Pain relief focus
Treatment removes infection and inflammation from inside the tooth. This helps us plan root canal treatments around your real starting point, rather than relying on a generic treatment pathway.
Endodontics · London Bridge
Root canal treatment has an undeserved reputation. Performed carefully with proper anaesthesia, it is typically no more uncomfortable than a filling, and it saves a tooth that would otherwise be lost.
How we work
Honest suitability
Root canal treatment is considered when a tooth has inflamed or infected pulp tissue but is still worth saving. Prognosis depends on remaining tooth structure, root anatomy, bone support and what restoration is planned afterwards. We assess all of these before recommending treatment.
Patient benefits
Keeping a natural tooth is almost always the most cost-effective long-term decision, and with the right technique, root canal treatment gives most teeth an excellent prognosis.
Nothing replaces a natural tooth as completely, as cost-effectively, or as comfortably as a well-treated and restored tooth.
Up to 25x magnification allows us to find and clean the fine canal anatomy that is responsible for most treatment failures.
The bacteria causing pain or abscess are removed from inside the tooth, not just suppressed with antibiotics.
We plan the final filling or crown so the tooth is protected after infection is removed.
Clinical assessment
Root canal treatment is only as good as the diagnosis that precedes it. These are the factors we evaluate before confirming that treatment is appropriate and likely to succeed.
Treatment removes infection and inflammation from inside the tooth. This helps us plan root canal treatments around your real starting point, rather than relying on a generic treatment pathway.
Zeiss magnification supports precise canal cleaning and sealing. We explain what we find clearly, including where a more cautious or staged approach would protect the final result.
Simple teeth may finish in one session; complex roots may need more. Small details at this stage can change comfort, appearance and longevity, so we take time before recommending treatment.
A filling or crown protects the tooth structure long term. The aim is a plan that feels considered, predictable and appropriate for your long-term oral health.
We confirm diagnosis, explain options and agree whether root canal or extraction is best.
Under local anaesthetic, infected tissue is removed and root canals are cleaned, shaped and disinfected.
Canals are sealed to reduce re-infection risk, then the tooth is rebuilt.
A crown is often recommended for back teeth to protect against fracture.
Ask our principal dentist
Guide fees
| Treatment | Fee |
|---|---|
| Root canal consultation (incl. small x-rays) | £98 |
| Incisors / canines / premolar | From £995 |
| Molar | From £1,100 |
| First stage (pain alleviation) | £500 |
| Emax crown (often recommended after) | £1,250 |
| Fees reflect tooth type and complexity. A crown is usually advised on back teeth to protect the tooth long term. | |
Balanced options
Responsible dentistry means explaining every sensible option - not only the treatment you searched for.
Back teeth usually need a crown after root canal treatment to reduce fracture risk.
Learn moreWhen prognosis is poor, removal and replacement planning may be the more predictable option.
Learn moreEarly symptoms are sometimes managed conservatively until a definitive diagnosis is confirmed.
Learn moreCommon questions
Answers about root canal treatment, what to expect, how many visits, and why microscope magnification matters.
Treatment is done under local anaesthetic and is usually no worse than a filling. Some tenderness afterwards is normal. We will keep you comfortable, explain what is normal afterwards, and give you clear guidance on when to contact us.
Simple teeth may take 60–90 minutes; complex molars may need two visits. At consultation, we will give you a realistic timeline for your mouth rather than a one-size-fits-all answer.
Root-treated teeth are more brittle, a crown protects against fracture when chewing. We will compare the sensible options with you, including the quieter pros and cons, so you can choose without feeling rushed.
Retreatment or referral may be possible; extraction is a last resort if the tooth cannot be saved. At consultation, we will give you a realistic timeline for your mouth rather than a one-size-fits-all answer.
Upfront yes, but replacing the tooth with an implant or bridge often costs more long term. Before you commit, we will talk through the likely fee range and any choices that could affect the final plan.
Yes, unless you have had sedation, which requires an escort. We will check your health, comfort and expectations carefully, then explain whether this is a good fit for you.
Use our online booking link or call reception. We will confirm appointment length, what to bring, and whether any preparatory steps are needed. If you are unsure what to book, our reception team can guide you gently to the right appointment.
We provide written estimates from our published fee guide. If your clinical needs change after assessment, we discuss any difference before proceeding. Before you commit, we will talk through the likely fee range and any choices that could affect the final plan.
Root canal treatment removes infection from inside a tooth - the pulp, which contains nerves and blood vessels - then cleans, disinfects and seals the root canals. It lets you keep a tooth that might otherwise need extraction. We use careful isolation and magnification to work precisely, and we discuss prognosis honestly before you commit.
If you are in acute pain, we may start with a first-stage visit to relieve symptoms: opening the tooth, removing the source of infection and placing a temporary dressing. This is not the full treatment. Once you are comfortable, we complete cleaning, sealing and the definitive restoration, often a crown on back teeth, in further visits. We explain which stage you are at and what the full plan involves before we begin.
A root-treated tooth is more brittle, especially when chewing. A crown wraps the tooth to protect it from splitting. Emax is a strong, natural-looking ceramic we often use for the visible part of the tooth. We confirm whether a crown, onlay or filling is most appropriate before treatment is finished.
Next step
We will assess whether the tooth can be saved and plan treatment with the precision it deserves.
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