Root Canal Treatment In Chelsea, London

During the early stages of infection, pain may be minimal or even non-existent.
As the infection develops you may get pain or swelling.
When there are no symptoms, it may only be visible to your dentist on examination. In these situations, the dentist would normally see a small spot or opening on the gum (called a sinus tract) where the infection has created a path to come out of the bone. Sometimes the dentist can also see a shadow at the bottom of the root on the x-ray.

A tooth infection can only be treated by either root canal treatment or removal of the tooth. Antibiotics are only a temporary measure until you can have the infection treated properly. Antibiotics will not remove the infection permanently.

Before starting treatment it is important to see our specialist Endodontist, Dr Aram Navai, for a consultation. At this appointment Dr Navai will assess your tooth and take some x-rays in order to diagnose and plan your treatment accurately. In some complex cases, 3D Cone Beam CT imaging may be recommended for this as well, as the root canal system is a 3-dimensional network of canals and tubules that cannot always be visualised accurately on a 2-dimensional standard x-ray.
The consultation is an important and integral part of your root canal treatment. Every patient is different and unique, with different expectations, past dental experiences and levels of anxiety. Dr Navai will discuss all options with you and answer all your questions before commencing treatment. This way the treatment as a whole can be tailored specifically to you in order to achieve a positive treatment experience and a successful outcome.

With the advanced approaches practiced by Dr Aram Navai at The Wellington Clinic, root canal treatment is almost always predictably pain free and comfortable. Dr Navai uses a combination local anaesthetic regime when required and ensures your comfort throughout the procedure. At The Wellington Clinic you will also be provided with TV entertainment and headphones allowing you to relax throughout the procedure.

Some Endodontic Specialists with advanced skills like Dr Aram Navai are also able to treat complicated teeth that would otherwise need to be extracted. If the root canal has a perforation from previous treatment, Dr Navai can repair this. If there is a fractured portion of instrument separated in the canal from previous treatment Dr Navai will most often be able to bypass or remove this for you. If there is a post in the root canal, Dr Navai can either remove it for you or provide root treatment from the other end of the tooth; known as an apicectomy or apical microsurgery. An apicectomy is also useful if it is not possible to access the tooth from the crown (top). If a previous root canal treatment is perfectly filled but for some reason has still failed, Dr Navai may carry out Endodontic microsurgery to treat the infection. If a tooth has multiple roots and one root has too many complications, Dr Navai can carry out root resection surgery to remove the infected failing portion and thereby restoring the rest of the tooth.

After root canal treatment, the tooth may become brittle as there is no longer a live blood supply within the tooth. It is important to prevent the tooth from future cracks and breakages so that you can increase the lifetime of the tooth. The most effective solution is to place a crown or onlay over the tooth. This is more durable and stronger than a composite filling and reduces the risk of tooth fracture or re-infection of the roots.

Dr Aram Navai sees private patients at The Wellington Clinic for root canal treatments and he also sees many patients from his referring dentists. He has vast experience in treating cases with complex anatomy and those which have been previously treated and failed.

Dr Aram Navai also works as a Specialist Clinical Teacher and lecturer in Endodontology at Guy’s Hospital and King’s College London where he teaches and supervises both undergraduate and postgraduate students.

Aram originally qualified from the King’s College London Dental Institute in 2009 and was awarded membership of the Royal College of Surgeons of England in 2011. His previous positions include a year as a Senior House Officer in Oral and Maxillofacial Surgery in London, where he gained experience in complex surgeries including management of facial lacerations, wisdom tooth surgery and assisting in major cancer and trauma surgeries.

Dr Aram Navai is one of the very few dentists that was awarded a specialist training position in Endodontics at the prestigious Guy’s and King’s College Dental Institute where he successfully completed 4 years of advance training and passed all examinations with Distinction. He was also awarded the ‘Membership in Endodontics’ by the Royal College of Surgeons of Edinburgh, which is recognised as the highest qualification in the field.

The cost will vary on a number of things; the number of root canals present, whether a root canal treatment has previously been performed on the tooth, and whether there are other complicating factors.

As a rough guide the costs tend to be based on the tooth being treated: