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.

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.
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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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.
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.
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.
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.
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.
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.
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.
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.
We confirm the final cost at your clinical assessment, once we have evaluated the tooth's condition and the complexity of the canal access.
The duration of the procedure is assessed at your consultation. We explain the specific timeframe for your case once we have examined the tooth.
We use local anaesthesia so you are comfortable. This numbs the area completely so you do not feel pain during treatment.
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.
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.
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


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