Disease and injury inside the tooth — inflamed or dead nerves, abscesses, failed root fillings, cracks and trauma — and the consultations that identify which it is. Each page explains, in plain language, when the treatment helps, what the visit involves and what to expect afterwards.
Root canal treatment ends the pain of an inflamed or dead nerve, clears the infection and keeps the tooth. In Rugby it is carried out under magnification, with the tooth fully numbed and isolated, and most teeth are completed in a single visit.
When a root-treated tooth becomes painful or infected again, retreatment can usually save it. The earlier root filling is removed, the canal system is cleaned thoroughly — including any canals missed first time — and the tooth is sealed and restored once more.
Root canals can be finer than a hair and hide behind calcified dentine. Working under an operating microscope gives bright, magnified sight of the inside of the tooth — the difference between guessing and seeing. It is how every root canal treatment and retreatment is carried out here.
When infection lingers at the tip of a root and cannot be treated through the crown of the tooth, a small surgical procedure — an apicectomy — removes the infected root tip and seals the canal from the outside. Under magnification it is a gentle, predictable way to keep a tooth that would otherwise be lost.
A sudden, sharp pain when biting that vanishes the moment you let go is the signature of a cracked tooth. Cracks do not heal and spread with every chewing cycle, so the sooner one is assessed the more options remain for keeping the tooth.
A fall, a sporting collision or an accident can chip, loosen or knock out a tooth in a second. The first hour decides a great deal, and follow-up over the following year protects the nerve inside the tooth.
Toothache is a poor witness to its own cause: it can seem to come from the wrong tooth, the wrong jaw or the ear, and not every ache means a nerve has died. Effective care begins with a precise diagnosis.
An infection inside a tooth is sealed off from your bloodstream — and therefore from your immune system and from antibiotics. That is why an abscess keeps returning until the tooth itself is treated.
Severe toothache seldom chooses a convenient moment. If a tooth is throbbing, keeping you awake, too sore to bite on or has a swelling beside it, get in touch and say your symptoms are urgent. We will arrange the earliest suitable appointment, treat the cause of the pain and make you comfortable before anything else is planned.
Nothing replaces a natural tooth as well as the tooth itself. Implants and bridges are excellent when a tooth is truly lost — but a tooth with a sound root and enough structure to restore is almost always worth keeping, and a precise assessment is the only way to know which applies to yours.
You need not match your symptoms to a page. Book a consultation and we will identify the cause, explain the choices and tell you whether treatment is needed at all.
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How it works
One consultation, a precise plan
Every patient begins with a consultation: your history, an examination, pulp and bite tests and X-rays where needed. You leave with a written summary of the diagnosis, the recommended treatment, the realistic outlook for the tooth and the fee.
If your dentist has already examined the tooth, we review their findings and let them know if ours differ. If you are in pain now, say so when you get in touch — urgent cases are seen as a priority.
Next step
Keep the tooth. Start with a consultation.
A consultation gives you a confirmed diagnosis, a clear picture of whether the tooth can be saved and a written plan with the fee — before anything is decided. Get in touch to arrange one, or to ask about a tooth that is troubling you.