Root Canal Treatment

Root canal treatment

 

When people ask us, ‘what is a root canal’ we usually tell them “it’s how we’re going to save your tooth”Root canal treatment is sometimes the best and only way of saving a damaged tooth.  And here at Smileworks we love teeth and don’t like extracting them if we can help it.  The proper name for these types of treatments is endodontics – and you may hear them described this way or as root fillings or root treatment.

 

 

But sometimes your teeth get damaged by trauma or infected by decay.  This can be as a result of poor oral hygiene. Bacteria gets through cracks in the enamel and deep down into the tooth root.  This is the part of the tooth that is ‘alive’ and is susceptible to infection just like any part of your body.  It’s also the part that can cause you pain.

 

Root canal pain

 

Most people who need root canals come to see us because they’re in pain.  The infection inside the tooth can cause swelling and pain and build up pressure.  This can manifest as either ‘hot pulp’ which feels like painful toothache, extreme sensitivity or an abscess.  Sometimes patients will come in with dreadful pain and swelling in that side of their face.  This is different to the pain caused by cavities and failing fillings.  We can replace old fillings for you and remove the painful tooth root sometimes without the need for a root canal.

 

If you are experiencing pain then you can make an emergency appointment by visiting our emergency dentist page here. We can get you out of pain pretty quickly and have you on the road to recovery in record time.  So don’t be shy about making an emergency appointment if you have swelling or pain.  Here’s a video explaining the procedure:

 

 

 

 

So does a root canal hurt?

Not usually.  At Smileworks our dentists will make sure you are completely numb before going anywhere near the hot pulp or anything that’s causing you pain.  Local anesthesia is a wonderful thing.   And we make sure people are the numbest they can possibly be.

 

 

Sometimes acute pulpitis can be very difficult to get numb where the tooth is innervated by one or more nerves.  Your dentist will be creative about where they put the anaesthetic to make absolutely sure you will not feel pain.  There are potentially 6 nerves that innovate the first molar and we have a multitude of creative and effectual ways of getting them all numb.  So the procedure is rarely painful.  A hot tooth can be hard to get numb no matter how talented your dentist is.  And that is why time is something you need to get this procedure right.

 

Causes of infection

 

So how does the root of the tooth become infected when it’s below the gum line?  Here’s the structure of a tooth and the process of root canal treatment:

 

 

Pulpitis and root canal therapy

 

 

Tooth decay, broken or failing crowns or even fillings that have failed or fallen out can cause you to need endodontic treatment.  Bacteria gets in the little cracks and fissures causes painful infections. Recently placed fillings can cause the nerve of the tooth to flare up.  You are more likely to need root canal treatment or get an abscess if you:

 

 

 

Here at Smileworks we are conservative dentists.  This means that we don’t like drilling or filing your teeth if we can help it.  The reason for this is that as soon as we touch your tooth with the dentists drill, the chances of it failing and requiring subsequent treatment or even removal are dramatically increased.

 

 

This is why Braces and adult orthodontics are a better idea than traditional veneers if have the choice and composite bonding is better than porcelain veneers where appropriate as the damage to the individual tooth or teeth is likely to be less.

 

