

Endodontics, or Root Canal Therapy, is a common dental treatment involving cleaning out the internal contents of the tooth - the pulp tissue. This tissue is often infected by micro-organisms (bacteria) from the mouth, which is why the internal anatomy of the tooth has to be cleaned and disinfected very carefully. Sometimes this takes more than one appointment, as the internal shape of the tooth is very complex and can have multiple root canals. Often I am asked to undertake a retreatment procedure where the existing root filling has become re-infected. This might be the only way to save or retain the tooth, and can be more difficult and time consuming.
Following the mechanical cleaning and disinfection of the root canal system the tooth is obturated (filled) with an inert three dimensional material called Gutta Percha. The tooth is then provisionally restored and in many cases will require full coronal coverage (crowning) by your own dentist.
While the root canal treatment is carried out, the tooth is isolated using rubber dam. This technique uses a small square of thin latex to isolate the tooth and hence prevent all the usual operative dental debris and water from entering your mouth. Be assured that the rubber dam does not interfere in any way with your breathing, either through your nose or your mouth. It is my considerable experience that using rubber dam is of great benefit to my patients, and in fact the more nervous patients find rubber dam of particular benefit, as it appears to detach them from the operative procedure.
During root canal treatment, I use an operating microscope, to illuminate and magnify the working field. Research and my experience have shown that the use of the operating microscope considerably enhances and simplifies the treatment.
When undertaking an initial examination and treatment several radiographs (Xrays) will need to be taken. A state of the art Digital Xray sensor is used in the practice which reduces the radiation dose experienced by you considerably, in the region of 80%.
All endodontic procedures will be carried out using a Local Anaesthetic. The local anaesthetic we use is very effective and very safe, and you can be reassured that any previous problems that you might have had with local anaesthesia (going numb) will be discussed and overcome. All patients will be asked to complete a Medical History Questionaire and any medical conditions or medication will be addressed. Finally, any potential endodontic treatment, the techniques and procedures undertaken, and the percentage chances of a successful outcome will be discussed.