Root canal Treatment

Please click here to see David talking about Root Canal Treatment

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What is a root canal treatment?

Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury.


Why is root canal treatment needed?

If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess. If the root canal treatment (RCT) is not carried out, the infection may spread and the tooth may need to be taken out.


Does it hurt?

No,we use the most effective local anaesthetic's available, and so there should be no discomfort. The dentists at Smilecare have many years of experience in providing painless dental treatment and we also offer video glasses for the patient to watch their favorite film, which helps pass the time. Many patients who come for treatment are often nervous about the prospect of dental treatment, but they are often are surprised that it is very comfortable. Some patients even fall asleep!


What does it involve?

The aim of the treatment is to remove all infection, and to then fill the canal system to prevent bacteria from re-colonizing the inside the tooth. Root canal treatment, (RCT), is a skilled and time consuming procedure, most courses of treatment will involve two visits to your dentist. At the first appointment the infected pulp is removed, and any abscesses which may be present can also be drained at this time. The root canals are cleaned and shaped ready for the filling.

A temporary filling is put into the root and the tooth is left to settle. At a follow up appointment the root is checked for infection and if appropriate is then permanently filled. In the past a root filled tooth would often darken after treatment. However with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.


I would like to know more about the dentist who carries out this procedure

 Dave Mantle BDS Principal Dentist

 

 "I like patients to feel relaxed and comfortable, while they watch a film with video glasses, I use the latest techniques in root canal treatment to ensure a sucessful outcome"

 

 David qualified in 1992, and has since attended advanced endodontic courses. There is substantial research work being carried out in this area, and David uses the very latest equipment and procedures to ensure he achieves the very best results. Most notably is the use of a microscope which is usually found in a hospitals and specialist practices, this allows for much greater magnification which means he can see more of the tooth anatomy in detail which allows him to more effectively clean and fill the tooth. He uses the latest Nickel-Titanium endodontic files on a single patient before disposing of them to ensure maximum cross infection control, the latest development of chemical disinfectants including Sterilox solutions to ensure the highest level of root sterilization, and ultrasonics which enables him to penetrate the tooth tissue more effectively with the cleaning solutions. All of these techniques add up to an exceptionally high standard of root canal treatment.

 

What is the risk of it happening again?

RCT is usually very successful, most treatments have a 90% success rate, however if the infection comes back the treatment will need to be repeated. Your dentist will discuss with you the percentage probability of the likely success of your particular case. Please note if the treatment needs to be redone there will be an additional cost which the dentist will discuss with you.


How much will it cost?

We have one dentist in the practice who has a special interest in this field. David Mantle usually carries out all of the root canal treatments, and he charges between £750 and £900 depending on the complexity of the case. You will be given all the necessary information on the likelihood of success and the costs involved so that you can make an informed decision.

 

What will happen if I decide not to have the treatment?

The alternative which some patients chose is to have the tooth taken out. Once the pulp is destroyed it cannot heal and it is not recommended to leave an infected tooth in the mouth.

 

Will the tooth be safe after the treatment?

Current research indicates that it is better to place a crown over the root treated molar tooth as soon as possible, as the crown acts as a seal to further protect the tooth. A single crown will cost between £600 to £700 depending on the type of crown.  NB a molar tooth is a larger tooth towards the back of the mouth, the front teeth do not normally need to be crowned after root canal treatment.

 

 I hope this has provided you with useful information. Please call us if you are unsure about any aspect of this treatment.