Root amputation is a surgical procedure used to remove a compromised root from a multi-rooted tooth to save the remaining natural structure. We perform this treatment at our Primrose Hill practice to preserve your dental health and avoid full extraction.
The time the procedure needs is assessed at your consultation with Dr Neha Patel, specialist in endodontics (GDC No. 150517), who focuses on precision to get the best achievable outcome for your tooth.

You may be facing a tooth that feels compromised, or a previous treatment that has failed and left it sensitive or painful. We use 3D CBCT imaging and microscopic examination to identify the precise cause of the pain, such as incomplete fractures or cracked tooth syndrome. This precision lets us provide endodontics in London that avoids the need for extraction. By using pulp vitality tests and non-invasive sensibility tests, we gauge the nerve's response and build a targeted plan. Dr Patel assesses whether a surgical approach can stop the infection spreading and save your natural tooth.
Choosing the wrong treatment for a damaged tooth can lead to avoidable failure, which is why Dr Patel assesses the root structure first to decide if the tooth can be saved. This includes a microscopic examination to detect fractures invisible to the naked eye, and an evaluation of any luxation injuries to check the remaining root is stable enough for amputation.
Cost is a primary concern for most patients. We provide a diagnosis-first consultation so you receive the treatment the tooth actually needs, with an itemised breakdown of costs before any fees are finalised.
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Saving a natural tooth is often the priority, but some cases are too complex for a standard root canal. We use this method when a tooth is severely compromised, or alongside knocked-out tooth treatment where a damaged root needs managing. Dr Patel assesses whether the remaining tooth structure can support the procedure. Putting off a visit because of anxiety or discomfort is common, and we provide a supportive environment to help you move forward. We can discuss endodontics costs in London at your visit so the plan fits your needs.
Dr Patel bases your candidacy on the health of the surrounding bone and gum tissue, so the tooth stays stable after the amputation.
We begin by examining the tooth to see whether the root can be saved. This visit lets us assess the infection and discuss your options. If the pulp is only partially damaged, we may suggest pulp capping to protect the nerve.
We remove the infected tissue from the root to stop the spread of bacteria. This is a protective procedure, and we use local anaesthetic for patients who feel anxious.
Once the infection is cleared, we clean the internal canals and seal the space to prevent further bacteria entering. This step is critical for the long-term stability of the tooth.
A tooth that has had root surgery needs a strong restoration. We place a filling or crown to return it to full function and protect the remaining structure from fracture.
Healing takes place over the following days. Our root canal aftercare guide explains how to manage your recovery, and our team monitors the site to confirm the infection has fully resolved.
We use operating microscopes, precision instruments, and advanced materials for filling and canal disinfection, together with bioactive materials that stimulate dentine bridge formation and support pulp healing. These tools let us provide accurate assessments and targeted care. The practice is led by Dr Ope Sodeinde, GDC-registered specialist periodontist (GDC No. 104071).
For more complex intervention, microsurgery preserves the natural tooth and restores oral health. We also provide root canal retreatment, apicoectomy, cracked tooth treatment, dental trauma care, and luxation treatment, all focused on preserving your natural anatomy.
We focus on the clinical outcome. To keep our diagnosis precise, we use CBCT 3D imaging to map the root anatomy before we begin, which lets us manage difficult cases in a calm, unhurried manner with honest, no-pressure options.
In summary Ope, Neha and team are as good at communication and reassurance as they are at dentistry and I would highly recommend them for complex dental treatment.
We assess whether a tooth can be preserved through a pulpotomy or whether the root is too compromised. Saving your natural tooth structure is always the priority for jawbone health and stability.
Fees are set at your clinical assessment. We give you a clear breakdown of costs once we have examined the root and identified what your case needs.
The duration depends on the complexity of the root. We confirm the expected timeframe at your initial consultation.
We use local anaesthetic so you are comfortable. If you are anxious about treatment, we can discuss comfort options at your visit.
Deciding whether a compromised root can be saved needs a precise clinical evaluation. Dr Patel assesses the root structure to determine whether this procedure is right for your case. You can see what happens at your root canal consultation and how to book to establish your treatment options.
020 7589 7792
We use the 3D scan and microscopic examination to establish whether a tooth is saveable, and Dr Patel assesses whether the root is too compromised for standard treatment or whether a more conservative approach is possible: pulp capping, pulpotomy, care for luxation injuries, or knocked-out tooth treatment.
You receive a written plan and an itemised quote that is yours to keep and use at any other practice. You can arrange your assessment with Dr Patel to find out whether this procedure is right for you.
020 7589 7792


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111 Regent's Park Road, Primrose Hill, London NW1 8UR
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