An infected tooth doesn't always need to come out

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If the inside of a tooth becomes infected or badly inflamed, it doesn’t necessarily mean losing the tooth.

Root canal treatment is designed to remove the infection from inside the tooth and, where possible, preserve your natural tooth rather than extracting it.

At Broad Street Dental Practice, we’ll assess the tooth carefully first and explain whether root canal treatment gives it a good chance of being successfully retained.
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Why might a tooth need root canal treatment?

Inside every tooth is a soft centre containing nerves and blood vessels, known as the dental pulp.

If bacteria reach this area through deep decay, a crack, damage or an existing restoration, the pulp can become inflamed or infected.

Sometimes this causes significant toothache or sensitivity. At other times, symptoms can settle even though the infection is still present. You might also notice swelling, tenderness when biting or a change in the colour of the tooth.

The important thing is finding out what’s actually happening before deciding what to do next.

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Saving the tooth from the inside

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Root canal treatment removes the infected or damaged tissue from within the tooth.

The tooth is numbed with local anaesthetic before the root canals are carefully cleaned, disinfected and sealed to prevent bacteria from getting back inside.

Once this has been completed, the tooth will need to be restored. Depending on how much healthy tooth remains, this may involve a filling or a crown to protect it and allow you to use it normally again.

Root canal has a reputation it doesn't really deserve

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For many people, the words “root canal” still sound considerably worse than the treatment itself.

Modern root canal treatment is carried out under local anaesthetic, so the tooth is numb while we work. In fact, if you’ve arrived with pain caused by an infected tooth, the purpose of treatment is to deal with its source.

We’ll explain what’s happening throughout and make sure you’re comfortable before we begin.

If anxiety rather than the tooth itself is what’s making treatment difficult for you, please tell us. We can take that into account when planning your care.

 

Keeping your own tooth where we can

There is real value in retaining a natural tooth when it has a good enough long-term outlook.

That’s why extraction isn’t automatically the first answer when a tooth is infected. We’ll look at how much healthy tooth remains, the extent of the infection and whether the tooth can be predictably restored before recommending the best way forward.

Sometimes root canal treatment can give a compromised tooth many more useful years.

And if the tooth really can't be saved?

There are situations where root canal treatment isn’t possible or where the remaining tooth simply doesn’t have a good enough outlook to justify further treatment.

If that’s the case, we’ll be straightforward with you about it.

Extraction doesn’t mean the conversation stops there. Depending on the tooth, your mouth and what you want from treatment, options for replacing it can include a dental bridge, denture or dental implant.

For a badly broken or failing tooth, it may sometimes even be possible to remove the tooth and place an implant at the same appointment, rather than leaving a gap and returning for implant placement later. Suitability for an immediate implant needs to be assessed individually.

Explore your options for replacing a tooth

Frequently asked questions

Is root canal treatment painful?

Your tooth is numbed with local anaesthetic before treatment begins. You may experience some tenderness afterwards as the area settles, but we’ll explain what to expect and how to manage it.

Will I need a crown afterwards?

Not every root-treated tooth needs the same restoration. Teeth that have lost a significant amount of their structure may benefit from a crown to protect them. We’ll advise you based on the condition and position of your tooth.

Can a tooth need root canal treatment more than once?

Occasionally, a previously root-treated tooth can develop another problem or infection. That doesn’t automatically mean the tooth has to be removed. Re-root canal treatment may sometimes be possible, depending on the tooth and the reason the original treatment has failed.

What if root canal treatment isn't possible?

We’ll explain why and talk you through the alternatives rather than simply leaving you with an extraction. If the tooth needs to be removed, we can consider the appropriate replacement options with you, including dental implants where suitable.

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“Visited this dentist today, very friendly and welcoming. Explained everything well a very good service.”

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“Welcoming atmosphere, very reassuring and professional, put me at ease, cannot recommend enough, painless experience.”

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“All the staff were very kind, lovely and very helpful and informative regarding the health check and...”

Les R.

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“Always happy with this dental practice. Everything is always explained in detail thoroughly. My son has additional...”

Charlie E.

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“As someone who has never been that comfortable going to the dentist I was completely put at...”

Simon G.

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“Myself and my family have been a patient of this dental practice for a few years and...”

Erika K.

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“I have always been scared of the dentist so avoided them. Unfortunately, after 20+ years of not...”

Alex M.

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“Needed a new dental practice for my son. This practice was easy to get hold of and...”

Laura S.

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“I recently visited broad street dental practice for my little ones check up and had a wonderful...”

