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Root Canal Treatment: What to Expect, Step by Step

Root Canal Treatment: What to Expect, Step by Step

July 21, 2026

Root canal treatment, also known as endodontic treatment, is a dental procedure designed to remove infected or damaged pulp from the inside of a tooth. The procedure is necessary when the pulp, which contains nerves and blood vessels, becomes infected or inflamed due to deep decay, repeated dental procedures, or a cracked or broken tooth.

The primary goal of root canal treatment is to save the natural tooth, eliminating the need for extraction. By removing the infected pulp and sealing the tooth, root canal treatment can relieve pain, prevent the spread of infection, and restore the tooth to full function.

At Maida Smiles, we use the latest techniques and technology to ensure a comfortable and successful root canal procedure. Our experienced dental team will guide you through every step of the process, addressing any concerns and ensuring the highest quality care.

Root canal treatment has an undeserved reputation for being painful, but with modern anaesthesia and techniques, the procedure is generally no more uncomfortable than having a filling. In fact, most patients report that the discomfort associated with the infected tooth before treatment is far worse than the procedure itself.

In this blog, we’ll provide a comprehensive overview of root canal treatment, including the procedure, what to expect during and after treatment, and how to maintain your tooth’s health long-term.

When Is Root Canal Treatment Necessary?

Root canal treatment becomes necessary when the pulp inside a tooth becomes infected or severely inflamed. Understanding the signs that you may need root canal treatment can help you seek timely care and avoid more serious complications.

One of the most common signs that root canal treatment may be necessary is persistent toothache. This pain can be constant or intermittent and may worsen when pressure is applied to the tooth, such as when biting or chewing. The pain may also radiate to the jaw, ear, or temple.

Sensitivity to hot and cold is another common symptom. If you experience prolonged sensitivity or pain after consuming hot or cold foods and drinks, it may indicate that the pulp is infected or inflamed.

Swollen or tender gums near the affected tooth can also be a sign of pulp infection. In some cases, a small bump (resembling a pimple) may appear on the gum near the affected tooth. This is known as a dental abscess and indicates that the infection has spread to the surrounding tissue.

Discolouration of the tooth is another potential indicator. A tooth that has become darker or discoloured may indicate that the pulp is damaged or dying.

In some cases, root canal treatment may be necessary without any obvious symptoms. This is why regular dental check-ups are important for detecting potential issues early, before they progress to more serious stages.

At Maida Smiles, our experienced dental team will conduct a thorough examination to determine whether root canal treatment is necessary. We use advanced diagnostic tools, including digital X-rays, to assess the condition of the tooth and recommend the most appropriate treatment.

The Root Canal Procedure: A Step-by-Step Guide

Understanding the root canal procedure can help alleviate any concerns or anxiety you may have. Here’s a step-by-step overview of what to expect during a root canal treatment at Maida Smiles:

Diagnosis and Treatment Planning: The procedure begins with a thorough examination, including digital X-rays, to assess the extent of the infection and plan the treatment. Your dentist will discuss the findings with you and explain the proposed treatment plan.

Anaesthesia: Before the procedure begins, a local anaesthetic is administered to numb the affected tooth and surrounding area. This ensures that you remain comfortable and pain-free throughout the procedure.

Isolation: A small rubber dam is placed around the tooth to keep it dry and free from saliva during the procedure. This helps maintain a sterile environment and improves the precision of the treatment.

Access and Pulp Removal: A small opening is made in the crown of the tooth to access the pulp chamber. Using specialised instruments, the infected or damaged pulp is carefully removed from the pulp chamber and root canals.

Cleaning and Shaping: The root canals are thoroughly cleaned and shaped using a series of small instruments. Irrigation solutions are used to flush out any remaining bacteria and debris.

Filling and Sealing: Once the canals are clean and dry, they are filled with a biocompatible material called gutta-percha. The tooth is then sealed with a temporary or permanent filling to prevent reinfection.

Restoration: In most cases, a tooth that has undergone root canal treatment will require a crown to protect it and restore its function. Your dentist will discuss the most appropriate restorative option for your specific case.

At Maida Smiles, we use the latest techniques and technology to ensure a comfortable and successful root canal procedure. Our experienced team will guide you through every step, ensuring the highest quality care and a smooth recovery.