Easily the best dentist appointment I've had. I was recommended to go by a friend who couldn't have spoken more highly of them. The facilities are top notch, service friendly and comforting. The staff were great. The treatment was thorough, honest and well explained. First class (excuse the airline pun...you'll see why!)
Adam Samy
Adam Samy
19:10 01 Jun 17
I found Smileworks after looking online for the best specialist orthodontist, and after several visits now, I do believe that they live up to the hype! Every visit has been a pleasure, with the excellent reception always offering a warm and hearty welcome. Due to the severity of problems with my teeth, my treatment plan is extensive and means that despite being early days, I have met with and been treated by a range of the staff here; I can confirm that they're all fantastic and incredibly thorough - everything is explained in detail and nothing is ever rushed. I should also thank Paula (and her assistant whose name I've forgotten - sorry!) yesterday for cleaning the insides of my teeth so thoroughly when I don't even think it was necessarily part of the appointment (the appointment was for a filling). I look forward to continued excellent care from Smileworks and can't wait to get my braces on! Cheers guys!
Michael Kelly
Michael Kelly
08:04 14 Apr 17
Absolutely great find. Friendly staff and MJ who treated me was professional, reassuring and positively fantastic about what my needs were and what I was looking for. There was no pressure on anything and she spoke in depth about full details on every procedure without any rush in me in making an option. I will definitely be visiting again. Thank you once again!
Samina Mubarak
Samina Mubarak
20:02 06 May 17
Absolutely excellent service. All the staff are friendly and make sure all your treatment options are fully explained. Don't do anything unless your 100% sure of all that's available. Shiron made sure my treatment was the absolute best it could be.
Keith Chellew
Keith Chellew
18:41 24 May 17
I had dental work and a procedure on my top lip. I was really nervous on my first visit but the staff are truly lovely and put me at ease straight away. I loved the quirkiness of the waiting room- very different from any dentist/doctors waiting room I've been in. The treatment rooms are very clean, love the design and layout. I also loved the patients photo smiles on the wall!! straight away I relaxed and I could feel the friendliness of the staff. MJ really listened to my fears and listened to what I required, she understood completely my views and the treatment I received was given exactly as I requested!! They really want to help you and they're interested in what you have to say - they love their job!!! I've made a follow up visit and will continue to use them. I've also recommended Smileworks to my friends and will continue to do so.
Nicci Richards
Nicci Richards
20:11 26 Feb 17
I went to Smileworks to have the composite reconstructions on my two front teeth replaced as well as my teeth whitened. On my first appointment with M.J I was given detailed explanations of what these processes involved, which not only eased my apprehensions but stood out from all the previous dentists I had visited. The teeth whitening took approximately two weeks, after which I had the most amazing reconstruction done on my front teeth by Dr Billal Arshad, including a flawless colour match to my newly whitened teeth. The treatment I received was incredible and the end results speak for themselves, I have had numerous people within the fist week comment on how incredible my teeth look. To all the staff at Smileworks I say thank you so much, you have made me a very happy customer.
David Birtles
David Birtles
11:55 26 Jul 17
The staff at Smileworks are fantastic, very welcoming and accommodating. They are always happy to go the extra mile to help you. I had fast braces and 1ml lip filler, i absolutely love the result. Would 100% recommend to anyone looking to get braces or facial aesthetics, they really listen to what you want and combined with their professional knowledge you achieve the perfect result.
Kerry Browne
Kerry Browne
10:46 27 Jul 17
I received my Spmu eyeliner treatment today at Smileworks. I am completely over the moon with the results and would highly recommend the treatment. The clinic itself it just wonderful really clean, fresh and highly professional. My therapist was Hannah Taffe who was extremely knowledgeable, but also so warm and welcoming and put me completely at ease. The treatment was really relaxing and didn't hurt one bit. So very impressed and will certainly be back. Next time I will be booking in to see an orthodontist. Huge thanks to Hannah you really are just fabulous. Sarah Bell xx
SARAH BELL
SARAH BELL
18:10 05 Aug 17
Visited smileworks Saturday, place is amazing everyone was really welcoming and friendly. I was given all the answers to any questions i had before I even asked them!. Hannah was fantastic she gave me a full consultation. I am really happy with the outcome. I will be visiting smileworks in the future.
Laura Harte
Laura Harte
18:39 07 Aug 17
The most welcoming and friendly staff I have ever experienced anywhere, let alone a dentist. I felt in safe hands from the get-go and was so happy with the staff arranging appointments for me even outside of the practice. The creative and clever practice design (airplane) topped the fun experience off! Thanks MJ, Georgiana and Heloise.
Sean Donohue
Sean Donohue
22:03 03 Sep 17
Had my fast braces fitted at Smileworks at the beginning of the year and recently had my lips done, MJ and the team are Lovely! Always a Friendly and professional service! Perfect opening hours which work around my job. Highly recommend! 😀
Elle Benson
Elle Benson
13:25 05 Sep 17
I did went Saturday morning as an emergency customer. No previous contact with them in the past. I was extremely happy of what I found. The place itself & location is great. But even better the staff; They were very understanding and helpful. MJ who finally attend my case did work the extra mile (and extra time too :)) so later than 17:30 Sat. Quick/Nice/Effective & Reliable. So far the best dental clinic I have been. Definitively I will recommend & use them again.
