Endodontics (root canal treatment)

Endodontics is the field of dentistry that deals with  the treatment of a damaged or necrotic pulp in a tooth to allow the tooth to remain functional. Root-canal treatment is necessary when the vital blood supply of the tooth is affected either by trauma or bacterial damage and this has lead to a throbbing tooth-ache or painful dental abscess.

The purpose of root-filling is to allow the tooth to remain functional and restorable, especially where extraction would leave cosmetic problems or compromise existing bridges, crowns or dentures.

Following completion of a root-filling, the tooth usually requires a subsequent restoration, often a crown or similar cast restoration.

Common questions on Root Treatment

Q. What is root canal treatment?
A. 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.

Q. Why is root canal treatment needed?
A. 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 root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.

Q. Does it hurt?
A. No. A local anaesthetic is used and it should feel no different to having an ordinary filling done.

Q. What does it involve?
A. The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection.

Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist. At the first appointment, the infected pulp is removed. Any abscesses, which may be present, can also be drained at this time. The root canal is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle.

The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.

Q. What will my tooth look like after treatment?
A. 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.

Q. What if it happens again?
A. Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated.

Q. Is it expensive?
A. You can have root canal treatment on the National Health Service. However, due to the time it takes and the skill needed, many dentists prefer to carry out this treatment privately. Your dentist will be pleased to give you an estimate.

Q. What if I don’t have the treatment?
A. The alternative is to have the tooth out. Once the pulp is destroyed, it can’t heal and it is not recommended to leave an infected tooth in the mouth.

Although some people would prefer an extraction, it is usually best to keep as many natural teeth as possible.

Q. Will the tooth be safe after treatment?
A. Yes. However, it is better to restore the tooth with a crown to provide extra support and strength to the tooth.

Q. Where can this treatment be carried out?
A. Root canal treatment is a routine dental procedure, which your dentist will be happy to do for you.

Q. What about aftercare?
A. Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth at least once a day, preferably with a fluoride toothpaste. Cut down on sugary snacks, and keep them only to mealtimes if possible. See your dentist for regular check-ups.