Recovery and Aftercare: What to Expect After Root Canal Treatment

After root canal treatment, it’s normal to experience some discomfort and sensitivity for a few days. Understanding what to expect during the recovery period can help you manage these symptoms effectively and ensure a smooth recovery.

Following the procedure, you may experience mild to moderate discomfort in the treated area. This is typically manageable with over-the-counter pain relief, such as ibuprofen or paracetamol. Your dentist may also prescribe antibiotics if there is a risk of infection spreading.

It’s important to avoid chewing on the treated tooth until it has been fully restored with a crown or other restorative treatment. This helps protect the tooth and prevents potential damage or reinfection.

Maintaining good oral hygiene is crucial for a successful recovery. Continue to brush and floss your teeth as usual, being gentle around the treated area to avoid causing unnecessary irritation.

Swelling or discomfort that persists or worsens after a few days should be reported to your dentist promptly. While some discomfort is normal, persistent or severe pain may indicate a complication that requires attention.

Attend all follow-up appointments as scheduled. These visits allow your dentist to monitor your recovery and ensure that the treatment has been successful. They will also assess the need for a permanent restoration, such as a crown, to protect the treated tooth long-term.

At Maida Smiles, we are committed to providing comprehensive aftercare to ensure the long-term success of your root canal treatment. Our team will provide detailed aftercare instructions and is always on hand to address any concerns or questions during your recovery.

Long-Term Care: Maintaining Your Treated Tooth

After root canal treatment, proper long-term care is essential to maintain the health and function of the treated tooth. Here are some key tips to help you care for your tooth after root canal treatment:

Maintain Good Oral Hygiene: Brush your teeth twice a day with fluoride toothpaste and floss daily to prevent plaque build-up and gum disease. Good oral hygiene is essential for the long-term health of your treated tooth and surrounding teeth.

Attend Regular Dental Check-Ups: Schedule regular dental check-ups at Maida Smiles to monitor the condition of your treated tooth and address any potential issues early. Your dentist will take periodic X-rays to check the health of the surrounding bone and ensure the treatment remains successful.

Protect Your Tooth: If you grind your teeth at night, consider wearing a custom-made mouthguard to protect your teeth from unnecessary wear and pressure. This is particularly important for teeth that have undergone root canal treatment, as they may be more susceptible to damage.

Avoid Biting on Hard Foods: While a tooth that has been treated with root canal therapy and restored with a crown should be able to withstand normal biting forces, it’s advisable to avoid biting on extremely hard foods, such as ice or hard sweets, which could potentially damage the crown or tooth.

Report Any Changes Promptly: If you notice any changes in the treated tooth, such as increased sensitivity, pain, or swelling, contact Maida Smiles promptly. Early detection and treatment of any potential issues can help prevent more serious complications and ensure the long-term success of your root canal treatment.

By following these tips and maintaining regular communication with our team at Maida Smiles, you can ensure the long-term health and function of your treated tooth, contributing to your overall oral health and well-being.

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Maida Smiles dental clinic in Maida Vale, London W9

Google reviews

4,9

I could not be more satisfied with my experience at Maida Smiles - A special mention to Dr Gurteurez who is one of the most friendly and professional dentists I have ever met

Adam

I had my first visit and the team was very warm, caring and professional. The online booking platform makes it very easy to arrange your appointment. Doctor Pedro made me feel comfortable despite this being my first appointment since Covid. He is incredibly knowledgeable and offers you the best treatment for your specific condition. I would highly recommend them

Gian Paolo Ziletti

Professional. Friendly. Informative. Maida Smiles offers great dental services including cleanings, oral surgery and realignment. I feel very lucky to have them so close by. I had an appointment just this week that was quick, thorough and safe.

Emily Chmura

Being very nervous about using dentists after a terrible experience when I was younger, I came to Maida Smiles and loved the calm patient demeanour of Pedro. You can clearly see Pedro and the team take pride in what they do and are perfectionists. The whole experience was great and I will never go to another dentist again.

Reena Nathwani

Delighted with the outcome of my treatment by Pedro. Meticulous attention to detail explaining exactly how the procedure would be carried out from first consultation to completion backed up with supporting guidance notes. Clearly an expert in his field and someone who cares passionately about the outcomes for his patients. Highly recommended.