FERNANDO
FERNANDO
13:30 03 Oct 17
After breaking a tooth whilst away in Liverpool, I googled local dentist and called the first number in the list. Smileworks offered me an A1 service and managed to temporary fix my tooth until I returned home allowing me to continue my few days away. Not only was the cost very reasonable for an emergency appointment their practice is the funkiest I’ve ever seen. The dental staff were all fantastic too, I couldn’t have asked for more. Just gutted that there isn’t a smileworks in Cambridgeshire!
Lee Clayton-Harvey
Lee Clayton-Harvey
16:21 24 Oct 17
If you're looking for the best place for your treatment, you've got to choose and visit smile works. They make you feel beautiful, their all friendly and talented personnel. Their welcoming smile alone will make you feel at ease that you're in the right place for your treatment. Their smile really works.
Tiana Bukolami
Tiana Bukolami
22:52 11 Nov 17
team I'd like to provide you with some feedback on my treatment to date: After 1:1 advice and guidance with the smile-works team, I recently attended for my first treatment (root canal). I was greated and treated professionally throughout, experienced no pain, and was informed and entertained by MJ, whom I found to be extremely reassuring, competent and also hilariously funny. Withought hesitation I can fully recommend this practice, and I am so excited about completing my planned course of treatment, which is bespoke and excellent value for money, just in time for Christmas ! Kindest regards Dave Sent from my i
nicola jonnes
nicola jonnes
15:31 22 Nov 17
5 Star service and quality! Had my lips done for the first time and couldn't be more happy with them! MJ works wonders, would recommend 100% !!
davina Johnston
davina Johnston
14:10 25 Nov 17
Wow what an absolute amazing experience said no person ever going to the dentist. Well until now... Had severe pain due to a Wisdom tooth and couldn't sleep the night before and knew I had to finally face my fear and go to the dentist and get this sorted. Sat up all night due to lack of sleep watching and reading horror stories on having a Wisdom tooth removed and was dreading it more and more as time went on. Called Smileworks at 9am Saturday morning to get an emergency appointment and was given one within 3 hours. When i arrived I was greeted with cheer into what could only be described as the coolest dental reception area of all time. The receptionist (forget her name) automatically put my mind at ease. Normally my experience at dentists was sit and wait for an absolute age to be called. Not at Smileworks. MJ came into the reception area so cheery and got me and brought me to the room which was something out of a futuristic movie it was absolutely amazing. From start to finish MJ kept my mind at ease telling me every step of the way on what was happening and what the plan of action was. We even meditated over the removal of my wisdom tooth which really calmed me down. MJ was absolutely amazing in the removal and I had built up such a hype and horror pictures of what was going to happen. The exact opposite happened. This had made me build up my confidence in a dentist again and I would highly highly highly recommend Smileworks to anyone.
Kyle Boyd
Kyle Boyd
14:03 27 Nov 17
Me and my mum came here for the first time last year,and I can’t praise Mj and the staff anymore we felt so welcome and at ease straight away. My lips where and still are amazing and i get so many compliments! They literally do go “above and beyond” and totally make you feel “first class” x
Vicky Diamond
Vicky Diamond
20:49 28 Nov 17
I arrived at Smileworks just as they were closing early for the Christmas break. When I explained my situation (needed emergency treatment) & was going on holiday on Boxing Day MJ agreed to sort out my tooth. She was so friendly & I didn't feel like I was putting her out at all. One of the girls who had her coat on to go home even offered to stay to help. Within 20 minutes I was sorted out & could get on with my Christmas shopping!!! Thank you MJ & the nice dental nurse I now know I go away without having to worry about my tooth. 👍
Pauline McLoughlin
Pauline McLoughlin
02:06 24 Dec 17
Had my lip filler done here as well as a non-surgical nose job and couldn't be happier with the results. Such friendly staff who are all amazing at what they do and give me all the information I needed prior to my treatments. I wont be going anywhere else in Liverpool other than Smileworks!
Lauren Thompson
Lauren Thompson
13:05 26 Dec 17
I felt so welcome and comfortable here! I admire Dr MJ very much, because I did root treatment, which I thought was painful and complex. But it only took 1 hour and I did not feel a little pain. I trust them so much that I feel sleepy! And the reception girls are energetic and full of smiles. This is a wonderful place to make your smile beautiful and confident!
jiadi he
jiadi he
16:57 02 Jan 18
Smileworks are by far the best dentist I’ve been too!! So friendly and welcoming, the waiting area is fun, the receptionist are very helpful and informative, the dentists are highly skilled and make you feel comfortable and are very reassuring. I have had metal braces before when I was younger and feared getting them again but I am happy I went with Smileworks MJ and Bambi who have both been my dentist are fab as well as each assistant that supports them. I actually enjoy going each month and finding out what stage I am at and what’s to come next I never feel anxious. I’ve actually referred two people here, worth every penny 🙂
Emma Gillespie
Emma Gillespie
16:53 04 Jan 18
Reception staff welcoming and friendly. Decor is cool. Bambi and Eva so friendly patient and welcoming. Bambi explains the treatment plan and is patient. Got other few appointments to go. Would recommend. Thanks
Da Mc
Da Mc
19:03 10 Jan 18