Irine J.

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“I can't recommend Broad Street Dental Practice highly enough! From the moment I walked in, I felt...”

Indre S.

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What our patients say

No Image

“Such a lovely little practice with lovely staff. Always made to feel so welcome.”

Claire

star
google blue red yellow green circle icon
No Image

“Very friendly man very helpful . Best dentist ever.”

Ann CQ

star
google blue red yellow green circle icon
No Image

“Dr. Junaid was very attentive and I left feeling well taken care of.”

Dilara E.

star
google blue red yellow green circle icon
No Image

“Absolutely 100% professional, made to feel at ease and relaxed, pleased I'm a patient there!”

Corn P.

star
google blue red yellow green circle icon
No Image

“Took my two children here for the first time recently. Excellent service, treatment and advice from all...”

Adam P.

star
google blue red yellow green circle icon
No Image

“Visited this dentist today, very friendly and welcoming. Explained everything well a very good service.”

John B.

star
google blue red yellow green circle icon
No Image

“Welcoming atmosphere, very reassuring and professional, put me at ease, cannot recommend enough, painless experience.”

Tracie P.

star
google blue red yellow green circle icon
No Image

“All the staff were very kind, lovely and very helpful and informative regarding the health check and...”

Les R.

star
google blue red yellow green circle icon
No Image

“Always happy with this dental practice. Everything is always explained in detail thoroughly. My son has additional...”

Charlie E.

star
google blue red yellow green circle icon
No Image

“As someone who has never been that comfortable going to the dentist I was completely put at...”

Simon G.

star
google blue red yellow green circle icon
No Image

“Myself and my family have been a patient of this dental practice for a few years and...”

Erika K.

star
google blue red yellow green circle icon
No Image

“I have always been scared of the dentist so avoided them. Unfortunately, after 20+ years of not...”

Alex M.

star
google blue red yellow green circle icon
No Image

“Needed a new dental practice for my son. This practice was easy to get hold of and...”

Laura S.

star
google blue red yellow green circle icon
No Image

“I recently visited broad street dental practice for my little ones check up and had a wonderful...”

Irine J.

star
google blue red yellow green circle icon
No Image

“I can't recommend Broad Street Dental Practice highly enough! From the moment I walked in, I felt...”

Indre S.

star
google blue red yellow green circle icon

What our patients say

No Image

“Such a lovely little practice with lovely staff. Always made to feel so welcome.”

Claire

star
google blue red yellow green circle icon
No Image

“Very friendly man very helpful . Best dentist ever.”

Ann CQ

star
google blue red yellow green circle icon
No Image

“Dr. Junaid was very attentive and I left feeling well taken care of.”

Dilara E.

star
google blue red yellow green circle icon
No Image

“Absolutely 100% professional, made to feel at ease and relaxed, pleased I'm a patient there!”

Corn P.

star
google blue red yellow green circle icon
No Image

“Took my two children here for the first time recently. Excellent service, treatment and advice from all...”

Adam P.

star
google blue red yellow green circle icon
No Image

“Visited this dentist today, very friendly and welcoming. Explained everything well a very good service.”

John B.

star
google blue red yellow green circle icon
No Image

“Welcoming atmosphere, very reassuring and professional, put me at ease, cannot recommend enough, painless experience.”

Tracie P.

star
google blue red yellow green circle icon
No Image

“All the staff were very kind, lovely and very helpful and informative regarding the health check and...”

Les R.

star
google blue red yellow green circle icon
No Image

“Always happy with this dental practice. Everything is always explained in detail thoroughly. My son has additional...”

Charlie E.

star
google blue red yellow green circle icon
No Image

“As someone who has never been that comfortable going to the dentist I was completely put at...”

Simon G.

star
google blue red yellow green circle icon
No Image

“Myself and my family have been a patient of this dental practice for a few years and...”

Erika K.

star
google blue red yellow green circle icon
No Image

“I have always been scared of the dentist so avoided them. Unfortunately, after 20+ years of not...”

Alex M.

star
google blue red yellow green circle icon
No Image

“Needed a new dental practice for my son. This practice was easy to get hold of and...”

Laura S.

star
google blue red yellow green circle icon
No Image

“I recently visited broad street dental practice for my little ones check up and had a wonderful...”

Irine J.

star
google blue red yellow green circle icon
No Image

“I can't recommend Broad Street Dental Practice highly enough! From the moment I walked in, I felt...”

Indre S.

star
google blue red yellow green circle icon
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