ROOT CANAL TREATMENT
Our highly experienced root canal team can stop your tooth pain quickly
Endodontic treatment – also known as root canal treatment – is a complex and often highly involved procedure. At Vidadent we carry out this type of treatment as well, and our practices are equipped to provide the most comfortable and pleasant experience to our patients as possible.
Because our team of talented endodontic specialist solely perform this procedure, they are all experts in their field and are capable of dealing with even the most complex of cases.
Initially the symptoms can be mild, such as sensitivity to hot or cold, or both, or possibly discomfort when you bite. We recommend that if you have toothache or any of these symptoms, you should see your dentist for an x-ray and diagnosis. Doing nothing should not be an option.
In order to understand what Endodontic Treatment or Root Canal Treatment is, it helps to know something about the anatomy of a tooth.
Teeth have several layers.
- The outside layer of the tooth is composed of a hard layer called Enamel .
- The Dentine layer which is protected by the Enamel layer has at its center a soft tissue known as the Pulp .
- The Pulp contains blood vessels, nerves, and connective tissue that are responsible for forming the surrounding Dentine and Enamel during tooth development. The Pulp receives its nutrition supply from vessels which enter the end of the root.
Although the Pulp is important during development of the tooth, it is not necessary for function of the tooth. The tooth continues to be nourished by the tissues surrounding it even after the pulp is removed.
Frequently asked questions about endodontics
Root canal treatment becomes necessary when the pulp inside a tooth becomes infected or damaged due to deep cavities, cracks, trauma, or dental disease. This treatment relieves pain and the spread of infection, and ultimately saves a tooth that would otherwise require extraction. After the procedure, the tooth will be restored in appearance and functionality by our highly skilled dental team.
Doctor will remove the infected tissue inside your tooth and clean the root canal system to prevent infection from coming back. Specialist will use a microscope to inspect the tooth thoroughly and fill the root canal system with a special rubber material.
Most root filled teeth require a porcelain cover and you will be referred back to your dentist for this procedure.
The procedure should feel no different to having a filling. There may be some tenderness when your local anaesthetic wears off, but usually this can be easily managed with painkillers.
BENEFITS OF MICROSCOPIC ROOT CANAL THERAPY
- It helps us with your diagnosis and creating an effective treatment plan
- It can increase the success rate of the process and the results last longer
- The risk of tooth fracture or tooth fissure is reduced to a minimum
- Root canal can be cleaned and filled in a very precise way
Cases before and after Microscopic RCT
Case Nr.1
36 – Re-RCT, MB and ML
Protaper Next X3, D – PN X5,
WVC Ah plus and master conX3/X5 34 – Re-RCT, 1 visit, apical iso 70, irrigation hypochlorite 5,25% and EDTA 17%, Protaper Next
X5 and K-file size 60 and 70, MTA application
– 2nd visit – fiber post and build-up
– Control x-ray at 1 year and 2 years post-treatment – full healing and asymptomatic
Case Nr.2
11 – necrotic, apical iso 50, Protaper Next (PN) X5, irrigation with hypochlorite 5, 25% and EDTA 17%, dry canal, Warm Vertical Condensation (WVC) Ah plus and master cone PN X5, sealing and restoration with composite A2 GC – X-ray 1 year post-treatment, symptoms of partial healing
Case Nr.3
36 – symptomatic apical periodontitis
SAP 2 visits Re-RCT, calcium hydroxide between visits, D- iso 80, MTA
application, MB and ML iso30 PN X3, passive ultrasonic irrigation (PUI), hypochlorite 5,25% and EDTA 17%, WVC Ah plus and master cone, removal of old composite and direct reconstruction with Universal Essentia GC and EverX
– X-ray at 6 months, 1 year and 3 years, full healing and asymptomatic
– recommendation for protection with crown
Case Nr.4
16 – irreversible pulpitis
– Acces through zirconia crown, 1 visit, MB2 separate from MB1, PUI
hypochlorite and EDTA, WVC Ah plus and master cone, direct composite restoration with EverX and Essentia Universal GC
Case Nr.5
46 – symptomatic apical periodontitis SAP,1st visit – removal of metal post, re-rct irrigation NAOCL and EDTA, MB and ML shape to EdgeEndo iso 40, D iso 80 sealed with, MTA 2nd visit – sealing mesial canals with purple composite, restoring distal wall with flowable composite, build-up and fiberpost in D canal, temporary crown Luxatemp A2.
Case Nr.6
16 – chronic apical abscess with a buccal sinus tract, recent history of
initiated re-rct in Macedonia and 3 different recommendation for
extraction.
– 1 visit 2h30min, main cause of the apical lesion and sinus tract
was the calcified in ⅓ apical part of MB2 (as seen on the CBCT)
– Removal of two separated files from P canal (10min)
– Spotting and shaping the D canal which was hard to find previously (2min)
Finding MB2 with ultrasonic tips and shaping to PG X4 (45 min )
– Sealing MB1 and MB2 with MTA and WVC Ah plus and master cone for DB and P
– Removing old composite and rebuilding the mesial wall with
Essentia Universal GC, V3 Palodent ring and sealing the canals with purple flowable and EverX
– Healing of sinus tract with total disappearance in 1 week, asymptomatic, next x ray in 6 months
Case Nr.7
26 – symptomatic apical periodontitis SAP 3 indication of extraction,
patient wanted to save the tooth 2 visits, calcium hydroxide
between visits
– MB1 and Mb2 connected iso30 PN X3
– D thin walls, no sign of stripping, locating the canal, shaping to iso 25
– P – wet canal, drainage of pus iso 80, dressing of calcium hydroxide
– 2nd visit, sealing the canals and build-up with fiber post and Luxacore Z A3
– PMMA temporary crown for 6 months
PRICES FOR MICROSCOPIC ROOT CANAL TRETAMENT
- Endodontic Examination (Single) from £50
- Endodontic Examination (Multiple) from £100
Single Visit Root Canal Treatment (Vital tooth)
- Incissors £550
- Premolars £650
- Molars £850
Multiple Visit (Non-Vital tooth)
- Incissors £700
- Premolars £800
- Molars £1000
Complex Re-Treatment
Complex Re-Treatment £1200
Build-ups/Restoration
- Permanent Restoration £200-£300
- Fibre Post/Metal Post+Build-Ups £250
Extra Cost will apply for
Endodontic scan (OPG, CBCT) refer to Harley Street
- Post removals £350-£400
- File removals £350
- MTA application ( for RCT perforation) £200
- Temporary Crown £100
- Metal bonded Crown £580
- Full Porcelain Crown (Zirconia) £700
- Internal Bleaching £350