I’ve been going to Smileworks for all my treatments since it first opened and I have not and will not go anywhere else. Everyone is always commenting on how good my lips look, my skin. My teeth are straight after only 3 months of a brace. Everyone there is so friendly and everything is explained throughly. The surgery is so clean and modern and MJ is the most qualified person out there for anything you need. I shall be continuing to go there for the rest of my time. Amazing. Love all the team at Smileworks 💕
Keeley Cawley
Keeley Cawley
00:32 17 Jan 18
I have visited MJ at Smileworks many times and I can not recommend the company any more ! All of the staff are so friendly and make you feel welcome as soon as you walk through the door. I always look forward to visiting Smileworks because the experience is always positive, the treatments provided are fantastic and I always leave feeling a million dollars.
Rebecca Zaidi
Rebecca Zaidi
20:11 16 Jan 18
First class customer service and care. The vibe of Smileworks is friendly yet ultimately professional. I have completed 3 sessions of PLEXR on my eyelids and the results are incredible! I will not hesitate to come back. Thank you Smileworks, you really have helped me to rebuild my confidence 😌
Sarah Parkinson
Sarah Parkinson
17:12 19 Jan 18
Called and obtained next day appointment. Clear instructions on how to find the surgery. Very thorough examination. X-rays and dental photos fully explained. Options for further treatment discussed. Follow up appointment arranged to check burn on my palate roof of which I was unaware and make sure nothing more serious. Dental hygiene scale and polish carried out and very pleased with outcome. Excellent service from Rebecca and Lucy. Recommended A+++++
Stephen Olive
Stephen Olive
18:39 23 Jan 18
A very welcoming, warm, friendly and professional atmosphere. I Felt very relaxed and at ease whilst I had my treatment which was a 1ml of lip filler. MJ was very informative and listened to what I wanted and personalised my treatment. I am super happy with the results and could not have asked for a better practitioner whilst receiving this procedure. Fantastic company and would highly recommend anyone to go here!
helen murray
helen murray
14:27 01 Feb 18
I've recommended Smileworks to a few people now, as I've had nothing but good experiences within the past 6 months. I decided to get my braces fitted here because I thought, with all the good reviews, I couldn't go wrong. I'm so glad I braved it because the results, only 5 months into the treatment, are amazing!!! MJ and Georgi are absolutely lovely. They're so friendly, and really just make you feel so comfortable there, which is a massive plus for nervous patients, as I was to begin with. The waiting area and reception is so fun. It makes a really nice change to what you usually see in a dentists waiting room. So, if you're thinking about going to Smileworks, do it! They're fantastic 😀
Sarah Hornby
Sarah Hornby
21:05 04 Feb 18
I needed an emergency appt & got one quickly. I needed a tooth extraction - I had an excellent (female) dentist who gave a really good local (enough & I could still feel my face!). The extraction was tough but I was well cared for. I've not had any problems at all since and I had it taken out 4 days ago. Thank you.
James Piper
James Piper
02:19 13 Feb 18
Great dentist, just had my brace removed and really happy with the results. All the staff are really friendly and welcoming. The late opening hours are a bonus too, so you have lots of flexibility when booking appointments. Would highly recommend.
Chris Brady
Chris Brady
14:11 17 Feb 18
I had the best first appointment. I had to change dentists because the last one was simply not fixing my issues. I was very hesitant to try a new dentist but I am glad I did. The staff are very polite and attentive. Dentist office itself is exceptionally clean. After my check up everything was explained well. Very good experience .
Shan Parke
Shan Parke
15:56 14 Mar 18
Smileworks is easily the most professional, friendliest practice I have ever been too. All the staff are so welcoming and I would never go to another practice for any of my treatments after being see here! Smileworks is the best!
Emily Jones
Emily Jones
22:31 08 Mar 18
I was initially nervous and apprehensive. I hadn't visited this practice before but I had done my homework and went here on recommendation. I booked with MJ and went to have some work done with my upper lip & facial aesthetics. She put me at ease completely and I was expecting pain. It was so easy, straightforward, and I will definitely go back. I was a little tender the day after, but there was no discomfort on the day of treatment and it was much easier than having a dental filling 🙂 My result has been fabulous and I am very happy and would certainly recommend.
Angela Jones
Angela Jones
18:32 27 Mar 18
Great customer service and care! Friendly staff you feel home each time. I had my treatment with Billy and Eva and I'm so happy about the result. Definitely recommended
Gabriele Ganga
Gabriele Ganga
00:17 29 Mar 18
First went for an emergency fix, then second time for root canal treatment and veneers, splendid results!! Recommended it to my friend and he got his emergency fix done and was happy with it. I would recommend this dentist to everyone! Thanks Smileworks! You made me more confident now 🙂
Miz A.
Miz A.
23:01 03 Apr 18
A superb experience! From the initial call to the reception team through to the treatment and after-care level of service, my expectations were exceeded in every aspect. This is a very smart, clean, modern and friendly dental clinic with customers at the heart of service. The team of professionals take time to understand the issue, explain possible causes, possible treatments and put you at your ease. This was a first-class experience and although I don't live near here, I am considering switching from my regular dentist to Smileworks Liverpool. Oh and for aviation geeks, the clinic has an airline theme which is refreshingly different to the traditional style of dental surgeries.
Richard Salkeld
Richard Salkeld
18:47 08 Apr 18
