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Endodontics · Primrose Hill, NW1

Intentional replantation for inaccessible canal treatment in London

Intentional replantation is a specialist endodontic procedure used to save a tooth when the root canal is inaccessible or has failed. We use this method to treat complex infections that standard root canal therapy cannot resolve. A consultation with Dr Neha Patel, specialist in endodontics (GDC No. 150517), determines whether you are suitable for this procedure.

The time the procedure and the healing period need is assessed at your initial appointment.

  • GDC-registered specialist endodontist
  • Primrose Hill, London NW1
Dr Ope Sodeinde reviewing completed treatment with a patient
GDC-registered specialist endodontistLondon Dental Specialists

Saving a tooth with inaccessible canals

You may have been told your tooth cannot be saved because the infection is unreachable. This is a frustrating position to be in. We use 3D CBCT imaging to identify the precise cause of dental pain and decide whether a tooth can be preserved. Our endodontics in London service focuses on avoiding extraction, using microscopic examination to find fractures or blocked canals. Dr Patel assesses whether this specific procedure is the right way to stop the infection spreading and protect your natural tooth structure.

Specialist planning for complex root canal failure

Choosing the wrong intervention for a failing tooth can lead to permanent loss. We provide specialist-led planning so you receive the correct procedure for your specific anatomy. Dr Patel assesses whether a tooth is a candidate for this process or whether a different approach is needed, such as hemisection for multi rooted tooth preservation, retrograde filling for apical sealing, or perforation repair for iatrogenic openings.

Cost is a primary concern for most patients. We use a diagnosis-first consultation to give you pricing transparency and an itemised quote before any treatment begins, so you understand the clinical necessity and the exact cost before you commit.

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Call 020 7589 7792

Who can benefit from this procedure

Saving a tooth that cannot be treated through standard means is the primary goal of this method. It is often the last option for those facing tooth loss when traditional root canal treatments: which option fits have failed or are physically impossible to perform. We understand the idea of a tooth being removed and replaced can feel daunting, and putting it off is completely normal. Dr Patel assesses each case to decide whether the tooth structure can support this process.

An examination shows whether you are a candidate based on the root's condition and the surrounding bone.

Your path to tooth preservation

Clinical suitability assessment

We begin by determining whether your tooth is a candidate for this procedure. A consultation assesses whether the root structure can be saved, and we examine the tooth to confirm it is stable enough for the process.

Tooth extraction and cleaning

The clinician carefully removes the tooth from its socket and cleans the root surface to remove infected tissue. This step is essential to prepare the tooth for its return to the jaw.

Root canal refinement

We treat the internal canals to clear them of infection. If the inflammation is too severe for this method, we may suggest an apicoectomy. This leaves the root sterile before it is replaced.

Precise tooth replantation

We place the tooth back into the socket, positioned exactly to allow the ligaments to heal. This precise alignment is what helps the natural tooth remain functional.

Healing and stability review

You will have follow-up visits to monitor the integration of the root. We track the healing process to manage any potential complications. Your comfort is a priority, and we provide anaesthetic so the clinician controls the process.

Specialist endodontic precision

We use operating microscopes, precision instruments, and advanced materials for filling and canal disinfection, and 3D imaging to support good outcomes.

For complex cases, we use magnification for a precise diagnosis of tooth fractures. We use bioactive materials to stimulate dentine bridge formation, which supports pulp healing. This level of microsurgery preserves the natural tooth and restores oral health.

The practice is led by Dr Ope Sodeinde, GDC-registered specialist periodontist (GDC No. 104071). We provide this level of expertise across our full range of care, including root canal retreatment, apicoectomy, cracked tooth treatment, dental trauma care, and luxation.

Whether you need regenerative treatment or another approach, our focus stays on the clinical evidence. A consultation lets us assess your specific suitability for these procedures.

