Root Canal Treatment In Chelsea, London

Root Canal Treatment with our Expert Specialist Endodontist in Chelsea

Root Canal Treatment at our Chelsea Clinic

Introduction

• Where is the root canal?

  The root canal is a thin channel that exists in the roots of the teeth. Normally these channels are filled with nerves and blood vessels that supply the tooth.

  The root canal system may become compromised (infected and/or painful) and need root canal treatment.

• What causes a tooth infection and the need for root canal treatment?

  The most common cause of a tooth infection is tooth decay, tooth trauma, or a poorly fitting restoration such as a filling or a crown.

  These conditions can cause bacteria to enter the pulp of the tooth. The blood vessels and nerves reside in the pulp of the tooth.

  This can become inflamed and begin to die. The dead cells and bacteria progress to form an infection. A root canal specialist is required to remove the infection and prevent further damage.

Sign & Symptoms

• How do I know I need root canal treatment?

  During the early stages of infection, pain may be minimal or even non-existent. As the infection develops, you may get pain or swelling.

  When there are no symptoms, the infection may only be visible to your dentist on examination.

  In these situations, the dentist would normally see a small spot or opening on the gum (called a sinus tract) where the infection has created a path to come out of the bone. Sometimes the dentist can also see a shadow at the bottom of the root on the x-ray.

• What are the signs and symptoms of a tooth infection?

  The main symptoms of early infection are tenderness to bite on and/or pain to hot and cold that lasts more than a few seconds.

  The longer you leave the infection to spread through the root canal system, the more painful it may become until you feel a constant toothache.

  In serious cases or in advanced infection, a dental abscess may form, which will present as swelling of the gum or even the face.

  To find out more about root canal treatment in London, contact our team today.

Treatment Options

• What are the treatment options for a tooth infection?

  A tooth infection can only be treated by either root canal treatment or removal of the tooth. Antibiotics are only a temporary measure until you can have the infection treated properly.

  Antibiotics will not remove the infection permanently. We recommend visiting a root canal specialist for prompt treatment. The cost of root canal treatment will vary depending on the location and complexity.

• What happens if you do not treat a tooth infection?

  If a tooth infection is left untreated, the surrounding bone will be affected, and bone will be lost. A small infection may develop into an abscess or even a swelling of the face that may need urgent treatment in the hospital.

  To avoid this, we recommend root canal treatment in London with Dr Aram Navai.

Consultation

• What happens during the root canal treatment consultation?

  Before starting root canal treatment in London, it is important to see our specialist Endodontist, Dr Aram Navai, for a consultation. At this appointment, Dr Navai will assess your tooth and take some x-rays in order to diagnose and plan your treatment accurately.

  In some complex cases, 3D Cone Beam CT imaging may be recommended for this as well, as the root canal system is a 3-dimensional network of canals and tubules that cannot always be visualised accurately on a 2-dimensional standard x-ray.

  The consultation is an important and integral part of your root canal treatment. Every patient is different and unique, with different expectations, past dental experiences and levels of anxiety.

  Dr Navai will discuss all options with you and answer all your questions before commencing treatment. This way the treatment as a whole can be tailored specifically to you in order to achieve a positive treatment experience and a successful outcome.

• How many appointments are needed for root canal treatment?

  Depending on various factors, the root canal treatment in London can be done in a single session start to finish, or in multiple sessions. This will be discussed with you at your consultation with our root canal specialists.

Root Canal London Procedure

• Is root canal treatment painful?

  With the advanced approaches practised by Dr Aram Navai at The Wellington Clinic, root canal treatment is almost always predictably pain-free and comfortable.

  Dr Navai uses a combination local anaesthetic regime when required and ensures your comfort throughout the procedure.

  At The Wellington Clinic, you will also be provided with TV entertainment and headphones allowing you to relax throughout the procedure.

• What happens during the root canal treatment procedure?

  Once the root canal has been accessed via the crown (top) of the tooth, the microscope is used to investigate the canals further.

  This helps to identify micro canals that extend off the main canals so that these are not missed. A full examination under a microscope is also carried out to identify cracks and other complications.

  The canals are thoroughly cleaned using precisely measured files and disinfected with antibacterial irrigants.

  If carried out in multiple root canal surgery appointments, the canals will then be dressed with antibacterial medication and a temporary filling placed.

  Once the canals have been thoroughly cleaned, they are shaped to receive the root filling material, a rubber-based material called Gutta Percha, coated in an antimicrobial sealant paste.

  The root canal system is a very complex system with many fine asymmetric irregularities three-dimensionally.

  The Gutta-Percha is therefore compressed into the root canal system with heat so that it can shape itself and fit the root canal system most optimally in all three dimensions. The gutta-percha then cools and solidifies, forming the permanent root canal filling.

  After the root canal treatment has been completed, the top part of the tooth is then sealed up with a core restoration. You will then be referred back to your dentist for the permanent restoration that goes on top of the core restoration.

• Can root canal treatment be carried out on teeth with complications?

  Some Endodontic Specialists with advanced skills like Dr Aram Navai are also able to treat complicated teeth that would otherwise need to be extracted. If the root canal has a perforation from previous treatment, Dr Navai can repair this.

  If there is a fractured portion of the instrument separated in the canal from previous treatment Dr Navai will most often be able to bypass or remove this for you. If there is a post in the root canal, Dr Navai can either remove it for you or provide root treatment from the other end of the tooth, known as an apicectomy or apical microsurgery.

  An apicectomy is also useful if it is not possible to access the tooth from the crown (top). If a previous root canal treatment is perfectly filled but for some reason has still failed, Dr Navai may carry out Endodontic microsurgery to treat the infection in our Chelsea dental clinic.

  If a tooth has multiple roots and one root has too many complications, Dr Navai can carry out root resection surgery to remove the infected failing portion and thereby restoring the rest of the tooth.

• Should I see a specialist for root canal treatment?

  You should see a Specialist Endodontist for root canal treatment in order to increase the success rate of the root treatment and to have a better chance of keeping the tooth for the rest of your life.

  At The Wellington Clinic, Specialist Endodontist Dr Aram Navai has the expertise to provide outstanding treatment and care for you. Dr Navai uses state of the art equipment and technology to achieve optimum results. A dental operating microscope is used to view the root canal system under high magnification allowing a more thorough and complete treatment of the canals. In addition to this, further state of the art technologies and materials are used during your treatment to ensure superior results.

  The Wellington Clinic invests in the latest research, materials and technologies to provide you with the best root canal treatments whilst staying at the forefront of the endodontic world.

• Do I need to be referred to an Endodontist?

  You can book directly with the Endodontist and do not need to have a referral to see them.

  However, many dentists do refer their patients to Dr Aram Navai at The Wellington Clinic for continued care and communication.

  Dr Navai is then able to send reports of the consultation, investigation and treatment back to your dentist and can advise them on the best follow-up care required for long term results.

After Treatment

• What happens after the root canal treatment?

  After root canal treatment, the tooth may become brittle as there is no longer a live blood supply within the tooth. It is important to prevent the tooth from future cracks and breakages so that you can increase the lifetime of the tooth.

  The most effective solution is to place a crown or onlay over the tooth. This is more durable and stronger than a composite filling and reduces the risk of tooth fracture or re-infection of the roots.

• What is the success rate for root canal treatment?

  The success rate for root canal treatment can be high as 98% when carried out by a specialist. A successfully treated tooth will normally survive for years afterwards, in most cases for a lifetime.