Although endodontic treatment (also known as root canal treatment) is carried out by most general dentists, there are situations where a more predictable result may be achieved by a dental specialist or a dentist who has training to a higher level and has access to more advanced equipment.
The complexity of endodontic treatment can range from those cases that are completely straightforward to those that will challenge a specialist, especially in re-treatment cases. It is not always easy to predict which category a particular case may fall into.
Our endodontic treatment is carried out by our experienced endondontic team who have special interests in root canal treatment: Dr Tim Steel and Dr Steve Gibson.
We are equipped to carry out all endodontic procedures, including:
Broken instrument retrieval
World Class Technology
Our surgeons use high magnification under loupes and with our Seiler operating microscope.
3D CBCT Scanning
With state of the art xray machines, we can take 3 dimensional pictures of the teeth, and are able to visualise and locate the internal canals more easily then standard radiography.
Rotary Instruments and Apex Locator
With cutting edge rotary instruments and digital apex locator, canals are easier to navigate and apexes are more reliably located.
Our experience in endodontics allows us to make a highly accurate diagnosis, even when teeth are heavily restored and symptoms are vague. Occlusal, periodontal and non-dental factors can often be involved. We use our own CBCT 3D scanner for digital imaging to gain an accurate 3 dimensional picture of the problem. Canals can be sclerosed, curved or blocked. Often at the consultation appointment, with prior discussion with teh patient, we do an exploratory investigation of the tooth, in order to plan future treatment and fo immediate pain relief.
About Endodontic Treatment
Endodontic treatment is a means of saving a tooth that may be damaged by fracture, infection or decay. Root canal treatment involves removing damaged or dead nerves and blood vessels in the tooth root that have become infected due to decay, cracks or trauma. The space left is then filled with a material that seals the tooth and keeps it functioning as before. Re-treatment involves the removal of existing root filling material, re-cleaning the canals and placing new filling material.
The treatment takes place under local anaesthetic and the aim is to restore the tooth and its surrounding tissues to health, relieving both pain and infection. In many cases, without endodontic treatment, the infected tooth needs to be removed and may be replaced with a dental implant, a fixed bridge or a removable denture.
Treatment is usually a 3-step process and can be carried out over one or more visits, depending on the complexity of the case:
Step 1 - The tooth is anaesthetised and the infected tissue is removed from the space inside the tooth.
Step 2 - The empty space is filled with a warm root filling material, sealing the root canals to prevent further infection.
Step 3 - The crown of the tooth is then filled with a filling. If the tooth is a back tooth, we might suggest that a crown is provided to strengthen the tooth.
We often treat referred patients that have had previously unsuccessful root canal treatment. Treatment may involve fixing blockages and perforations, the removal of posts as well as existing root filling materials, such as pastes, gutta percha, silver points and fractured instruments.
Dr Tim Steel BDS
Dentist With Special Interest in Prosthodontics, Endodontics, Periodontics and Restorative Dentistry
Tim is a highly experienced dentist with special interests in restorative dentistry, prosthodontics including complex tooth wear cases and dentures, root canal treatment, the treatment of gum disease and sedation.
Tim qualified in 1996 from Newcastle with a distinction in Child Dental Health and Oral Medicine, Pathology and Radiology. He has been working alongside the consultants at York and Scarborough Hospitals for the past 14 years as Clinical Assistant in Restorative Dentistry, helping patients who have been struggling with dentures, resolving restorative dental problems referred in by other dentists and doctors, and providing post-cancer treatment.
Tim has also been a Clinical Demonstrator in Restorative Dentistry at Leeds Dental Institute for several years, training undergraduates.
Tim is currently completing the MClinDent in Fixed and Removable Prosthodontics at King’s College London.
Tim takes referrals for endodontics, periodontics, restorative dentistry and prosthodontics.
Dr Stephen Gibson BChD
Steve is highly experienced in all areas of Restorative and Cosmetic Dentistry. He provides restorative dentistry including referral endodontics in conjunction with our implant and orthodontic team, providing a multi-disciplinary approach.
He is a strong advocate of minimally invasive, cosmetic composite bonding and enamel re-contouring, and has completed many hours of postgraduate training in this field. He is passionate about clinical dentistry and likes the artistic nature of the job which has earned him a reputation for his attention to detail. Steve is renowned for developing procedures requiring minimal clinical invasiveness and he often uses an operating microscope during treatment to increase precision and improve quality.