Specialist care for complex cases

We understand that facing complex root canal issues can feel overwhelming. Our team keeps a calm, unhurried manner so you feel supported, with honest options and no-pressure consultations at our Primrose Hill practice.

Our priority is the clinical outcome and the professionalism of the care we provide. We recognise that anxiety is a common concern for those needing surgical endodontics, and we focus on your comfort throughout every stage of the process.

Common concerns about tooth replantation

How much does intentional replantation cost?

We confirm the final cost at your clinical assessment, once we have evaluated the tooth's condition and the complexity of the canal access.

How long does intentional replantation take?

The duration of the procedure is assessed at your consultation. We explain the specific timeframe for your case once we have examined the tooth.

Is intentional replantation painful?

We use local anaesthesia so you are comfortable. This numbs the area completely so you do not feel pain during treatment.

How long does intentional replantation last?

The long-term success of the treatment depends on the individual tooth and the quality of the surrounding bone. Dr Patel assesses these factors at your appointment to determine the likely outcome.

Assess your tooth viability

Whether this procedure suits you depends on the specific condition of the root and surrounding bone. Dr Patel determines this at a clinical examination. You can learn what happens at your root canal consultation and how to book to establish if this is the right path for your tooth.

We offer a range of endodontics in London to save teeth that cannot be treated by standard means. If you prefer to speak with us first, call 020 7589 7792.

Alternative root canal options

We assess each case to decide whether this approach suits you. If a tooth cannot be saved this way, we can discuss hemisection for multi rooted tooth preservation. Other complex cases may need retrograde filling for apical sealing or perforation repair for iatrogenic openings.

Call 020 7589 7792.

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 determine whether this procedure is right for you.

020 7589 7792

Who carries out your treatment

Your specialists

Dr Neha Patel, Specialist in Endodontics

Dr Neha Patel

Specialist in endodonticsGDC No. 150517

Profile and qualifications

Dr Ope Sodeinde, Specialist in Periodontics

Dr Ope Sodeinde

GDC-registered specialist periodontistGDC No. 104071

Profile and qualifications

Patient reviews

What our patients say

Real, verified Google reviews from patients of London Dental Specialists.

“Recently had a tooth extracted and I was feeling anxious, but the staff was super calming and the procedure was quick and painless.”

Megan Kennedy · Google review

“This was my first specialist root canal treatment with Dr Neha Patel and I felt very reassured in her ability.”

Jordan CS · Google review

“A few months after a failed re-root canal treatment at a different Dental Surgery I started looking for a Dentist that I can trust and from speaking to Dr Ope I felt that he was trustworthy as he really cared.”

Sarah Faith · Google review

“Dr Ope and his team really helped to put me at ease and there was no pain at all in the procedure.”

Kirsty L · Google review

“My latest treatment at London Dental has been an extraction with implant insertion and gum graft followed by 2 root canal treatments and three new crowns.”

Lindy Stacey · Google review

“This required root canal treatment (completed by Dr Neha Patel) and then the fitting of a crown, after complex work to reshape the tooth (completed by Dr Ope Sodeinde).”

Andrew Budd · Google review

“It was a journey, but Ope and the team successfully helped me deal with an old root canal, failed crown and decayed tooth.”

Chris Williams · Google review

“Rather than the extraction, they carefully operated a root canal.”

Jingyuan Wang · Google review

“Ope, based on the condition of my affected tooth, why I should have dental implant as opposed to the root canal treatment (I really wanted to keep my natural tooth) I wanted.”

Sammy Adoki · Google review

“Follow up hygienist appointment by Miss O'Keefe and root canal by Dr Patel were the same excellent high standards.”

C Skerritt · Google review

“The tooth extraction was so painless I didn't even realise Dr Ope had extracted the tooth.”

Sarah Faith · Google review

“If I was having a dental implant I would definitely be running to sit in Dr Ope's chair as I know the experience would be pain free.”

Sarah Faith · Google review

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NW1

Where we are

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

Tel

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020 7589 7792

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