Menu

Save your natural tooth. It’s worth fighting for

What is a root canal?

  • Specialist endodontist on-site
  • Saving natural teeth with precision care
berkhamsted

Root canal treatment has a reputation that bears very little relation to reality. Ask most people who have had one, and they will tell you the same thing: it was far more straightforward than they expected. Modern root canal treatment, carried out under effective local anaesthetic, is no more involved or uncomfortable than having a filling, and it is one of the most important treatments available for saving a tooth that might otherwise be lost.

The pulp is the soft tissue at the centre of the tooth, containing nerves and blood vessels. When it becomes infected or damaged, usually as a result of deep decay, a cracked tooth or repeated dental work, it can cause significant pain and, if left untreated, can lead to abscesses or tooth loss. Root canal treatment removes the infected or damaged pulp, cleans and shapes the canals inside the root and seals the tooth to protect it from further infection. The tooth itself is preserved, restored and in most cases, functions normally for many years afterwards.

At Berkhamsted Dental Practice, straightforward root canal treatment is performed by our experienced dental team. For complex cases, including difficult canal anatomy, retreatment and situations where specialist precision is essential, patients are referred to Dr Philip Mitchell, our in-house specialist in endodontics. Having a specialist of Dr Philip’s calibre available on-site means even the most demanding cases are managed with the highest level of clinical expertise, without the need to refer elsewhere.

For more information regarding this treatment
Contact Us OR Call 01442 865 646
Back to General Dentistry

Treatment Information

When is it needed?

Some signs that root canal treatment may be needed are obvious. Others are not. Many infections are caught on X-ray at a routine check-up, long before any discomfort develops. If you notice any of the following, contact us without delay.

Note: Some people experience no symptoms at all. Infection can be detected through an X-ray at a routine examination, which is one of many reasons regular check-ups matter.

Berkhamsted Dental Practice

Severe, persistent toothache

Especially when biting, chewing or applying pressure to the tooth. Pain that does not settle is rarely something to wait on.

Lingering sensitivity to hot or cold

When temperature sensitivity continues long after the source has been removed, the nerve inside the tooth may be compromised.

A darkened or discoloured tooth

Discolouration can be a sign of nerve damage or internal tissue change within the tooth.

Swelling or tenderness in the gum

Localised swelling near a tooth or tenderness along the gum line can indicate an infection spreading from the root.

A persistent pimple or abscess on the gum

A recurring spot or blister near a tooth is a sign that infection is present and needs treatment promptly.

A tooth with significant decay or repeated treatment

Teeth that have undergone multiple restorations or that have suffered extensive decay are more vulnerable to pulp infection.

Why us?

Specialist endodontic care, in the practice you already know.

Root canal treatment at Berkhamsted Dental is not a compromise. It is performed by highly trained clinicians, supported by an in-house specialist and planned using the same standard of diagnostic precision we bring to every treatment we offer. If your case is straightforward, our team will handle it with care. If it requires specialist input, Dr Philip Mitchell is here.

Berkhamsted Dental Practice

Your Implant Journey

From consultation to a confident new smile.

Berkhamsted Dental Practice

Consultation

Your dentist will examine the tooth carefully, take an X-ray or 3D CBCT scan to assess the extent of the infection. They will explain the procedure fully, answer your questions, and ensure you feel completely informed and comfortable before anything begins.

Berkhamsted Dental Practice

Preparation

The area is numbed with a local anaesthetic to allow your dentist to access the pulp chamber, remove the infected or damaged tissue, and carefully clean and shape each canal using fine precision instruments.

Berkhamsted Dental Practice

Treatment

The canals are then disinfected and filled with a biocompatible material called gutta-percha, which seals the tooth against re-infection. At the end of treatment, a temporary filling is placed to protect the tooth while it heals.

Berkhamsted Dental Practice

Results

Once the tooth has healed, a long-lasting restoration, most commonly a crown, is fitted to protect and restore the tooth to full function. This is an important step: a crown provides the structural support it needs to last for many years.

Berkhamsted Dental Practice

Consultation

Your dentist will examine the tooth carefully, take an X-ray or 3D CBCT scan to assess the extent of the infection. They will explain the procedure fully, answer your questions, and ensure you feel completely informed and comfortable before anything begins.