I chose Smileworks for my braces and could not be happier with my decision and have been recommending them ever since! There is always a friendly atmosphere at Smileworks and I’m always talked through what will be happening during my appointment. The late opening hours are perfect for fitting in around work and I have never had to wait longer than my given appointment time on every visit so far. In just 5 months Smileworks have managed to drastically straighten my teeth which I didn’t even think was possible after expecting a minimum of 1 year treatment!
Chelsea Borrow
Chelsea Borrow
21:35 19 Apr 18
Honestly the best customer service I have ever received. The receptionist is so friendly and helpful and the staff who looked at my teeth were very professional, always making sure that I was okay throughout. Nothing was too much trouble and they made sure that I left with full knowledge of what my teeth whitening procedure was going to be and answered all questions! Will definitely be recommending to friends and I cant wait to come back for my next appointment!
Sophie B
Sophie B
11:20 28 Apr 18
From my consultation to the end result I received the best customer service I have experienced. I was looked after by Paula and Emily who were both so welcoming, friendly and helpful and answered all of my questions. The consultation itself was so in depth and helpful and I learnt things that no other dentist had told me. I would recommend this place to anyone wanting dental treatment and I would definitely return.
Amy Robertshaw
Amy Robertshaw
14:23 29 Apr 18
Excellent treatment performed by professional dentists. I did NOT feel the dentist's hands when digging the tooth that caused a strong pain. I did NOT feel at all what happened:) smile and thanks a lot after 30 min of treatment. A narrative: The clinic gave me a fast track consultation as an emergency appointment when I call them in the early morning because of sudden and increasing pain over night after passing another clinic in a day before. Recent equipments of x-ray 4k that can take images of teeth and identity problems before handelling any treatment clearly after 5 min. The clinic is on high standards. It is highly appreciated and highly recommended. Thanks a lot.
Hany Ahmed
Hany Ahmed
02:13 31 May 18
The customer service at this dental practice is some of the best I have experienced in any organisation period. All staff are a credit to themselves and their employer. Friendly, bubbly, knowledgable and considerate. The treatment was top class, the facilities brilliant and the location very central and convenient. I don't often bother to leave reviews on Google, but I think it's worth the effort this time. Well done to all at Smileworks - outstanding.
Paul Gregory
Paul Gregory
21:16 13 Jun 18
Amazing customer care and advice and treatment for removal of a very painful wisdom tooth. NHS removal via my own dentist was going to be 6-8weeks waiting time. Smileworks were very understanding and arranged emergency appointment and then an extraction within a few days. There were no complications and the whole experience was first class. Everything was explained and there were excellent follow up calls to check I was Ok and no issues. So glad not to be taking anymore pain relief. Am considering switching my dentist!
Mike Whiting
Mike Whiting
14:44 27 Jun 18
I booked an appointment having not been to the dentist for a while through Kerry who was very helpful. My consultation was completed by Bambi and Ewa. My appointment was very thorough and I was extremely impressed with the level of service. I would definitely recommend smileworks to my friends and family. Thank you for looking after me!
Ste Glover
Ste Glover
18:54 27 Jun 18
Amazing! In order to get braces I have done a comprehensive research and booked initial appointments in several places in Liverpool. I have found out that in many of them I wouldn’t be treated by an orthodontist, but by a person who only has a certificate (and is lacking the knowledge and experience that an orthodontist has), and in some places there was a weird, cold, "we don't really care" attitude, plus I would only see a dental nurse. Smileworks keeps it's standards high, will always welcome you like an old friend, with smiles and care! Laurence, the orthodontist, very nice and very professional guy, investigated my case, went through a treatment plan with me, and I left happy, knowing I found my place and that I can trust them. My first appointment with Smileworks was 10 months ago, and since then I enjoy every visit, every conversation, every appt follow up, everything about this place! Great energy, great people and great results. It’s a no brainer, I can’t recommend it enough! Thank you for creating such an amazing experience for your customers!
Maja Socha
Maja Socha
11:13 03 Jul 18
Amazing place to make yourself more confident and happy about your smile. All team are really friendly and helpful. Dr. Laurence is fantastic made me feel so comfortable and relaxed, he is so knowledgeable and explains everything!
Roma Neverdauskaitė
Roma Neverdauskaitė
16:49 05 Jul 18
Amazing! In order to get braces I have done a comprehensive research and booked initial appointments in several places in Liverpool. I have found out that in many of them I wouldn’t be treated by an orthodontist, but by a person who only has a certificate (and is lacking the knowledge and experience that an orthodontist has), and in some places there was a weird, cold, "we don't really care" attitude, plus I would only see a dental nurse. Smileworks keeps it's standards high, will always welcome you like an old friend, with smiles and care! Laurence, the orthodontist, very nice and very professional guy, investigated my case, went through a treatment plan with me, and I left happy, knowing I found my place and that I can trust them. My first appointment with Smileworks was 10 months ago, and since then I enjoy every visit, every conversation, every appt follow up, everything about this place! Great energy, great people and great results. It’s a no brainer, I can’t recommend it enough! Thank you for creating such an amazing experience for your customers!
Maja Socha
Maja Socha
11:14 03 Jul 18

