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Endodontics · Primrose Hill, NW1

Apexification for root end closure in London

Apexification is a procedure used to create a calcified barrier at the tip of an open root. This creates a permanent seal for the canal. We provide this treatment to help you keep your natural tooth and reach a stable clinical outcome.

The number of appointments needed depends on your specific clinical needs. A consultation with Dr Neha Patel, specialist in endodontics (GDC No. 150517), determines the exact sequence of visits needed to complete the closure.

Your treatment timeline and visits

  • GDC-registered specialist endodontist
  • Primrose Hill, London NW1
Dr Neha Patel, specialist endodontist, at the endodontic microscope
GDC-registered specialist endodontistLondon Dental Specialists

Identifying the cause of dental pain

Persistent tooth pain is often a sign of infected pulp. Left untreated, these infections can become serious and spread to adjacent teeth. You may feel unsure whether your tooth can be saved or whether extraction is the only option. We use 3D CBCT imaging and non-invasive sensibility tests to gauge nerve response and identify the precise cause of your discomfort, which cuts the need for exploratory treatment and helps us preserve the natural tooth through endodontics in London. Whether you are dealing with dental trauma care or a suspected fracture, Dr Patel uses these diagnostics to build a targeted plan.

X-rays of single teeth and their roots on a monitor

Specialist planning for immature roots

Choosing the wrong clinical path can lead to permanent tooth loss. We prevent this through specialist-led planning, where Dr Patel assesses the root development to decide the most viable outcome. This diagnosis-first approach means you receive the correct treatment for your specific anatomy. For some patients, we may recommend regenerative endodontics for immature teeth to encourage further root growth.

Cost is often a primary concern when seeking specialist care. We provide pricing transparency through an itemised quote, so you understand exactly what is required before any work begins. Your initial consultation sets out the clinical necessity and the total cost, removing the risk of unexpected fees.

Dr Neha Patel and Dr Ope Sodeinde planning a patient's treatment
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Who can benefit from this procedure

Saving a tooth that has not fully developed is the primary goal of this treatment. We work with patients where the root has not finished growing, often because of injury or decay, to prevent tooth loss. An endodontist manages this process to create a barrier at the root end, so the tooth stays functional and stable. If you are unsure which root canal treatments: which option fits your case, we can clarify this at your visit.

It is common to feel anxious about dental work or worried about the state of your teeth. We provide a supportive environment to address these concerns without judgement. Dr Patel assesses each case to decide whether this method is the right choice for you, and your clinical assessment confirms your suitability.

Dental operating microscope

Your path to root closure

Root canal assessment

We begin by examining the tooth to see whether the root is fully formed. This stage identifies whether you need pulp capping or a more involved procedure. We use this visit to discuss the timeline and any potential complications.

Cleaning the canal

We remove infected nerve tissue to protect the natural tooth. This is a protective procedure, and we keep you as comfortable as possible throughout.

Applying the barrier

We place a medicated filling at the end of the root. This encourages the root to finish growing and close. It is a precise step that prevents further infection.

Monitoring root growth

You return for periodic checks while we monitor the root end until it fully closes. This stage takes patience while the body heals naturally.

Final canal sealing

Once the root is closed, we clean the canal one last time and seal it permanently to keep the tooth stable. This final step completes the process.

Clinical precision and outcomes

We use operating microscopes, precision instruments, and advanced materials for filling and canal disinfection, and magnification for the precise diagnosis of tooth fractures, letting us provide microsurgery that preserves the natural tooth and restores oral health.

We use bioactive materials to stimulate dentine bridge formation, which promotes pulp healing. For patients seeking an alternative to traditional apexogenesis, regenerative treatment is another option. The practice is led by Dr Ope Sodeinde, GDC-registered specialist periodontist (GDC No. 104071).

This focus extends to our wider endodontic services, including root canal retreatment, apicoectomy, and cracked tooth treatment. We also provide dental trauma care and treatment for luxation.

Panoramic x-ray and CBCT slices on screen
Patient evidence

Patient experiences in Primrose Hill

We aim for a calm, unhurried manner and a commitment to honest options, with no-pressure consultations so you feel certain about your clinical path.

“The procedure took quite some time but I felt that Dr Patel was thorough and I left feeling confident that she had solved the issue.”

Abigail Grace · Google review

“I am normally anxious about dental work but Dr Patel made me feel very comfortable; she kept me updated throughout and reassured me.”

Abigail Grace · Google review

Common concerns about root end closure

How much does apexification cost?

We confirm the cost of this treatment at your clinical assessment. Because every case differs, you receive a specific fee once we have examined the tooth and its root development.

How long does apexification take?

The timeline depends on how the root responds to the medication. We assess progress at each visit to determine when the root end has closed sufficiently.

Is apexification painful?

We use local anaesthesia so you are comfortable during the procedure, which prevents pain while we treat the canal.

What is the goal of apexification?

The goal is to maintain the natural tooth for the long term. We assess the stability of the root end at your follow-up appointments to monitor the outcome.

Assess your root end closure

A consultation with Dr Patel determines whether this procedure is the right choice for your specific clinical needs. We use this appointment to assess the tooth and explain what happens at your root canal consultation and how to book. You can also find more information about endodontics in London to understand how we manage complex root canal cases.

020 7589 7792

Managing immature root development

A consultation with Dr Patel lets us assess your specific clinical needs. We can then decide whether this approach suits you or whether regenerative endodontics for immature teeth is the more appropriate option.

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 treatment is right for you.

020 7589 7792.

A patient positioned at a CBCT scanner
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

Book your consultation

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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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