Root Canal Treatment

Treatment for infected teeth

Root Canal Treatment in London

What is root canal treatment?

Inside every tooth is a nerve and if decay reaches the nerve, or if a tooth fractures then bacteria can induce infection. This may cause pain and lead to abscess formation in the bone around the roots. Root canal treatment eliminates the bacteria from the root canal and removes the cause of the infection.

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The root canal treatment procedure

The treatment is done by accessing the nerve and removing it. The root canals are located and measured and then cleaned and shaped with fine instruments. The canals are finally filled with special materials. Root canal work is a skilled and time consuming procedure and most courses of treatment will involve one or two appointments of one to two hours duration.

Does root canal treatment hurt?

You will always be given a local anaesthetic injection when you have any form of invasive dentistry such as a root canal treatment, and what is worth bearing in mind is that many people are in quite severe pain before having root canal treatment due to the infection or abcess which is present. Having this treatment then removes the initial cause of pain and so pain relief is the result.

In some instances it may also be possible to offer dental sedation during a root canal treatment. There are various ways that sedation can be offered, either by breathing in a relaxing gas or by having an injection which will keep you awake but ensure that you have no conscious awareness of what is going on.

When you come for an initial assessment for any root canal treatment and think that you may like dental sedation then please do let your dentist know as appropriate arrangements can then be made.

The following diagrammatic video show how a root canal is performed.

Further resources which you may find beneficial

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Pain after root canal treatment

Normally, as we have mentioned before, pain is actually less after root canal treatment as it deals with the infection and abscess. Sometimes a tooth can feel painful after root canal treatment if you bite excessively hard on it, we therefore recommend being careful about what you eat for a few days after having this form of dentistry.

There is often a falsely held belief that root canal treatments are very painful.People have a tendency to believe this because they are actually reporting on the pain that they feel prior to having treatment caused by infection and the abscess. With modern injection techniques and anaesthetic the RCT is generally speaking no more painful than a routine filling which is normally described as uncomfortable rather than painful.

The real trick to reducing pain with root canal treatments is to not let the condition get so bad in the first place. There are a few instances where pain can be worse after root canal treatment:

  • Badly inflamed teeth
  • If you grind your teeth (bruxism)

If the gum and connective tissues around your teeth become badly inflamed then it is this that can cause post root canal treatment sensitivity and/or pain. This is why we recommend seeing the dentist as soon as possible to ensure that the infection does not build up and cause this type of pain.

If you grind your teeth then this will transfer the pressure onto any inflamed gum and connective tissues around your teeth, so being aware of grinding and clenching will also help to eliminate sensitivity and/or pain after root canal treatment.

How to reduce pain

  1. Take regular pain killers
  2. Ask your dentist for stronger pain killers if regular ones don’t have an effect
  3. Eat soft food fora few days after treatment to allow your gums and teeth time to recover
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Problems after root canal treatment

As already mentioned root canal treatment often consists of a couple of treatments and it is often between these treatments that problems can arise. Rest assured that we refer our complex root canal treatments to a local London specialist as they have the equipment and experience to deal with any complex cases.

Generally though post operative pain can be managed with regular painkillers which are available over the counter. In some instances your dentist may prescribe anti-inflammatory or stronger painkillers to deal with any more severe pain.

Another good suggestion is to eat soft food for a few days after your root canal treatment.This gives time for the surrounding soft tissue and ligaments to recover after the treatment as it is these which actually cause the pain, and not the tooth. Eating a soft diet transfers less force to these affected areas and therefore keeps pain to a minimum.

In the interim appointments it is also generally recommended to avoid extremely hot or cold foods, this is because the root canals may not be fully filled at the first appointment. Avoiding this type of food will also help to reduce post-operative sensitivity.

