Endodontist Rugby · Warwickshire
Specialist endodontic care in Rugby: root canal treatment, retreatment of failed root fillings and the diagnosis of tooth pain, carried out under magnification with time to listen. The aim in every case is a tooth you keep rather than one you lose.
Book a consultation online, or contact the practice to speak to someone directly.
Call 0116 270 0550 and say that your symptoms are urgent — acute pain and swelling are seen as a priority.
Emergency endodontic careWhat we do
Every tooth is built around a soft core of nerve and blood vessels. When bacteria reach it through decay, a leaking filling, a crack or a knock, the result is the deep, pulsing pain most people recognise as a root canal problem — and, left alone, an infection in the bone around the root.
Endodontics is the branch of dentistry devoted to this hidden space: root canal treatment, retreatment of root fillings that have failed, root-end surgery and the care of cracked and injured teeth. The common purpose is to remove the disease inside the tooth so that the tooth itself can remain.
The practice concentrates on this work alone. You remain a patient of your own dentist, who restores the tooth once it has been treated; we provide the specialist part and send them a full report.
Treatments
Root canal treatment, retreatment of teeth treated elsewhere, microsurgery and the assessment of cracks, injuries and unexplained tooth pain — each starting with a clear diagnosis and a plan you can read.
Root canal treatment ends the pain of an inflamed or dead nerve, clears the infection and keeps the tooth. In Rugby it is carried out under magnification, with the tooth fully numbed and isolated, and most teeth are completed in a single visit.
About this treatmentWhen a root-treated tooth becomes painful or infected again, retreatment can usually save it. The earlier root filling is removed, the canal system is cleaned thoroughly — including any canals missed first time — and the tooth is sealed and restored once more.
About this treatmentRoot canals can be finer than a hair and hide behind calcified dentine. Working under an operating microscope gives bright, magnified sight of the inside of the tooth — the difference between guessing and seeing. It is how every root canal treatment and retreatment is carried out here.
About this treatmentWhen infection lingers at the tip of a root and cannot be treated through the crown of the tooth, a small surgical procedure — an apicectomy — removes the infected root tip and seals the canal from the outside. Under magnification it is a gentle, predictable way to keep a tooth that would otherwise be lost.
About this treatmentA sudden, sharp pain when biting that vanishes the moment you let go is the signature of a cracked tooth. Cracks do not heal and spread with every chewing cycle, so the sooner one is assessed the more options remain for keeping the tooth.
About this treatmentA fall, a sporting collision or an accident can chip, loosen or knock out a tooth in a second. The first hour decides a great deal, and follow-up over the following year protects the nerve inside the tooth.
About this treatmentToothache is a poor witness to its own cause: it can seem to come from the wrong tooth, the wrong jaw or the ear, and not every ache means a nerve has died. Effective care begins with a precise diagnosis.
About this treatmentAn infection inside a tooth is sealed off from your bloodstream — and therefore from your immune system and from antibiotics. That is why an abscess keeps returning until the tooth itself is treated.
About this treatmentEvery service in one place — including cracked tooth assessment, dental trauma care and an honest second opinion on a tooth you have been told to lose.
See every treatmentHow it works
We listen to how the pain behaves, examine and test the tooth and take the X-rays needed to confirm the diagnosis. Bring recent X-rays from your dentist if you have them.
You leave knowing what is wrong, whether the tooth can be saved, the recommended treatment and the fee. Nothing is booked until you are ready.
Under local anaesthetic and with the tooth isolated, the canal system is measured, cleaned, disinfected and sealed under magnification — usually in a single visit.
Your dentist fits the crown or filling that protects the tooth. Healing of the bone is checked on a later X-ray and your dentist receives our report.
Emergency care
Pain that starts by itself, lingers after a hot drink or wakes you at night is a sign that the nerve inside a tooth is inflamed or has died. Painkillers mask it for a few hours; they do not treat it, and an infection left alone can spread.
Say your symptoms are urgent when you contact the practice. We will see you as promptly as we can, relieve the pain and plan the rest of the treatment calmly.
Seek medical help immediately if a facial swelling is spreading quickly, you find it difficult to swallow or breathe, or you feel very unwell — contact NHS 111 or go to A&E.
