Family Friendly & Specialty Dentists in London, UK
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Retrograde Filling for Apical Sealing in London

Our dental clinic located directly in Central London serves Retrograde Filling for Apical Sealing with our team of specialist dentists.

Our dentists serving Retrograde Filling for Apical Sealing treatments are registered specialist dentists in London, who are all registered with the GDC. Our Retrograde Filling for Apical Sealing treatments that we provide to City of London and Greater London Area residents are all approved under BDA, GDC and UK standard guidelines.

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About Retrograde Filling for Apical Sealing

Retrograde filling for apical sealing is a dental procedure performed during periapical surgery to create a tight seal at the root apex when conventional root canal therapy has failed. The process involves accessing the root tip surgically, removing the infected tissue, preparing a small cavity at the root end, and filling it with a biocompatible material such as Mineral Trioxide Aggregate (MTA), Biodentine, or amalgam to prevent bacterial filtration and recontamination. This technique is crucial for the success of endodontic surgery as it effectively blocks potential leakage pathways at the apex, thereby preventing bacteria from entering the root canal system and allowing proper healing of the periapical tissues.
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Why Choose Us

You can feel welcome and safe choosing London Dental Specialists for your Retrograde Filling for Apical Sealing in London. You have a full team of dental specialists behind you with a periodontist, orthodontist and endodontist which enables us to take care of your entire smile with any dental procedure necessary for your perfect smile. Don't just take our word for it, watch this video including our real Retrograde Filling for Apical Sealing patients as a testimony to our expertise:

Contact Us & Lets Get Started

Contact us and lets get started with helping your dental health and comfort with our Retrograde Filling for Apical Sealing treatments, and we can set up a consultation in which we plan our how our Retrograde Filling for Apical Sealing in London can best serve you.

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Our Process For Retrograde Filling for Apical Sealing

At London Dental Specialists, we offer retrograde filling for apical sealing—a precise endodontic procedure designed to effectively seal the root tip of a tooth, preventing reinfection and promoting optimal healing. This treatment involves accessing the root apex through a small incision in the gum, thoroughly cleaning the area, and applying a biocompatible filling material to ensure a secure seal. Our comprehensive process includes an initial consultation and assessment, development of a customised treatment plan, the retrograde filling procedure itself, and dedicated post-treatment care to support your recovery and maintain dental health.

Recovery Timeline

Step 1

Consultation & Assessment



  • Thorough examination of oral health

  • Diagnostic imaging (X-rays or CBCT scans)

  • Review of medical and dental history

  • Discussion of treatment options

Step 2

Retrograde Filling Treatment Plan



  • Review of assessment results and imaging

  • Selection of suitable filling materials

  • Explanation of surgical technique

  • Customised approach for optimal apical sealing

  • Discussion of expected outcomes

Step 3

Retrograde Filling for Apical Sealing



  • Preparation of the root end

  • Placement of retrograde filling materials

  • Verification of the seal using radiographic imaging

  • Utilisation of biocompatible materials

  • Achieving a durable and stable filling

Step 4

Post Retrograde Filling Care & Monitoring



  • Detailed aftercare instructions

  • Scheduled follow-up appointments

  • Pain management strategies

  • Education on potential complications

  • Monitoring of filling integrity

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The Benefits of Retrograde Filling for Apical Sealing

The conditions we treat for Retrograde Filling for Apical Sealing in London are:


  • Failed Root Canal Therapy: When conventional root canal treatment fails to resolve infection, retrograde filling provides an effective alternative to save the tooth by sealing the apex from the root end.

  • Persistent Apical Infections: For cases where bacteria remain in the apical portion of the root despite previous endodontic treatment, retrograde filling with materials like MTA or calcium silicate-based putty offers superior sealing ability.

  • Anatomical Complications: When root canal anatomy presents challenges such as severe curvatures, calcifications, or ledges that prevent complete orthograde filling, retrograde sealing during apicoectomy provides an effective solution.

  • Fractured Instruments: When broken instruments in the canal cannot be bypassed or retrieved through conventional approaches, retrograde filling during periapical surgery can seal the apex effectively.

  • Post and Crown Restorations: For teeth with posts that cannot be removed without risking tooth structure, retrograde filling offers a way to treat apical pathology without disturbing the coronal restoration.

  • Open Apices: In cases where complete apical development hasn't occurred or where apical resorption has created an open apex that's difficult to seal conventionally, retrograde filling provides a definitive seal.

  • Procedural Errors: When previous treatment has resulted in perforations, transportation, or other iatrogenic errors near the apex, retrograde filling can correct these issues.

  • Periapical Cysts: Large periapical lesions that require surgical intervention benefit from retrograde filling to ensure complete sealing after cyst removal.