 

What is a root canal? 

 

The root canal procedure involves completely numbing the area and then making a tiny hole in the tooth.  A special file is used to carefully removing the infected material from inside the tooth.  This is the nerve or ‘pulp’ that is causing you the pain.  Because of the numbing you will not feel a thing.  Many people complain that their root canals hurt and this makes here at Smileworks feel very sad.  The only reason a root canal should hurt is if it’s rushed.  And what we have plenty of here at Smileworks is time.  Some molars are innovated by up to six different nerves and our dentists get seriously creative about making sure you won’t feel a thing.

 

 

Once you’re numb we can get all the infected material cleaned out the space and then irrigate it or flush it out with a cleaning solution.  This is typically a chemical called chlorhexidine (contained in some mouthwash) or a weak hypochlorite solution.  And what do we know about hypochlorite?  It kills all known germs, dead.  So this will give your tissue a good chance of recovering.

 

 

The space is then filled in with a special material and the hole is filled in and your tooth is restored to it’s healthy, pain-free and functional old self.  The reason the space is filled in is because any space is liable to fill back up with bacteria.  So we use a rubber-like material to fill the space so nothing can get in and cause you any more problems.

 

 

Root canal cost

Here's the 2018 Root Canal Prices at Smileworks for Root canals and re-root treatments

 
 

Here are the costs for your root canal treatment in 2018. Remember the reason you are paying is because here at Smileworks we will make sure we take the time to get you numb and do the work using the most advanced materials and machinery available. Dr Rowland-Warmann likens root fillings to cleaning out the cupboard under the stairs through the keyhole, in the dark. Root canal treatments require attention, skill and are often complex treatments so they need to be planned and managed accordingly. So microscopes, special lights, CBCT scanners and apex locators are all a good idea. And then there’s time. Often the difference-maker between pain and failure and happiness and success.

 
 

  • Anterior (front) Tooth | £400
  • Incisor Tooth | £400
  • Premolar Tooth | £425
  • Molar Root Canal | £475
  • Re-root Anterior (front) Tooth | £450
  • Re-root Incisor Tooth | £450
  • Re-root Premolar Tooth | £500
  • Re-root Molar Root Canal | £500

 
 
If you require more than one tooth then just multiply these prices by the amount of root fillings you need or want. Remember that doing nothing is always an option, as is extraction and other less expensive things. So come in to see us and get the full picture.
 
 
These are guide prices – if the root canal is particularly complex (such as extremely curved roots, fractured instruments or other complex pathology), fees may vary or you may require a referral to specialist endodontist where the fees will be substantially more. To be clear MJ is a dentist with a special interest in endodontics and not a specialist endodontist.
 
 
Fees are quoted at your consultation – here at Smileworks we don’t like surprises so you will know precisely how much you’ll be paying before any work is undertaken.


