Endodontics

Root canal treatment, under the microscope

Endodontics — root canal treatment — is a particular focus of the practice. We treat both straightforward cases and the difficult ones: teeth where previous treatment has failed, complex canal anatomy, and demanding cases. Magnification, isolation and precise imaging are what turn a difficult tooth into a predictable result.

01

How we treat a root canal

Every root canal is carried out under a dental operating microscope and behind a rubber dam, which isolates the tooth from saliva and keeps the field clean and sterile. The microscope lets us see the inside of the tooth in fine detail — locating canals, removing infected tissue and old filling material, and confirming our work at each stage.

Where the anatomy is complex, a cone-beam CT scan with a dedicated small field of view shows the canal system in three dimensions before we begin. The canals are then cleaned, shaped and sealed with modern warm vertical compaction, which fills the canal system three-dimensionally and helps prevent re-infection.

Dental operating microscope

Every treatment is performed under high magnification and dedicated lighting, so even fine and hidden canals can be found and treated accurately.

Rubber dam isolation

The tooth is isolated with a rubber dam throughout — protecting it from saliva and bacteria, and protecting you. This is a standard of care for predictable endodontics.

Dedicated CBCT imaging

Our Carestream CS 8100 3D scanner provides a small, high-detail field of view for endodontics, revealing canal anatomy, fractures and lesions that 2D x-rays can miss.

Warm vertical compaction

A modern obturation technique that seals the cleaned canal system in three dimensions, adapting to its true shape rather than a single cone.

02

Two situations we treat

Whether a tooth has never been treated or a previous root canal has not healed, the goal is the same: to disinfect and seal the canal system so the tooth can be kept and restored.

First-time treatment

For a tooth with irreversible inflammation or infection of the pulp, we clean, shape and seal the canals to relieve pain and remove the source of infection, so the tooth can be saved.

Re-treatment

When a previous root canal has not healed — because of missed canals, persistent infection or a failing seal — we carefully remove the old filling material, find what was missed under the microscope, and treat the tooth again.

03

A typical root canal, step by step

  1. 01

    Diagnosis & imaging

    A clinical examination and x-rays, with a focused CBCT scan where the anatomy is complex, to understand the tooth before we begin.

  2. 02

    Anaesthesia & isolation

    The tooth is fully numbed and isolated with a rubber dam, so treatment is comfortable and the field stays clean.

  3. 03

    Cleaning & shaping

    Under the microscope, the canals are located, the infected tissue removed, and the canal system cleaned and shaped — for re-treatment, old filling material is removed first.

  4. 04

    Sealing the canals

    The disinfected canals are sealed with warm vertical compaction, filling the system three-dimensionally to prevent re-infection.

  5. 05

    Restoration & review

    The tooth is restored — often with a crown, for strength — and we review healing over time to confirm the treatment has succeeded.

04

For referring dentists

We welcome referrals for endodontic treatment and re-treatment, and for difficult or uncertain cases. Patients are returned to the referring dentist for the definitive restoration unless otherwise agreed. To arrange a referral, please contact the clinic by telephone or email — the same details as for patients.