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We Can Help Treat Your Conditions With Retrograde Filling for Apical Sealing Treatments

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Our Team of Dental Specialists

Our team excels in retrograde filling procedures for optimal apical sealing. Dr. Neha Patel, our Endodontics Specialist with MClinDent and MEndoRCS qualifications, leads our expertise in this critical technique. When conventional root canal treatment isn't viable, we perform precise retrograde fillings using advanced materials like MTA to ensure tight bacterial seals at the root apex. Dr. Sodeinde's periodontal expertise complements these procedures, while Dr. Papagalani provides orthodontic support for comprehensive care. Our approach to intentional replantation for inaccessible canals combines surgical precision with evidence-based materials selection, delivering predictable outcomes even in the most challenging cases.
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dr ope sodeinde specialist in periodontics london

Dr Ope Sodeinde

Principal Dentist & Specialist in Periodontics

BDS MFDS RCS(Ed) MSc(Rest Dent) MClinDent(Perio) MPerioRCS(Ed)

GDC No: 104071

dr neha patel specialist endodontist london

Dr Neha Patel

Specialist in Endodontics

BDS MFDS RCS(Ed) FHEA MClinDent(Ed) MEndoRCS(Ed)

GDC No: 150517

dr kia papagalani specialist orthodontist london

Dr Kia Papagalani

Specialist in Orthodontics

DipDS Athens MS(Ortho) OSU

GDC No: 228487

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Frequently Asked Questions

Retrograde filling for apical sealing is a specialised endodontic procedure offered at London Dental Specialists when conventional root canal therapy hasn't been successful. This surgical approach involves creating a small incision in the gum tissue to access the root tip directly, removing the infected tissue, and sealing the canal from the apex using biocompatible materials like MTA (Mineral Trioxide Aggregate). Many patients have questions about this procedure, including what it entails, recovery expectations, and why it might be recommended over retreatment options. Our endodontic specialists understand your concerns about saving your natural tooth and will guide you through each step of this precise microsurgical technique designed to eliminate infection and preserve your dental health for years to come.

What is retrograde filling in endodontics?


Retrograde filling is a specialised endodontic procedure performed when conventional root canal therapy has failed. At London Dental Specialists, our endodontists create a small incision in the gum tissue to access the root tip directly. We then remove the infected tissue at the apex of the root and place a biocompatible filling material to seal the canal from the bottom up. This procedure is typically recommended when a traditional retreatment approach cannot adequately address persistent infection.



When might I need a retrograde filling procedure?


You might need a retrograde filling at London Dental Specialists if:



  • Previous root canal treatment has failed

  • Anatomical complexities make conventional retreatment difficult

  • There is persistent infection at the root tip

  • A fractured instrument blocks the canal

  • The tooth has a post or crown that would be challenging to remove

  • Calcification has blocked the canal



What materials are used for retrograde filling at London Dental Specialists?


At London Dental Specialists, we primarily use Mineral Trioxide Aggregate (MTA) for retrograde fillings due to its superior sealing ability and biocompatibility. Other materials that may be used depending on the specific case include Biodentine, Super EBA cement, and glass ionomer cement. Our specialists select the most appropriate material based on your specific clinical situation to ensure optimal outcomes and longevity.



What is the difference between orthograde and retrograde root filling?


Orthograde filling is the conventional approach where the filling material is placed through the crown of the tooth, working down towards the root tip. Retrograde filling, performed at London Dental Specialists, approaches the root from the opposite direction—accessing the root tip surgically and placing the filling material from the bottom up. Retrograde filling is typically performed when orthograde approaches have failed or are not feasible due to anatomical constraints or obstructions in the canal.



Is retrograde filling painful?


At London Dental Specialists, retrograde filling procedures are performed under local anaesthesia, ensuring you feel no pain during treatment. Some mild discomfort, swelling, or bruising may occur after the procedure as the surgical site heals. Our specialists provide detailed post-operative instructions and appropriate pain management recommendations to ensure your comfort throughout the recovery process.



What is the success rate of retrograde filling procedures?


Retrograde filling procedures at London Dental Specialists have a high success rate of approximately 85-90% when performed by our experienced endodontists. Success rates can vary based on factors such as the complexity of the case, the condition of the surrounding bone, and the presence of other dental issues. Our specialists conduct thorough assessments before recommending this procedure to ensure it's the appropriate treatment for your specific situation.



How long does recovery take after a retrograde filling procedure?


Most patients at London Dental Specialists return to normal activities within 1-2 days after a retrograde filling procedure. Complete healing of the surgical site typically takes 1-2 weeks. During this time, you may experience some mild swelling and discomfort, which can be managed with prescribed or over-the-counter pain medication. The gum tissue usually heals fully within 2 weeks, while bone healing around the root tip continues for several months.



