Advanced Root Canal Treatment with CBCT Scans in West Finchley

A Cone Beam Computed Tomography scan provides a detailed three dimensional view of your teeth, jawbone, and surrounding structures. Unlike 2D dental X-rays which show a flat image, CBCT creates hundreds of images that form a 3D model. For root canal work, this changes the game. It shows the exact number and shape of your root canals, detects tiny fractures, identifies sources of infection that were missed in previous treatments, and helps plan the procedure with exceptional accuracy. This technology fits our endodontic practice, supporting success in complex cases.

A CBCT scan isn't needed for every root canal, but it is essential in specific situations. You should consider this approach if you have a tooth with complex or unusual anatomy, such as extra roots or curved canals. It is the standard of care if a previous root canal treatment has failed and needs to be redone, as the scan reveals exactly what went wrong. Another key indication is a suspected vertical root fracture, which is hard to diagnose with 2D X-rays. Patients from West Finchley are often referred to our Finchley practice specifically for this diagnostic capability before deciding on the best course of action.

A patient from West Finchley was referred with persistent pain a year after a root canal done elsewhere. A standard X-ray did not provide a clear answer. Our CBCT scan revealed a tiny fourth canal in the molar that had been missed and was driving the infection. With this precise 3D map, we retreat the tooth successfully, avoiding extraction.

First you will have a consultation to discuss your symptoms. The CBCT scan itself is quick and painless, capturing all images in about 10 to 20 seconds. Next, Dr. Reddy reviews the 3D model to plan your treatment. The root canal is performed under local anaesthetic and lasts between 60 and 90 minutes. Using a high powered dental microscope, infected tissue is removed, the canals are cleaned according to the CBCT map, and then sealed. Finally a temporary filling is placed. You will return to your general dentist for a permanent crown a few weeks later. The entire process at our practice aims to be comfortable and efficient.

After your treatment you may feel some tenderness for 2 to 3 days, which you can manage with over the counter painkillers such as ibuprofen. You should avoid chewing on the treated tooth until the permanent crown is fitted. Maintain good oral hygiene with gentle brushing and flossing. A follow-up appointment is usually scheduled after 6 to 12 months to ensure healing progresses. Red flags requiring immediate contact: Call our practice during office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7) if you experience severe, increasing pain after day 3, visible swelling inside or outside your mouth, an allergic reaction to medication, or if your temporary filling feels loose or comes out. For emergencies outside these hours, please call 111 or visit your nearest A&E.

When a tooth is severely compromised, you should review all options. The primary alternative to a complex root canal retreatment is tooth extraction. After extraction, the missing tooth can be replaced with a dental implant, a fixed bridge, or a removable partial denture. An implant offers a permanent solution but involves a longer treatment timeline and higher initial cost. A bridge is faster but requires preparation of the adjacent healthy teeth. A denture is the most budget friendly option but is less stable. During your consultation, we provide a balanced view so you can choose what feels right for you.

A patient was concerned about a molar that was sensitive to biting. A CBCT scan helped us diagnose a vertical root fracture, a condition that makes a root canal ineffective as the tooth cannot be saved. Instead of proceeding with an unnecessary treatment, we discussed extraction and replacement with a dental implant, saving the patient time, cost, and discomfort.

To make an informed choice about your treatment whether with us or another practice in West Finchley, consider these questions: Why is a CBCT scan recommended for your case? What information will the 3D scan provide that a normal X-ray cannot? Does the cost of the root canal treatment include the CBCT scan? What is your success rate for cases like yours using this technology? What are the risks if you skip the scan? Do you also use a dental microscope for the procedure? What are the alternatives if the scan shows the tooth cannot be saved?

As a fully private practice, NHS treatment is not offered. The cost of a complex root canal treatment that requires a CBCT scan will be quoted during your consultation and depends on the specific tooth and complexity. The CBCT scan fee is typically included in the overall treatment plan, ensuring full transparency with no hidden fees. We provide a detailed breakdown of costs before any work begins. We accept several private dental insurance plans, including Max Bupa, Denplan, and Cigna. Please bring your insurance details to your appointment so we can help clarify your coverage.