George Jones

I loved my first visit to Maida Smile Dental Clinic. The staff member at reception was very warm, welcoming and professional. My dentist, Priscilla, and her assistant were fantastic. I have quite sensitive teeth near my gums and I can find the probing and investigation quite uncomfortable during a consultation, but this wasn’t the case at all. I didn’t experience discomfort and felt in very safe hands. This also applied to the hygienist work. I didn’t even have to ask Priscilla to avoid using the ultra sound cleaner on the sensitive areas of my teeth. I’m looking forward to going back, and that’s not often you can say that about going to the dentist!

Simone Gibson

Since I first had the luck to be recommended and book an appointment with Dr. Pedro Gutierres over 8 years ago, I have never trusted my dental health nor my family’s to anyone else. It’s very hard to find a dentist who ticks all the boxes and even goes beyond any expectations you may have, from service, sympathy, professionalism, and expertise, etc., 5 stars are not enough to rate him. I was so happy when he opened his own clinic and surrounded himself with the best professionals you can find, I cannot recommend Maida Smiles Dental Clinic enough.

Sofia Gouveia

Maida Smiles Dental Clinic is excellent!! The staff is very friendly, professional and always aiming for the customers best experience! A special thank you to Dr. Pedro Gutierres who is truly amazing. I am absolutely satisfied with the results and highly recommend this great dental clinic!

Ana Cruz

Dr. Pedro Gutierres is the best Implantologist I have come across. His work is amazing and of very high quality! I would highly recommend him and Maida Smiles to all my friends and family. If you want the perfect smile this is the place to go.

Blossom

“Pedro was so patient and professional throughout my treatment for my implants.. I chose to have my treatment with a local anaesthetic rather than any sedation and have a very bad gag reflex when anything touches the back of my throat. His patience throughout the experience was wonderful, completely putting me at ease and he also gave me a technique to help me in the future. I have seen him for my follow up and fully intend to book an annual visit in 2020. which is no small thing as I live 60 miles away.I can thoroughly recommend him for any treatment.”

Denise Gilbert

I was very nervous to pull my ingrown wisdom tooth. Dr Pedro Guiterres made me feel really comfortable and the job was completed very professionally. It didn’t take long at all and I didn’t feel any pain. I would definitely recommend his service at this practice.

Jihan Daoud

From the day I made my first appointment. The team at Maida smile were amazing. They didn’t treat me like a customer but more like family. They have been great in every step in FINALLY GETTING MY DREAM SMILE from the receptionist to my dentist Pedro Laranjeira I can’t thank you enough and of course Pedro Laranjeira beautiful wife…… they are very professional and understand that I had to change my appointment now and then for work commitments and they were very understand. I will defo recommend them 100% not forgetting how chic the office is

Tracy Mensah

I was very nervous about having a dental implant but was immediately put at ease by Dr Pedro Gutierres. The procedure was explained in full and the care both during and after treatment has been of the highest standard. I received advice on how to look after my implant and have had no problems. I highly recommend.

Dawn Briggs

I had 7 implants installed by Dr Pedro Gutierres, including one which required a bone graft. In my 70 years I’ve had some bad experiences with dental treatment so it takes a lot for me to relax but, from my initial consultation, through to the end of the treatment, I had complete trust in Pedro’s expertise: preparations for the treatment and after-care were extremely thorough and fully explained, the treatment itself was surprisingly endurable (considering what was involved) and the implants have made a major difference to my life. If you are considering implants then I would whole-heartedly and sincerely recommend Pedro for this work.

Russ Hickman

I couldn’t recommend Maida Smiles enough: the care, attention to detail and the way Dentists and Nurses made sure I felt comfortable and safe throughout the treatments was incredible. Dr Pedro explained the treatments in detail to me and I have never felt under pressure to proceed… but I am very glad I did as I am happy and confident to smile again!

Mariana Pinheiro

Highly recommend this place to anybody looking for a friendly and trustworthy practice with an incredibly friendly and patient staff. Dr Pedro has been one of the best dentists I’ve ever had, he made me feel comfortable and were very knowledgeable in explaining every step of what he was doing and answering all of my questions. Amazing thorough the procedure, excellent communication, superb and professional treatment. I hope they keep it this way for a long time.

Joas Souza

Dr Pedro is a very good, confident and experienced professional. I’ve known him for some years now and always felt well cared for, either for small or bigger treatments.The facilities of the clinic are amazing and all the staff are very friendly. Highly recommended.”