MSc Endodontics
About the practice
Angel Ognemirov qualified to MSc level in Endodontics at the University of Chester and trained in oral and intravenous dental sedation at Guy's Hospital, London. He holds a certificate in Restorative Dentistry and is a member of the Society for the Advancement of Anaesthesia in Dentistry (SAAD).
Much of his work is with people for whom dental treatment is a source of real anxiety. The response is practical rather than reassuring words: appointments that are never rushed, a clear explanation before each step, anaesthetic checked before anything begins and the freedom to pause. Patients who have avoided the dentist for years are treated without judgement.
Clinically, the emphasis is on getting the diagnosis right and giving every tooth a realistic chance: magnification for each root canal, modern technique as standard and a frank written opinion on what the tooth can be expected to do. Patients come from Rugby and across Warwickshire, by referral or directly.
Precision
A root canal may be narrower than a hair, curve sharply and divide without warning, and a back tooth frequently has more canals than first meet the eye. Treatments fail for precise reasons — a canal missed, a root filling that stops short, a seal that leaks.
Working under magnification with direct light shows the floor of the tooth clearly, so canals are found rather than hunted for, old materials are removed without damaging the tooth and cracks can be judged accurately.
Alongside magnification we use electronic measurement of each root, flexible instruments that follow the natural curve of the canal and disinfectant carried into the fine branches that instruments cannot reach.
Equipment serves judgement. Diagnosis and an honest view of the tooth’s outlook come first; precision carries out the plan.
Second opinions
An infection, a failed root filling or a canal that proved difficult for someone else is not, on its own, a reason to lose a tooth. Many teeth that have been written off can be treated or retreated and kept for years.
Equally, some teeth genuinely cannot be saved — a root that has split, or too little sound tooth left to hold a crown. In those cases we say so plainly, because treating a tooth with a poor outlook wastes your time and money.
What you receive is a written assessment of the realistic options for your tooth, with the likely success of each, so that the decision is yours and informed.
Your questions
Direct answers to the questions we hear most. The patient guides go further.
With the tooth properly numbed, no. You will feel pressure and vibration rather than pain, and if anything sharp breaks through we stop and add more anaesthetic. A few days of tenderness afterwards is normal and settles with ordinary painkillers.
Typically between an hour and an hour and a half. The time goes into cleaning every canal to its full length — the part that decides whether the treatment lasts.
Most teeth are finished in one visit. A heavily infected tooth, a retreatment or unusual anatomy may be dressed with medication and completed a week or two later.
A clear, lit view of the floor of the tooth. Upper molars often have a fourth canal that is missed without it, and a missed canal is the most common reason a root filling fails.
Usually retreatment: the old root filling is removed, any missed or re-infected canals are cleaned and the tooth is sealed again. Where the root tip cannot be reached from inside the tooth, microsurgery is an option.
In most cases, yes. Removing the infected tissue from the canals and sealing them lets the bone around the root heal. The exceptions are a split root or too little sound tooth to restore — and we will tell you honestly which applies.
Expect the tooth to feel bruised for two or three days. Your dentist then fits the final crown or filling, ideally within a few weeks, and we check healing on an X-ray at a review.
For most back teeth, yes — a root-treated molar without cuspal coverage is prone to cracking. Some front teeth can be restored with a filling. The recommendation is in our report to your dentist.
Yes. Cracks, gum problems, sinus congestion and jaw muscle pain can all mimic toothache, and pain is often felt in the wrong tooth. That is why we test before we treat.
Tenderness on biting, a swelling or a gum boil, a bad taste, a tooth that has darkened — or nothing at all, with the infection found on a routine X-ray. Pain that suddenly stops is not a sign of recovery.
In the UK the title “specialist” is protected and may be used only by dentists on the General Dental Council’s specialist list for endodontics. Whoever treats you, ask how much of their work is root canal treatment and what equipment and time they give it.
The infection persists in the bone and may spread. Pain often comes and goes, which is misleading — a quiet spell does not mean it has healed — and the tooth becomes harder to save over time.
Get in touch
Referred by your dentist, seeking a second opinion or in pain today — contact the practice and we will arrange the earliest suitable appointment. If you are in pain, say so and you will be seen as a priority.
Severe pain or a swelling? Mention it when you get in touch and we will find you the earliest possible time.