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Sarah
Sarah
14:36 14 Oct 19
I’ve been coming to Dr Jones for about ten years now and I’ve always been impressed by her attention to detail. I’m a fairly nervous patient and she’s done some fairly complex work on me with utterly no pain and to a really high standard. I had grinding pain for a number of years and she’s tailored a splint for me to successfully get rid of it. I briefly tried a new dentist when I moved house, but it just wasn’t the same and have since returned to her and now make the long commute to see her because of the level of care she provides. Highly recommend!read more
Jeremy Kavanagh
Jeremy Kavanagh
20:43 09 Sep 19
Great experience visiting The Dental Centre for the first time. Very friendly, helpful staff, a first class check up from the dentist and exceptional clean from the hygienist. Will definitely return. Thanks to everyone there for looking after me 😁👍🏻read more
Robert Doel
Robert Doel
14:46 16 Aug 19
Been to my second appointment at dental smiles had my impressions done it was a breeze, I have a diabolical gagging reflex so I did what Dr Patel asked me to do and I went through it without any gagging whatsoever, in past times at other dentists it was always a rush to get you in and out with no consideration for the patients but at dental smiles what they have to do you comes second the nerves disappear after a reassuring chat and gentle approach they go through everything without any problems, which is why this is the dental practice to head for when you have any problems what so ever, don't be afraid of this practice, they are out of this world, ggggreat workread more
bob dylan
bob dylan
10:15 28 Jul 19
Told I needed a crown for a simple filling which fell out. Decided to trust her word and get it done. When the temporary filling fell out, she was unavailable for a week, while I called every day, walking around with a hole in my mouth. Turns out she actually was in the practice, but was too keen to leave every day at 5pm to provide basic care to her customers. Also told I needed a filling on another tooth for a superficial spot of decay. Saw another dentist about this who advised this is an out of date practice - superficial decay can recover and is best left to heal until it becomes a problem. Now I suspect the crown was also overkill to hand out a larger bill. I was also advised to get a splint, which would cost £900 - the "Rolls Royce" of splints (how very professional...). Another dentist advised that this can be done for £450. Not the same "Rolls Royce" - but they at least provide a more affordable option. Takes ages to get appointments - don't expect anything for 2 weeks. Receptionist seems to think she runs the practice. Bottom line is this place is run as a business, not a health care facility. Private patients are subsidising care for students, but don't expect any better service for your hard earned money - you're just a number in their books, and they're going to try making that number as large as possible.read more
Toby Payne
Toby Payne
08:08 17 May 19
I had a really great experience here, as a student. Friendly, quick and easy to book appointments. An appointment of mine had to be rescheduled and the process was very straightforward and with no inconvenience, so am grateful to them for that. I would recommend to any London based students!read more
Giulia Barbareschi
Giulia Barbareschi
20:15 20 Feb 19
I have been a patient for over three years now. Everyone at the centre is great. Dr Au is extremely competent and always willing to explain the situation clearly so that the patients can make the best choice. The hygienists are very professional. The nurses are always nice and reassuring and the reception staff is lovely and super efficient.read more
Stefano De Luccia
Stefano De Luccia
14:25 23 Jan 19
I had a splint done with Dr. Jones and it was great. My jaw is already way better. I felt they really put a focus on patient care and its a really lovely environment. Highly recommend it.read more
Greg
Greg
16:44 18 Jan 19
Good price and friendly, but I was told I need a filling however another dentist (who family members have used and trusted for years) assured me that I don’t. I got the impression that they were more interested in me spending money than the health of my teeth. The dentist also recommended I pay something like £50 to attend a session on brushing. Overall not great.read more
Juliet Ellis
Juliet Ellis
09:15 18 Dec 18
Carla and her team have looked after my teeth for 5 years now and I have always received excellent service even though I can be an awkward patient particularly with taking impressions. Under her care I have become a less nervous dental patient. Gemma the hygienist also performs wonders to my teeth and in a very professional manner. The surgery has ultra modern equipment, with excellent reception staff who are always helpful. I highly recommend the practice.read more
Danny Dailey
Danny Dailey
09:24 03 Dec 18
These guys are on point!! A really client centred service the moment you walk through the door. I had a hygiene not too many weeks ago with Emma which was the best I've ever had. Also what i really like is the that elite professionalism of Dr Jones is reflected in her front of house staff too, Jeeva always does an excellent job at making me feel welcome and valued, I'm really glad i found this place.read more
Martin Wright
Martin Wright
19:07 06 Nov 18
Carla Jones at The Dental Centre has looked after my teeth for well over 10 years now, and has done a great job. I feel in very safe hands with her. All the staff are warm and personable, and manage to combine being friendly with being super-efficient - a rare combination!read more
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