing.
Appointments are available following a referral from your dentist.