The treatment involves an accurate clinical and X-Ray diagnosis, the cleaning and disinfecting of the root canals followed by sealing and filling the canal entirely so that no space is left for the bacteria grow in the canal and infect the bone at the tip of the root compromising the treatment.
The treatment can usually be done in one stage if at the time of the treatment the nerve is still alive but has been damaged irreversibly (irreversible pulpitis). In this case under local anaesthetic the nerve will be accessed and the canal system will be cleaned, enlarged and filled entirely in the same appointment. The entire procedure will take on average 2 hours, depending on the tooth involved. Small and big back teeth will require at least 2 hours of treatment as they have 2-5 root canals and lots of very exact measurements of the canal which is a must.
Two or more stages of treatment are needed if the nerve has died and has caused an infection in the bone around the tip of the root. In this instance, after cleaning, the dentist will put a dressing in the canal which will disinfect the walls of the canals assuring that hidden bacteria in the walls will be wiped out. The tooth might need to be left open for 1 or 2 days if there is a continuous discharge out of the bone. This will happen in abscesses when you will also be given a combination of antibiotics to help clear the infection and to relieve pain quickly.
In the second appointment, if the rules of performing root canal fillings have been fulfilled (no pain, no moisture in the canal etc) the dentist will fill the canals and will give you options of restorative solutions in order to protect the root filling from the mouth environment in the optimum way possible. Otherwise, the disinfecting dressing will be replaced and you will have to attend a third appointment to receive the root filling.
“I have recently completed my braces treatment with Dr Rick, he gave my smile back as I thought I could never smile confidently again. He was very clear…”
“The Best Dentist in London. My first visit was an emergency appointment, and the service I received has kept me going back. The staff have always been friendly,…”
“Excellent - very informative about the replacement filling I had and expectations of how long it would last. Also very attentive to my comfort during my follow-up hygiene…”
“I have visited Kings Cross Dental multiple times and always receive fantastic service. The staff are polite and both dentists friendly, clear and informative. The practice is clean,…”
“Excellent service, very kind and helpful at the reception and the Doctor's are well experienced. I had my wisdom tooth removed in 10 minutes and didn’t feel a…”
“I recently visited the Kings Cross Dental clinic for a wisdom tooth extraction and a filling. I was very stressed, but Dr. Nisar ensured the process was smooth…”
“Hygienic, always feel in safe hands, highest standards practice, Dr Rick is intelligent wise. Recommend this practice for all dental treatments.”
“Very professional and flexible with appointments. I regularly come here for teeth cleanings. They’re great!”