What aftercare is required following a retrograde filling?


After a retrograde filling at London Dental Specialists, we recommend:



  • Avoiding hard, crunchy foods for a few days

  • Taking prescribed antibiotics and pain medication as directed

  • Using ice packs to reduce swelling for the first 24 hours

  • Rinsing gently with warm salt water 24 hours after the procedure

  • Avoiding smoking and alcohol consumption during the healing period

  • Attending all scheduled follow-up appointments

  • Maintaining excellent oral hygiene while being gentle around the surgical site



How long does a retrograde filling last?


With proper care and regular dental check-ups at London Dental Specialists, a retrograde filling can last a lifetime. The longevity of the treatment depends on maintaining good oral hygiene, attending regular dental examinations, and addressing any new dental issues promptly. Our specialists provide comprehensive aftercare instructions and recommend periodic reviews to monitor the treated tooth and ensure long-term success.


Can’t find the answer to your Retrograde Filling for Apical Sealing questions here? Always feel welcome to contact us with your Retrograde Filling for Apical Sealing questions and concerns.
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Aftercare Methods & Products for Retrograde Filling for Apical Sealing




















































































Product Brands What it Takes Care of Details
Antimicrobial Mouthwash Corsodyl, Listerine Zero Infection prevention Helps prevent infection at the surgical site after retrograde filling.
Ultra-Soft Toothbrush Oral-B Sensitive, Colgate Ultra Soft Gentle cleaning Extra-gentle bristles to avoid disturbing the surgical area.
Sensitivity Relief Toothpaste Sensodyne Repair & Protect, Colgate Sensitive Pro-Relief Sensitivity management Helps manage post-operative sensitivity common after apical surgery.
Salt Water Rinse Kit Boots Pharmaceuticals, Sterimar Gentle cleansing For gentle rinsing of the surgical area as recommended by your dentist.
Cold Compress Boots, Superdrug Swelling reduction Helps reduce post-operative swelling in the first 24-48 hours.
Pain Relief Medication Nurofen, Panadol Pain management Over-the-counter options for managing discomfort (follow dentist's advice).
Soft Food Supplies Heinz, Ambrosia Dietary adjustment Soft foods to consume during the initial healing period.
Interdental Brushes TePe, Oral-B Gentle cleaning around surgical site For careful cleaning around the treated area once healing has begun.
Alcohol-Free Mouthwash Dentyl pH, Oral-B Pro-Expert Gentle rinsing Won't irritate the surgical site during healing.
Vitamin Supplements Boots, Holland & Barrett Healing support Vitamin C and other supplements to support tissue healing.
Oral Irrigation Device Waterpik (lowest setting only) Gentle debris removal For use only after initial healing as directed by your dentist.
Follow-up Care Kit Provided by dental practice Specialised aftercare Custom care instructions and products specific to your retrograde filling.
Looking for more information for aftercare guide and instructions for post treatment? We take the whole process of treatment to recovery very seriously with a lot of car for our patients, so if you're looking for more information on this check out our aftercare guide for Retrograde Filling for Apical Sealing post treatments recovery.
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Get Started with Retrograde Filling for Apical Sealing Treatments

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We are happy to answer your questions and help you feel as comfortable as can be with taking the next step in your Retrograde Filling for Apical Sealing treatments and dental care!
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Areas We Serve Retrograde Filling for Apical Sealing

London Dental Specialists provides expert Retrograde Filling for Apical Sealing services across Central London's premier districts, including Mayfair, Soho, Westminster, and Belgravia. Our Harley Street clinic is ideally situated to serve patients from prestigious areas such as Knightsbridge, Marylebone, and the City of London. With excellent transport links and a central location, we're easily accessible to residents and professionals in Bloomsbury, Fitzrovia, and Clerkenwell.

Our Retrograde Filling for Apical Sealing services extend throughout London's vibrant inner suburbs, serving patients from well-connected areas within 5-10km of central London. From the artistic quarters of Camden and Hackney to the residential neighbourhoods of Islington and Brixton, we provide expert dental implant care to patients across these diverse communities. Our clinic is easily accessible via public transport from areas such as Fulham, Greenwich, and Hampstead.

Patients from Surrounding Areas of London, UK within 5-10KM of Central London, UK that we serve Retrograde Filling for Apical Sealing to:
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We extend our Retrograde Filling for Apical Sealing expertise to patients throughout Greater London's outer regions, serving communities beyond the 10km radius of central London. From the residential areas of Enfield and Harrow to the suburban communities of Bromley and Croydon, our specialists provide the same exceptional level of care to patients in these outer London locations. With convenient transport links and flexible scheduling, we make advanced Retrograde Filling for Apical Sealing treatment accessible to residents throughout these broader London areas.

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