Why choose Devonshire Place Dental Practice for Endodontic Treatment?
At Devonshire Place Dental Practice we have two highly qualified Specialist Endodontists, Mr Nick Lewis and Ms Keshari Leelasena who have a wealth of experience in looking after patients who require Root Canal Treatment. Our Specialists work closely with your regular Dentist throughout the course of treatment and we also welcome patients on a self-referral basis.
How the treatment works
Endodontic treatment is also commonly referred to as Root Canal Treatment. The purpose of the treatment is to remove the bacteria and infected contents of the root canals and to disinfect the inside of the tooth.
At Devonshire Place Dental Practice we have the latest surgical microscope which enables our Specialist Endodontist to see inside the tooth and work to a degree of accuracy that was not previously possible.
What is root canal treatment?
Root canal treatment is the name for the dental procedure in which inflamed pulp tissue is removed, and the affected tooth is cleaned, disinfected and sealed. The treatment helps relieve the pain causing inflammation and infection and helps prevent the tooth from being lost.
How do I know I might need Root Canal?
Sometimes the answer is painfully obvious. Severe aching and pressure from your mouth that doesn’t go away or noticeable sensitivity and swelling in your gums. Sharp pain that occurs when you bite down, pain that lingers after you’ve consumed hot or cold food or drinks, or a constant ache from an area that’s hard to pinpoint may all be symptoms pf infection or inflammation within the root canal.
Sometimes the pain goes away temporarily, but the infection does not and when this occurs it is only root canal treatment that will clear the infection so that your tooth can be saved.
Why do I need root canal treatment?
You may need root canal treatment for a variety of reasons. The pulp (nerve) inside the chamber can die from a traumatic blow, tooth fracture, recurrent decay, or anytime you have a large filling that breaks down around the edges or margins.
Who performs Root Canal and Re Root Canal treatment?
A Specialist Endodontist is the best person to do either treatment. Both treatments can be more complicated and technically challenged and therefore requires a Specialist. Specialist Endodontists are dentist who have completed several years extra training, specialising in a specific area of dentistry. Additional training focuses on diagnosing tooth pain and performing root canal treatment and other procedures relating to the interior of the tooth.
In many cases, a diseased tooth can be saved with endodontic treatment. Endodontists are Specialists in saving teeth.
Why should I consider Devonshire Place Dental Practice for my root canal treatment?
At Devonshire Place Dental Practice, we have two highly qualified Specialist Endodontists, Ms Keshari Leelasena and Mr Nick Lewis, both have had extensive training and experience in root canal and interior tooth treatment.
Most modern endodontic procedures are performed with the use of microscopes to allow the proper degree of precision and sophistication to ensure success. We have the latest surgical microscope which enables our Specialists to see inside the tooth and work to a degree of accuracy that was not previously possible.
Is this procedure painful?
No. It’s generally no more uncomfortable than having a dental filling. Just like a filling, the procedure starts with local numbing of the area under treatment – at this point, the worst is over. To restore the tooth’s appearance and function after the root canal procedure, its usually necessary for a crown or another type of restoration to be placed on it.
How do I know if root canal or Retreatment is the best choice and what are the alternatives?
Root canal treatment is the best option whenever it is possible best to save your natural tooth. Re-Root Canal or Root Canal teeth can function well for years, possibly a lifetime. The only other alternative to Retreatment or failing Root Canal treatment is ultimately extraction of the tooth and then replaced with an implant, bridge or removable partial denture.
Can Root Canals fail and why?
Occasionally it happens with any dental or medical procedure a tooth may not heal as anticipated after initial treatment and there is a variety of reasons:
- Narrow or curved root canals can pose complications during the initial procedures
- Complicated Root canal anatomy (shapes and forms) went undetected in the first procedure.
- The placement of the crown or other restoration was delayed following the treatment resulting in reinfections of the Root Canals
- Inadequate seal of the restoration (filling) allowed recontamination of the inside of the tooth. Some of the issues do not give rise to symptoms, but can give rise to a chronic infection, often seen in an x-ray picture as a dark shadow around the end of the affected root.
- New Decay can expose the root canal filling material to bacteria, causing a new infection in the tooth.
- A loose, cracked or broken crown or filling can expose the tooth to new infection
- A tooth sustains a fracture of the crown or root.
What happens during Pre-Re-Root Canal Treatment?
Firstly, all options should be reviewed, together with the risks, benefits and alternatives. Assuming the tooth can be retreated it will need to be “reopened”.
A small hole will be made into the biting or chewing surface to gain access to the root canal. The previous Root Canal filling materials are removed and the canals cleaned and carefully examined, usually requiring magnification and illumination, which includes searching and any additional canals or unusual canals that require treatment. After cleaning and shaping the canals they will be sealed and a temporary filling or crown placed.
If the Canals are unusually narrow or blocked, there is a possibility that endodontic surgery may be necessary to treat infection and reseal the canals. Upon successful completion and healing of the infection, a new crown or restoration will need to be placed on the tooth to protect and restore it to its full function.
What is the likelihood of success?
At Devonshire Place Dental Practice, we use the latest surgical microscope and modern techniques, these combined offer a very high rate of success.
What happens after root canal treatment?
After the root filling is completed, a permanent filling must be placed in the tooth. As a root treated tooth is typically more brittle, it is advisable to place a crown on the tooth to prevent fracture in the case of a molar tooth. The crown essentially binds the tooth together and prevents, for example, a side wall breaking of the tooth.
Denise Chan 17 Aug 2017
Dr. Leelasena was excellent. I’m very grateful for her care. Highly recommended. Dr Lewis also took great care of me, I cannot be more grateful for his brilliant treatment. I am very fortunate to be a patient here. Big thanks to the specialists and team.
Peter G. Kuys 11 Oct 2016
Ms Keshari Leesasena – Specialist Endodontist is the best of the best. Why do I write this? I have known her for over a decade, she has performed over 6 root canal treatments for me in that time. She has the best bedside manor you could wish for by putting you at ease and calming your fears, she has the best technical skills in the UK if not the world for great and painless surgery. In my case she took on very difficult challenges, we discussed them, she was honest open and then met those challenges, always with success, maybe I was lucky, but I have flown from Palm Beach, Florida back to the UK, because no one else gives me the confidence and the trust like Keshari does, she is simply the best.
Marc-Philipe Davies 17 Aug 2017
A very pleasant experience; Keshari & Nick are not only very professional and competent, but are reassuring, understanding , warm and helpful in explaining in detail every stage of the procedures. The rest of the team are equally helpful and considerate, and I would recommend this practice to anyone. A far better experience than I’ve had at my previous practice.
Initial Consultation – £150
Duration – 30 minutes
During your consultation, your Endodontic Specialist will take a radiograph and will discuss your individual case and the success rate of treatment. All aspects of the treatment options and cost will be clearly explained during your consultation.
From this point, you will start your treatment journey as recommended by your Specialist.
The full cost of Root Canal Treatment is based on the number of roots and technicality involved to ensure a successful outcome. If you decide to proceed with treatment during the initial consultation, your consultation fee will be deducted from your treatment plan.
Root Canal Treatment Fee guide
Incisor root canal treatment – £600
Pre-molar root canal treatment – £675
Molar root canal treatment – £950
Re-root canal treatment
Initial investigation – £350. If you decide to proceed with treatment during the initial consultation, your consultation fee will be deducted from your treatment plan.
Re-root canal treatment – £1,050
We are an approved Dental Finance provider and offer Finance options for treatments costing over £1,000, which can be interest free for up to 12 months. If you choose to apply for this, an approval decision can be reached on the day of your appointment and includes a 14 day cancellation option.