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Endodontics · Primrose Hill, NW1

Cracked tooth treatment in London

Cracked tooth treatment starts with a clinical assessment to establish whether the fracture can be saved or the tooth needs extraction. We use the first visit to gauge how deep the crack runs and to set out a plan to protect the tooth.

Dr Neha Patel, specialist in endodontics (GDC No. 150517), determines the number of visits your case will need after the initial examination.

  • GDC-registered specialist endodontist
A treatment consultation at London Dental Specialists
GDC-registered specialist endodontistLondon Dental Specialists

Identifying the cause of tooth fractures

Sharp pain when biting, or sensitivity to hot and cold, often signals a hidden crack. You may not be able to see the damage, but cracked tooth syndrome can let bacteria reach the nerve. We use microscopic examination to find fractures that a standard exam misses, and combine this with 3D CBCT imaging to map the exact path of the crack. If you need a specialist for endodontics in London, we add pulp vitality tests to gauge how the nerve is responding, so the plan is based on the tooth's actual condition rather than guesswork.

Specialist planning for tooth fractures

Choosing the wrong treatment for a fracture can cost you the tooth, which is why we diagnose before we treat. Dr Patel identifies the depth of the crack to decide whether it can be managed conservatively or needs a root canal. We also treat luxation injuries for patients with displaced teeth. For a breakdown of endodontics costs in London, we provide an itemised quote at the consultation, before any work begins.

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Who can save a fractured tooth

Putting off a visit because you are worried about the state of a tooth is common, and we do not judge anyone for it. We assess whether a crack has reached the pulp or whether enough sound tooth remains for it to be restored. If the damage is severe, we discuss knocked-out tooth treatment or extraction as alternatives. Where treatment goes ahead, our root canal aftercare guide covers what to expect afterwards.

Saving your fractured tooth

Fracture depth assessment

We begin by examining the crack to see whether the tooth can be kept. This tells us whether the damage has reached the nerve or whether pulp capping is enough to protect the inner tissue.

Removing infected nerve tissue

If the crack has let bacteria into the pulp, we carry out root canal therapy, removing the infected nerve tissue to stop the pain and prevent further decay.

Sealing the root canal

Once cleaned, we seal the canals to prevent reinfection. If a previous root canal has failed, we provide root canal retreatment to clear the canals and reseal them.

Stabilising the tooth structure

A cracked tooth is structurally weak, so we stabilise it to stop the fracture spreading further down the root, which could otherwise cost you the tooth.

Final protective restoration

We finish with a restoration that seals the tooth and restores its strength for everyday use.

Specialist endodontic precision for cracked tooth treatment

We use operating microscopes and precision instruments to find fractures that are often invisible to the naked eye, alongside modern materials for canal disinfection and filling. Where a pulp can be kept alive, bioactive materials encourage a protective dentine bridge to form.

Alongside cracked tooth treatment, our endodontic work includes root canal retreatment, apicoectomy, and dental trauma care. The practice is led by Dr Ope Sodeinde, GDC-registered specialist periodontist (GDC No. 104071).

Patient evidence

Patient experiences with fracture management

Patients want a clear answer on whether a cracked tooth will survive. We give that answer in a calm, unhurried appointment, with honest options and no pressure, including where the case involves dental trauma care.

Managing fracture concerns

Does a root canal fix a cracked tooth?

A root canal treats the internal infection or inflammation caused by a crack. It does not fuse the tooth back together. We use the procedure to remove the damaged pulp and seal the canal, which prevents further decay and helps you keep the natural tooth.

Can a cracked tooth be saved?

Many cracked teeth are salvageable. Whether a tooth is saveable depends on the depth and location of the fracture. If the crack has not reached the root or split the tooth entirely, we can often restore it. In complex cases, we may perform an apicoectomy to treat the root tip.

Does a cracked tooth require root canal?

Not every crack needs this treatment. If the fracture is limited to the enamel or dentine and the pulp remains healthy, a filling or crown may suffice. We only need a root canal when the crack has let bacteria reach the nerve, causing pain or infection.

How much does treatment cost?

Costs vary based on the extent of the fracture and the restoration needed. We give you a precise fee breakdown at your initial consultation, after assessing the tooth's stability and the clinical steps required.

Assess your tooth fracture

Whether the tooth is saveable depends on the depth and location of the crack, which we establish through examination. You can read what happens at your root canal consultation and how to book to get a definitive answer.

Dr Patel manages these assessments to find the most stable path forward, based on the actual condition of the tooth.

020 7589 7792

Managing tooth fractures and nerve health

We assess whether a tooth can be kept or whether the damage is too extensive, and Dr Patel decides on treatment based on how deep the crack runs. Related care includes luxation injuries, root canal retreatment, apicoectomy, dental trauma care, and our root canal aftercare guide.

We give you a written plan and an itemised quote that you own and can take to any other practice. Arrange your assessment with Dr Patel to find out whether your tooth will survive. Treatment is carried out under local anaesthetic.

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

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020 7589 7792

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