 
 

If you're concerned about the affordability of treatment then take a look at our patient finance calculator here:
 
 



 
 

Private vs NHS Root Canals

 

The NHS is a wonderful and noble service and we absolutely love and respect it here at Smileworks.  Take a look at your root canal options here.  It’s much, much cheaper than us. Many of our Smileworks dentists here have worked in the NHS and have done root canals but they (and any conscientious dentist will tell you) they’d rather work in an environment where they can spend twice the time, use a microscope, have tools like apex-locators on hand and be able to diagnose using a CT scanner if necessary.  Most of which, you’ll not find at your local NHS practice.  So the decision is yours.

 

We take root canal safety very seriously at Smileworks and if you’ve ever had a root canal without a piece of safety apparatus called a ‘rubber dam’ then you need to change dentist.  Here’s a picture of a Smileworks patient wearing a rubber dam.  It basically stops anything nasty getting swallowed or inhaled during the procedure.  The disco shades are an optional extra along with the Tom Jones root canal playlist…

 

 

Root canal safety Rubber dam

 

 

 

Root canal risks & complications

 

Once you get home the tissue can get re infected.  The most common cause for this is a leaky dental crown.  This is where a crown is required on top of the canal because the tooth is too damaged. Bacteria can get in and cause a flare-up.  Come and see us and we can get this fixed.  To read all about leakage and crowns in general see or main page here: Dental Crowns Liverpool.

 

Pain

 

There can be residual pain after a root canal.  This can be a type of ‘bruising feeling’ from the local anaesthetic injection sites or it can be tenderness from the treatment.  Use painkillers you’d normally use for a headache and if it hasn’t resolved in a few days or if they don’t even take the edge off, come in to see us again.

 

Failure

 

Root canals are complex.  There is no such think as a routine root canal and there is a great deal of rubbish on the internet about how your root canal is going to be a happy experience with rainbows and sunshine and 100% success rate.  This is not realistic ands here at Smileworks we tell you how it is not what you want to hear.  The success rate of any dentist is around 80-85% and in more complex cases this may be reduced further depending on the tooth and the associated.  Sometimes root canals fail even with the best treatment for reasons we are not entirely clear about.  But if you come to us for treatment we will fix anything that needs fixing quickly and effectively.

Swelling

 

As with any dental treatment there can be swelling but it should subside. IF it is getting worse or more painful then come back in and we will take a look.  If you are experiencing pain worrying in nature, or it is affecting your ability to breathe or swallow, you should proceed straight to A&E.

 

Root canal alternatives

Extraction

 

If the tooth is unrestorable or if the caries (tooth decay) is too deep or extends down to the bone then an extraction is likely indicated.  Sometimes decay extends so far down that we simply can’t put a crown on because the crown will be beneath the gum margin and it just won’t be a success.  This is when you’ll need an extraction. For extractions you can see our wonderful oral surgeon, Dr Anca Antoniu who will be able to take your tooth out for you painlessly.

 

Referral

 

We are not endodontic specialists here at Smileworks but we do know a thing or two about root canals. If the anatomy is really complex, or a previous root canal has had complications that are super-difficult to manage, then we’d rather refer you to one of our trusted partners who will be able to give you the standard of care commensurate with an extremely difficult, specialist case.  We love referring patients on because we don’t ever put our patients at risk. There is no ‘hero-dontics’ at Smileworks and our cases are reviewed by a multidisciplinary team – something that sets us apart from many practices in Liverpool.

 

Do nothing

 

Sometimes people want to just leave it because they want to have a think.  Not having treatment is always an option.  This may risk the tooth flaring up and you being in pain again.  All we can do is advise you regarding your treatment options.

Root canals for children

 

Kids sometimes have root canals.  One of the most common causes or children needing root canals is trauma to the front teeth. We don’t want to be extracting the central incisors of children, so if your child is happy and motivated and they understand the treatment then that’s fine and we will typically get excellent results.  The intended outcomes and benefits need to be carefully explained to both parents and the children to make sure everyone is on the same page.

 

Root Canal Myths

 

I can control the pain with strong painkillers:

Strong painkillers will help in the short term but they will not fix the underlying issue and there is a strong likelihood that you may become addicted to some painkillers that will, in the end, cause you far more pain and suffering than even the worst visit to the dentist.

 

 

It’s ok, I’m going to ask to be sedated:

If you are an extremely anxious patient and concerned about your treatment, you may elect to be sedated for your root canal procedure.  We can arrange this for you; we can discuss the fees involved in this at your consultation.  Usually the scariest part of your root canal is listening to Tom Jones for the duration of your appointment (if it’s Dr Rowland-Warmann treating you.  Read some of our reviews and see what people usually feel after their treatments with us. You’re in safe hands and we will make sure you are calm and comfortable throughout your appointment.

