NHS referral and private referral options
Unfortunately, NHS-funded specialist endodontic services are limited and are usually reserved for cases that meet strict local referral criteria. Not all teeth or clinical situations qualify for NHS specialist referral.
Where a case does not meet NHS referral criteria, or where NHS specialist services are unavailable, treatment may need to be provided on a private basis by a specialist endodontist or specialist interest dentist. Your dentist will explain the reasons for this recommendation and discuss all available options, including the benefits, risks and costs involved.
Our approach
Our priority is always to help you keep your natural teeth whenever possible. We will assess your tooth carefully and advise whether root canal treatment can be carried out within the practice, whether an NHS referral is appropriate, or whether specialist private treatment would provide the best chance of long-term success.
Following root canal treatment
After root canal treatment has been completed, the tooth may become more brittle and susceptible to fracture, particularly in back teeth that are subjected to significant chewing forces.
For this reason, a crown is often recommended following successful root canal treatment to help protect the remaining tooth structure and improve the long-term prognosis of the tooth. In many cases, placing a crown can significantly reduce the risk of the tooth breaking in the future.
The need for a crown will depend on several factors, including:
- The type and position of the tooth
- How much healthy tooth structure remains
- Whether the tooth already has a large filling
- The level of biting forces placed on the tooth
Under the NHS, crowns are generally provided as a Band 3 cost of £332.10 treatment where they are clinically necessary. If a crown is recommended, your dentist will discuss the available options and associated costs with you before treatment proceeds.