Nelson Cafruni

I went to different clinics before, and nobody could really convince me until Maida Smiles did. The team here makes you comfortable , shows you different options and different budgets , and doesn't try to make you go only for one plan. I felt that the team was knowledgeable and wanted to help me , so that's why I decided to start

Diogo

I was referred to Dr. Pedro who did such a wonderful job with my teeth. The staff was extremely professional, they put you at ease, and it just made the whole experience easier. I've never looked back since

Theresa

"I told him, 'I want beautiful teeth, beautiful but natural, I don't want fake looking teeth.' Now I smile, I talk... it just makes you more confident. If you wear a beautiful nice suit... you have beautiful teeth, then it's like a perfect."

Louca

"I went to my hygienist a little while ago, and she said to me they were the best implants that she'd ever seen and she would never have known that they weren't my real teeth."

Sharon

Dr. Pedro explained the process of Invisalign to me. It sounded easy, it was quite a quick process, and the end result is my teeth moved back, so I'm quite happy.

Soula

I feel like I've not just developed a professional relationship with my dentist and the staff... they become more like friends as well, because of the kind of compassion and sympathy that they give you during treatment.

Alvin

"After a friend recommended the clinic, I was referred to Dr. Pedro, who did such a wonderful job with my teeth. The staff was extremely professional; they put you at ease, and it just made the whole experience easier. They have more than met my expectations. I have to have a few more implants, and I'm not afraid anymore. Now, finally, I can live again."

Lesley

"After not having a great experience with previous dental treatments, I was desperate for someone that I trusted. I broke a tooth, and even before I saw Dr. Pedro, he reassured me that I was going to be fine. He made me feel very comfortable and at ease. It was an amazing experience, from not only Dr. Pedro but also all the staff in the clinic, and I would definitely recommend [them] ".

Mariana

I chose Maida Smiles because of the reviews and a friend who was really happy with the results. The results definitely met my expectations. My expressions are much more smooth than before and it really makes the difference

Carolina

I’m very grateful for the quick and efficient service I received when I needed an emergency appointment. The staff were kind and accommodating, and the dentist provided clear, helpful advice that made a real difference. The whole experience was reassuring. Highly recommend their professionalism and expertise!

Safiya Guled

I am always anxious when having to see the dentist and this was one of my first experiences with Maida Smiles. The dentist, Benedict Harrison was very reassuring and immediately put me at ease. He was quite lucid in his explanations of what had to be done, etcetera, and is making good progress with the ongoing treatment. Also, the rest of the staff were friendly and just plain nice.

John Jacobs

Wow wow Dr Claudia is the best dentist in London, my kid adores her and it is always a pleasant visit. Can’t recommend her enough

Bel Cohn

I am delighted with the results of my replacement veneers.

Dr Benedict Harrison was very good at talking me through the whole process and keeping me informed during the treatment if there were any issues - which there weren’t.

He has a charming demeanour which is an added advantage in a dentist, who I think we all agree are not our favourite people, overall a 5 star experience.

Karen Shepherd

I went to the Maida Smiles Clinic for the first time and had the most wonderful experience! I am dentist phobic but strangely left the place with a big smile on my face (literally!). The receptionist was super kind, Susan was impeccable and very helpful, and I had my appointment with the most amazing dentist Dr Mafalda Vilhena. Couldn’t recommend her enough. She explains the whole procedure and is very rigorous in her work. Congratulations to Dr Pedro Gutierres for creating such an excellent working environment and to all the team. I will be back and bringing my family along and we don’t even live in Maida Vale. Thank you for such an impeccable job on my teeth and for taking my fear of dentists away. Note: they don’t cover NHS, only private bookings or with insurance.

Maria Monteiro

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Directions From St John’s Wood

Address: 207-209 Sutherland Ave, London W9 1RU. Get directions.

Paid parking is available using ParkBee on Lanark Road (the road right next to the practice). For public transport users, we are a two-minute walk from Maida Vale tube station.

Mon: 09:00 – 18:00
Thu: 09:00 – 20:00
Tue: 09:00 – 20:00
Fri: 09:00 – 18:00
Wed: 09:00 – 18:00
Sat: 09:00 – 18:00
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