Specialist Endodontic Treatment: Advanced Solutions for Complex Cases
Every endodontic treatment at our Leicester practice is performed with one goal: saving your natural tooth. Using high-magnification operating dental microscope, Industry leading J Morita 3D CT scan, Novel Bioceramic materials, Specialised ultrasonics, and, when needed, Dynamic 3D Navigation technology, we can successfully treat cases that conventional dentistry cannot resolve.
Microscope-Assisted Root Canal Treatment in Leicester
First-time root canal treatment performed under high-magnification microscope guidance ensures thorough cleaning, precise shaping, and complete sealing of the root canal system. This level of visualization offering over 900% greater clarity than the unaided eye allows us to locate tiny canals, identify micro-fractures, and perform delicate procedures with unprecedented accuracy.
Benefits:
Ideal for: First-time infections, inflamed pulp, cracked teeth requiring endodontic intervention
Expert Root Canal Retreatment for Failed Previous Treatment
When a previous root canal fails, specialized retreatment becomes necessary. Failures commonly result from persistent infection, previously missed canals, or structural complications. Dr. Nathani's expertise in retreatment is supported by both advanced technology (microscope, NaviDent) and his published systematic reviews on retreatment outcomes.
Why Retreatment Succeeds with Specialist Care:
Complex retreatment cases, particularly those involving "twisted roots," severe calcification, or previous treatment complications, benefit significantly from specialist intervention with advanced technology.
Surgical Endodontics: When Non-Surgical Treatment Isn't Enough
Periapical microsurgery, commonly called apicoectomy, provides a critical surgical solution when non-surgical retreatment is ineffective or anatomically impossible. This procedure involves precise removal of the infected root tip and microsurgical sealing of the root end.
Performed Under Microscope for:
When is endodontic surgery needed?
Specialized Care for Injured Teeth
Dental trauma requires immediate expert assessment and intervention. Dr. Nathani provides specialized emergency and follow-up care for traumatic dental injuries, including:
Early intervention significantly improves prognosis. If you or your child experiences dental trauma, contact us immediately.
Expert Management of Internal and External Root Resorption
Root resorption is a destructive process where the tooth structure begins to break down from within (internal resorption) or from the outside (external resorption, including External Cervical Resorption/ECR). Without expert intervention, resorption progresses and eventually leads to tooth loss.
Specialist Diagnosis and Treatment:
Dr. Nathani's published research on the multidisciplinary management of external cervical resorption ensures you receive evidence-based care for these challenging conditions.
Save Teeth with Deep Defects: Expert Deep Margin Elevation
Deep Margin Elevation (DME), also known as Cervical Margin Relocation, is a conservative, modern technique that allows us to save teeth previously deemed "unrestorable" due to deep decay, cracks, or defects extending far below the gumline.
What is Deep Margin Elevation?
When tooth defects extend deep beneath the gum (sub-gingival margins), traditional treatment required invasive surgical crown lengthening a procedure involving gum and bone removal, significant cost, and extended healing time.
DME repositions the deep margin upward (coronally) using specialized composite resin, offering critical advantages:
Benefits of DME:
International Expertise:
Dr. Nathani's mastery of this technique is formalized by his authorship of the "Isolation" chapter (featuring Deep Margin Elevation) in the prestigious textbook Clinical Fixed Prosthodontics. This textbook contribution confirms his status as an international authority in both endodontic isolation and complex restorative procedures.
Ideal for:
The DME Advantage for Referring Dentists:
Unlike many endodontists, Dr. Nathani's dual expertise ensures the entire treatment from endodontic access to final restoration preparation is managed with expert knowledge, maximizing the tooth's long-term prognosis and creating ideal conditions for your definitive restoration.
When a file separates inside a root canal, it can block cleaning and disinfection. Using high-magnification microscope guidance and advanced techniques, we can often retrieve the fragment or safely bypass it, allowing treatment to continue and improving the chance of saving the tooth.
Some teeth have unusually narrow, curved, calcified, or multi-canalled root systems that make root canal treatment more challenging. With specialist expertise, microscope-assisted treatment, and advanced navigation when needed, we can locate hidden canals and manage complex anatomy with greater precision and predictability.