 

 

I don’t want my nerve taking out or damaging:

By the time you need a root canal, the nerve is past saving and needs to be removed along with the bacteria and inflamed material.  So ‘saving the nerve’ is impossible.

 

For more myths see the FAQ section below.

 

 

Root Canal FAQ

Here are the most commonly asked questions about this treatment by our patients.

  • How do I know if I need a root canal?
  • You’ll be in pain and have swelling and your tooth might feel hot or ache or just be downright excruciatingly painful. Your dentist may have recommended you need a root canal also.
  • Are root canals safe?
  • When all the correct procedure are followed and everything is in place, root canal treatment is relatively safe. The only real risk is practices not using an instrument called a ‘rubber dam’. If your dentist has never used this when you’ve had a root canal then you should change dentist, because they are not taking safety seriously and do not care about you. If a file gets accidentally dropped down your throat and you start coughing, can be aspirated (breathed in) and get lodged within your lung, requiring surgery for its removal in extreme cases. So rubber dams are a big deal around here and mandatory in the completion of root canals.
  • Can it fail?
  • Root canal treatments can fail for a number of reasons: - Bacteria remaining in the system - Fractured instruments - Inadequate previous root filling - Perforations of the previous root canal system - Resorption due to trauma – or for no apparent reason - Leaking coronal restorations or leaking crowns leading to reinfection
  • Root canals and crowns
  • If an abscess is big enough and causes facial swelling then it can make you systemically unwell (so cause a fever). If a tooth is throbbing it can cause a headache. Lower teeth can make you seem like you’ve got toothache in your upper teeth and the nerves radiate in all directions causing confusing and often worrying ‘referred pain’.
  • What if I have pain after root canal?
  • Initially there may be some mild discomfort after the procedure. This might feel like a bruise (from the anesthetic) and the area will feel tender. This is fairly common and can be managed with the same painkillers you’d take for a headache and will subside after a day or two. Severe pain and associated swelling a couple of days after the procedure may occur. This can be a flare-up from bugs that lived inside the tooth that have been jiggled about by the treatment. This is called a phoenix abscess. It’s best to make an appointment to see us. The third post-treatment pain type is very severe pain and rapid swelling. Hypersensivity to some of the chemicals used to clean the inside of the tooth can cause this and you must visit A&E or go straight back to your dentist (or Smileworks). Dr Rowland-Warmann has extensively studied the pathology and incidence of such occurrences and you can read about them here. But be aware they are extremely uncommon.
  • How long does a root canal take?
  • At Smileworks a root canal appointment 90 minutes and if it’s more complex, You may need further appointments, which are included in your cost quoted at the start.
  • Are antibiotics a substitute for a root canal?
  • Antibiotics are not a substitute for root canal treatment. They do not make an abscess go away they suppress it and put it to sleep. Then it will reappear at a later date. Antibiotics will reduce the acute phase of an abscess but will not remove the bacteria from the inside of a tooth.
  • Root canal NHS vs Private
  • This is always a tricky subject and one that’s been covered already. Root canals can be clinically challenging to treat and complex in nature. So the thing that is of paramount significance is time. Practitioners in private practice are not necessarily better than those in the NHS. However, many NHS practitioners feel that due to the constraints placed on them by the NHS (including time constraints and the need to hit targets) that they would sometimes not able to allocate the kind of time to complete a root canal in the same way a private practitioner might be able to. The other factor is budgets and equipment. In private practice we have a CBCT scanner for the diagnosis of complex and difficult cases. Private practices may have more ready access to gadgets that make the endodontic procedure more streamlined. We have made significant investments to get you in fast and treated effectively. Pain management In endodontics is a huge deal - and that takes time. And truly conscientious dentists will agree with this sentiment.
  • What happens to my nerve?
  • The nerve is removed. Your nerve lives in the tooth which is like a little hard tube. If the nerve or pulp dies or becomes infected it will increase in size and swell. This is what produces the pain and throbbing. The nerve doesn’t always have to be dead to be infected. It’s usually an acute bacterial infection that causes the pain. The inside of the tooth is cleaned with specialized instruments and made bigger and cleaned out with a cleaning solution and filed with a rubber-like compound that is biocompatible and is called gutta percha. The principle is that a hollow tube can store bacteria but a filled one cant. This has the effect of eradicating bacteria.