Root Canal Treatments

When is root canal treatment needed?

The crown of the tooth is made up of a hard white enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp. The dental pulp contains blood vessels and nerves and extends from the crown to the tips of the root or roots.

Root canal treatment involves the removal of the pulp from the tooth when it becomes inflamed or infected due to either deep decay, an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of enamel and dentine exposing the pulp and sometimes as a result of severe gum disease.

Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discolouration of the tooth, swelling, and tenderness of the overlying gum or a bad taste in the mouth. On the other hand there may be no symptoms at all.

If pulp inflammation or infection is left untreated it may eventually cause pain, swelling and loss of the supporting bone.

 

What are the advantages of root canal treatment?

Root canal treatment saves teeth that would otherwise have to be extracted.

 

Is root canal treatment painful?

Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetised during treatment. After treatment the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues. the discomfort can be relieved by taking mild analgesics available over the counter at the pharmacy. However if the pain persists and is severe or a swelling develops you should contact the practice.

 

How is root canal treatment carried out?
  • Removal of the inflamed or infected pulp is the first step in saving the tooth. Local anaesthetic is given and an opening made in the crown of the tooth to gain access to the pulp.
  • Specially designed hand and rotary files are used to clean the root canals and shape them to a form that can be sealed. Debris within the canals is removed by flushing with an anti-bacterial solution. Root canal treatment may be done in single or multiple visits depending on the complexity of the tooth. In between treatment appointments medicaments may be placed within the canals and the tooth is covered with a temporary dressing.
  • The canals are finally filled with an inert thermo-plastic called gutta-percha. The tooth should be restored to full shape and function by either a permanent filling or a crown, as soon as possible as there could be a risk of tooth fracture due to biting forces. A non-vital root filled tooth is more brittle than a vital one.

Radiographs are often taken to determine the length of the root and to monitor the various treatment stages.

 

Care of the root treated tooth

As far as possible, avoid chewing or biting on the tooth being treated until you have it permanently restored with either a filling or a crown. Excessive pressure at any stage may crack or fracture the tooth. Most endodontically teeth last as long as natural teeth following permanent restoration.

White composite fillings are becoming more popular but amalgam fillings represent the most durable and long-lasting filling available with the exception of gold fillings which are considerably more expensive.

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The team

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Dr. Dipti Lad

Principal Dentist
Dipti qualified in 2003 with an honours degree from the University of Leeds. She gained a distinction in …
Mariyam Sattar Circular

Dr. Mariyam Sattar

Dentist – GDC no. 244128.
Mariyam graduated in 2013 at the University of Manchester. During her time at University she was awarded the prestigious Harty Prize…
Savan Zala team 2

Dr. Savan Zala

MFGDP RCS, MSC Dental Implants
Savan graduated from Guys, Kings & St Thomas’ London in 2004. From an early stage, he adopted …
Aniko Circular

Aniko Kecskemeti

Dental Nurse/Receptionist
Aniko qualified as a Dental nurse in 2020 and joined the practice in 2021. She is incredibly passionate about dentistry, loves her work and take great pride in everything she does at the practice…
PHOTO 2023 03 28 07 07 46 modified

Kathryn Clarke

Receptionist
Kathryn previously worked for 39 years in Health and Social Care, in many different roles…

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Dr. Savan Zala

Savan Zala BDS (LOND 2004), MFGDP RCS, MSC Dental Implants

Savan graduated from Guys, Kings & St Thomas’ London in 2004. From an early stage, he adopted a multidisciplinary approach to dentistry, and began his journey by training within Oral Maxillofacial and Community Dental Services around Sheffield and Leeds.

Since then he has spent most of his time in private practice, with the majority of his work being focused towards Dental Implants, Advanced Restorative Care and treatment for the anxious/nervous patients. He has been placing and restoring dental implants for over 15 years and has been involved within the postgraduate and teaching side of dentistry.

Savan has been awarded a Masters in Implant Dentistry (MSc Dental Implants) and has both an academic and practical interest in rehabilitation with dental implants. He is heavily involved in mentoring and training dentists; being co-founder of Unique Implant Training Academy.

In his free time, Savan is a family man who is known as a “picture straightener”.

  • Masters in Implant Dentistry
  • Postgraduate Tutor and Mentor
  • Dental Sedation for the Anxious
  • Comprehensive range of Dental Implant treatment
  • Full mouth rehabilitation

Dr. Mariam Sattar

Dentist – GDC no. 244128.

Mariyam graduated in 2013 at the University of Manchester. During her time at University she was awarded the prestigious Harty Prize by the British Endodontic Society in 2012.

Since graduating Mariyam has been working in general dental practice gaining experience in all aspects of general dentistry. She also went on to gain her post-graduate MFDS qualification and undertook a year-long course in Advanced Cosmetic and Restorative dentistry taught by the well-renowned Christopher Orr.

Mariyam takes a gentle and calm approach with all of her patients and does her utmost to ensure patients feel at ease during their visit. She finds that helping anxious patients through their treatment is an especially rewarding part of the job.

Outside of work Mariyam enjoys painting, hand embroidery and learning languages. She has been studying Japanese for the past three years, but still has a very long way to go! Mariyam is also a qualified yoga and meditation teacher and enjoys practicing with family and friends in her spare time.

Aniko Kecskemeti

dental nurse/receptionist

Aniko qualified as a Dental nurse in 2020 and joined the practice in 2021. She is incredibly passionate about dentistry, loves her work and take great pride in everything she does at the practice. She is calm and caring in her approach and will always help to put you at ease at your dental appointment. She looks forward to meeting you and getting to know you all.

Outside of work, she is busy looking after her husband and two boys. She enjoys cycling and walking her dog “Pebble” and especially loves reading.

Dr. Dipti Lad

Principal dentist

Dipti qualified in 2003 with an honours degree from the University of Leeds. She gained a distinction in Clinical Dental Surgery and the prestigious Williamson medal in Paediatric Dentistry.

Since graduating, she has spent all of her time in general practice, treating a wide variety of patients, from the very young to the very elderly, to gain a vast amount of experience in all aspects of dentistry. Dipti’s main interests include cosmetic dentistry, which led her to complete postgraduate training by the well- renowned Christopher Orr in Advanced Cosmetic and Restorative Dentistry. This has broadened her skills to now carry out simple orthodontic cases with clear braces and facial aesthetics.

From July 2018, Dipti is now principle dentist of Rutland Dental Care where she will continue to provide high quality care, in a compassionate and caring approach. Her primary aim is to treat patients in an ethical and professional way as she has always done. She welcomes existing and new patients to the practice, as well as old familiar faces!

Outside of the practice, all her time is spent with her husband and two children, Aurin and Juhi.

She enjoys baking on a weekly basis, as well as painting and reading. Dipti enjoys travelling but holidays are restricted to child friendly destinations at present! She hopes to explore further away with time. I look forward to meeting you.

Kathryn Clarke

Receptionist

Kathryn previously worked for 39 years in Health and Social Care, in many different roles. She was the Head of Strategy and Operations in a large care organisation that provided specialist support to people with Learning Difficulties and her specialism was leading teams to support those with Prader-Willi Syndrome. Having taken early retirement at the end of 2022, she wanted a part time job that she knew would be enjoyable, in a friendly environment working with a professional and supportive team. 

She found that role at Rutland Dental Care as a part time receptionist. She loves the interaction with the team and the patients. She joined the team in January 2023. 

Outside of work she enjoys swimming, gardening, arts and crafts, spending time with family and friends and loves holidaying in the Greek Islands.