Berkhamsted Dental Practice

Preparation

The area is numbed with a local anaesthetic to allow your dentist to access the pulp chamber, remove the infected or damaged tissue, and carefully clean and shape each canal using fine precision instruments.

Berkhamsted Dental Practice

Treatment

The canals are then disinfected and filled with a biocompatible material called gutta-percha, which seals the tooth against re-infection. At the end of treatment, a temporary filling is placed to protect the tooth while it heals.

Berkhamsted Dental Practice

Results

Once the tooth has healed, a long-lasting restoration, most commonly a crown, is fitted to protect and restore the tooth to full function. This is an important step: a crown provides the structural support it needs to last for many years.

Transparent pricing, exceptional value

Fees & pricing.

Root canal treatment fees vary depending on the complexity of the case, the number of canals within the tooth, and whether the treatment is a first-time procedure or a retreatment.

Where a specialist referral to Dr Philip Mitchell is required, this will be reflected in the fee. In all cases, your treatment plan and full fee breakdown will be discussed with you in advance; there will never be any surprises. We offer complete transparency at every stage.

flexible payment options

Frequently asked questions

How do I know if I need a root canal?

Common signs include a persistent toothache, sensitivity to heat or cold that lingers, a discoloured tooth, swelling near the gum, or a visible abscess. However, some infections cause no noticeable symptoms at all and are only detected on X-ray.

If you are experiencing dental pain of any kind, we would encourage you not to wait; book an appointment so we can assess the situation and advise you appropriately.

Why is saving the natural tooth better than extracting it?

Your natural teeth are always the best option when they can be preserved. Nothing artificial replicates the function, feel, and structural benefit of a healthy natural tooth.

Losing a tooth can affect the surrounding teeth, the bite, the jawbone, and long-term oral health. Root canal treatment, followed by a crown, can restore a tooth to full function for many years, sometimes for life.

What happens during an endodontics consultation?

Your consultation begins with a conversation about your symptoms, how long you have had them, and any relevant dental history. Your dentist will then carry out a clinical examination of the affected tooth, which typically includes a series of simple tests to assess the health of the nerve, such as applying a cold stimulus or gentle pressure, and taking X-rays to examine the root canals and surrounding bone.

In some cases, a CBCT scan may be recommended to provide a more detailed three-dimensional view of the root structure. By the end of the appointment, you will have a clear diagnosis, an honest explanation of what is happening inside the tooth, and a full understanding of the treatment options available to you, including what happens if the tooth is left untreated. There is no obligation to proceed with anything on the day.

Is root canal treatment painful?

This is the question we hear most often, and the honest answer is that modern root canal treatment is very rarely painful. The procedure is carried out under local anaesthetic, which numbs the tooth and surrounding area completely.

Most patients are genuinely surprised by how comfortable the experience is. Any mild soreness afterwards is typically short-lived and easily managed with over-the-counter pain relief.

How long does root canal treatment take?

A straightforward root canal on a single-canal tooth (such as a front tooth) can often be completed in a single appointment of around 60 to 90 minutes. More complex teeth with multiple canals, such as molars, or cases requiring specialist input may take longer and may require two appointments. Your dentist will give you a realistic time estimate at your assessment.

What happens if I don't have root canal treatment?

Without treatment, an infected tooth will not heal on its own. The infection can spread, cause increasing pain, and ultimately result in an abscess or the loss of the tooth altogether.

Root canal treatment is almost always preferable to extraction; it saves your natural tooth, maintains the surrounding bone structure, and avoids the need for an implant or bridge to fill the space.

Load more

Get in touch

contact us

We’d love to hear from you

Whether you’re booking your first appointment, have a question about our treatments, or simply want advice on your dental care — our friendly team is here to help.

Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM

Opening Times

Monday
08:00 AM - 06:00 PM
Tuesday
08:00 AM - 06:00 PM
Wednesday
08:00 AM - 06:00 PM
Thursday
08:00 AM - 06:00 PM
Friday
08:00 AM - 01:00 PM
Saturday
09:00 AM - 01:00 PM
  • © 2026 Berkhamsted Dental Practice. All rights reserved.
  • |
  • Site last updated: 17 September 2026
  • |
  • Made by Digimax Dental Marketing.