Expert Root Canal Therapy in Finchley | Advanced Endodontic Care

You may need root canal therapy if you have symptoms that point to infection in the tooth pulp. Deep decay, a cracked tooth, or issues from a previous filling can lead to this treatment. Common signs include a severe, persistent toothache, especially when you chew or lie down, and lasting sensitivity to hot or cold temperatures. You might notice the tooth darkening in colour or swelling and tenderness in the surrounding gums. A recurring pimple-like bump on the gums signals an abscess that needs urgent care. A recent patient from East Finchley came to us with intense molar pain. A 3D CBCT scan showed a severe abscess. We completed the root canal and he was pain-free the next day, saving a tooth he feared losing.

The procedure is straightforward and designed for your comfort. We start with digital images and a 3D scan to map the root canals. A strong local anaesthetic is used so you feel no pain, only light pressure. A rubber dam is placed to isolate the tooth and keep the area clean. With the dental operating microscope for better vision, we clean out the infected pulp, disinfect the canals, and shape them. Then the canals are filled with gutta-percha and sealed. The whole visit typically lasts 60 to 90 minutes. For a long-term seal, you will need a follow-up to fit a permanent crown, which protects the tooth from future fracture. Root canal treatment has a high success rate, usually about 85 to 95 percent over 10 years.

After treatment, you can expect some mild tenderness and sensitivity for two to three days. Over‑the‑counter pain relievers like ibuprofen can help. Avoid chewing on the treated tooth until the crown is in place. Stick to soft foods for the first few days, and you can brush and floss as usual but be gentle around the treated area. Most patients return to work or normal activities the next day. Red flags that require attention include severe or increasing pain after day three, visible swelling inside or outside the mouth, an allergic reaction to medication, or if the temporary filling comes out. Call during our office hours (Mon/Wed/Fri 9-5, Tue/Thu 11-7). For true emergencies like uncontrolled bleeding or swelling affecting breathing outside those hours, call 111 or go to the nearest A&E.

The main goal of root canal therapy is to save your natural tooth, which is usually the best option. The only true alternative is to extract the tooth. While removing the tooth ends the infection and pain, it creates a gap that can cause adjacent teeth to shift, affect your bite, and lead to jawbone loss over time. Replacing the tooth with a dental implant, a fixed bridge, or a partial denture is more invasive, time-consuming, and often more expensive than saving the tooth. During your consultation, we explain why keeping your tooth is our first priority.

To make an informed choice about your care, whether you visit us or another practice in Finchley, here are some important questions to ask: Do you use a dental operating microscope for root canal procedures? What is your success rate for this treatment? How many appointments will the full process take, including the final crown? What are the total costs, including the consultation, treatment, and final restoration? What are the risks if I delay this treatment? Do you have postgraduate qualifications in endodontics? What pain management options do you provide during and after the procedure?

As a private practice focused on endodontics, we provide specialist care not available through the NHS. The cost of root canal therapy depends on the case’s complexity and which tooth is treated. After your initial consultation and 3D scan, we provide a clear treatment plan with a full breakdown of fees. There are no hidden costs. A recent patient from Muswell Hill needed treatment on a front tooth that darkened after an old injury. The total cost was provided upfront, so she could plan accordingly. We accept several major private dental insurance plans, including Max Bupa, Denplan, and Cigna. Please contact our reception team to discuss your coverage.