Book online
Phone 020 7407 2174 Email info@bridgedental.com London Bridge 91 Borough High St, London Bridge SE1 1NL

How we work

Root Canal Treatment

Save infected or badly damaged teeth with precise root canal treatment and a clear restoration plan.

Illustration of root canal treatment inside a tooth

Honest suitability

Is root canal treatment right for my tooth?

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.

Suitable if

  • Pain relief focus - Treatment removes infection and inflammation from inside the tooth.
  • Microscope-assisted care - Zeiss magnification supports precise canal cleaning and sealing.
  • One or two visits - Simple teeth may finish in one session; complex roots may need more.
  • Restoration afterwards - A filling or crown protects the tooth structure long term.

May not be suitable if

  • Teeth with insufficient structure for a filling alone
  • Severe pain needing emergency assessment first
  • Active gum disease without prior stabilisation
  • When a crown is the more predictable long-term option

Patient benefits

Why save the tooth

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.

  • Your natural tooth preserved

    Nothing replaces a natural tooth as completely, as cost-effectively, or as comfortably as a well-treated and restored tooth.

  • Zeiss microscope magnification

    Up to 25x magnification allows us to find and clean the fine canal anatomy that is responsible for most treatment failures.

  • Infection resolved at source

    The bacteria causing pain or abscess are removed from inside the tooth, not just suppressed with antibiotics.

  • Tooth protection planned

    We plan the final filling or crown so the tooth is protected after infection is removed.

Patient feeling relieved after root canal treatment
  1. 01

    Diagnosis visit Assessment and x-rays

    We confirm diagnosis, explain options and agree whether root canal or extraction is best.

  2. 02

    Treatment session Cleaning and

    disinfection Under local anaesthetic, infected tissue is removed and root canals are cleaned, shaped and disinfected.

  3. 03

    Same or next visit

    Canal filling and seal Canals are sealed to reduce re-infection risk, then the tooth is rebuilt.

  4. 04

    After healing Definitive restoration

    A crown is often recommended for back teeth to protect against fracture.

Clinical assessment

How we assess an infected tooth

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.

  • 01

    Symptoms, pulp vitality and pain pattern

    We distinguish reversible sensitivity from irreversible pulp damage before recommending root canal treatment.

  • 02

    X-ray findings and root anatomy

    Radiographs reveal infection at the root tip, canal shape and whether treatment is likely to succeed.

  • 03

    Remaining tooth structure

    A tooth needs enough structure after treatment to hold a filling or crown long term.

  • 04

    Restoration plan after treatment

    We confirm how the tooth will be protected afterwards, often with a crown for back teeth.

Ask our principal dentist

Tooth pain or suspected infection?

Dr Deb Ray, Principal dentist

Message Dr Deb Ray

Ask Dr Deb Ray about tooth pain, infection signs, or whether root canal can save your tooth.

Guide fees

Treatment fees

View full fee guide
Treatment Fee
Root canal consultation (incl. small x-rays) £99.50
Incisors / canines / premolar From £995
Molar From £1,100
First stage (pain alleviation) £500
Crown (often recommended after) From £1,250
Fees reflect tooth type and complexity. A crown is usually advised on back teeth to protect the tooth long term. Crown materials vary.

Balanced options

Alternatives to consider

Responsible dentistry means explaining every sensible option - not only the treatment you searched for.

Common questions

Frequently asked questions

Is root canal painful?

Treatment is done under local anaesthetic so there is no pain during the treatment. Some tenderness afterwards is normal. Rest is ok.

How long does a root canal take?

Each visit typically takes 60–120 minutes; complex molars may need two visits.

Why do I need a crown after?

Root-treated teeth are more brittle, a crown protects against fracture when chewing.

What if root canal fails?

Retreatment or referral may be possible; extraction is a last resort if the tooth cannot be saved.

Is extraction cheaper?

Upfront yes, but replacing the tooth with an implant or bridge often costs more long term.

Can I drive after?

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.

How do I book a root canal consultation at Bridge Dental?

Use our online booking link or call reception. We will confirm appointment length, what to bring, and whether any preparatory steps are needed.

Are guide fees fixed before treatment?

We provide written estimates from our published fee guide. If your clinical needs change after assessment, we discuss any difference before proceeding.

What is root canal treatment?

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.

What is “first stage” root canal treatment?

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.

Why is a crown often recommended afterwards?

A root-treated tooth is more brittle, especially when chewing. A crown wraps the tooth to protect it from splitting. Crown materials vary, and we confirm whether a crown, onlay or filling is most appropriate before treatment is finished.