Cambridge
Dental Hub

We Are Open
Every Day of The Week
Every Week of The Year

24/7 Cambridge
Emergency Dentist

Is Available 24/7
365 days a year
We Always Answer The Phone


Why Chose The Cambridge Endodontic Practice?

Patients like to feel that their dentist excels in the treatment that they need but is also part of a team of clinicians who together offer the full range of care all in the same practice.

Most patients have a range of dental issues, so for example we have dental hygienists working everyday. This enables us to offer combined check-ups and Hygienist visits 6 days week.

Working within a large clinical team means that many of our patients get a second opinion and the opportunity to have dental care from a clinician with expertise related to their treatment

For example, we have developed a centre of excellence for Root Canal Treatment, Orthodontic treatment and Dental Implant treatments



We have invested in the latest facilities for modern dentistry. In the last 2 years we have installed the very latest and safest digital x-ray imaging system and the very latest digital microscopy.

So whilst some practices offer simple Single Root Endodontic Treatments, our practices offers a full range of Endodontic Treatments.

Dental Materials are improving all the time, and those practice that are prepared to invest can offer treatments that were unimaginable a few years ago. That is why we are committed to offering the very latest materials.

We use Microscopes

We use Ultrasonic Irrigation systems

We use rotary instruments and motors

We use heated Gutta Percha Systems

We use Rubber Dam



We use digital Xrays and 3D CT Scanning

Links To More Information

Endodontic Care Doesn't Cause Pain
It Relieves It!

If you're about to have your first root canal treatment, you might be feeling pretty apprehensive about the whole thing, especially given all the stories floating around. Well, don't worry — all will be revealed in this step-by-step walk-through of root canal treatment.

Knowing what will happen ahead of time is more than half the battle; you will soon learn that it really is much ado about nothing.

So let's start by dispelling a common myth: Root canal treatment doesn't cause pain — it relieves it!

Why do teeth need Root Canal?

Some background will be helpful. As you will note from the illustrations, a space inside the tooth called the pulp chamber houses the root canal system and pulp — the living tissue that keeps the tooth vital (alive). The pulp includes blood vessels, nerves and connective tissues, and, during childhood, creates the surrounding hard tissues of the tooth.



Endodontic treatment (“endo” – inside; “dont” – tooth), commonly known as root canal treatment, is needed when the pulp becomes inflamed or infected. The causes could be deep tooth decay, repeated dental procedures on one tooth (replacing a large filling, for example), or traumatic damage such as a crack, chip or even a root fracture. Gum disease can also give rise to root canal problems necessitating root canal treatment.



Any of these issues can result in acute inflammation of the pulp, which causes swelling and pressure inside the tooth (that has nowhere to go), leading to tooth pain and, eventually, irreversible damage to the pulp. Once the pulp dies, the pain may subside initially, sometimes to return as an acute (painful) infection spreading into the periapical tissues (“peri” – around; “apex” – end), particularly the bone. It could also become a chronic (long-standing) infection with symptoms ranging from mild to severe.

Generally speaking, whatever the cause of root canal or pulpal disease, root canal or endodontic treatment will be necessary to save the tooth. All dentists receive training in endodontic treatment and can perform root canal procedures, but often a general dentist will refer individuals who need endodontic treatment to an Endodontist, a root canal specialist.

Endodontists are dentists who have completed an additional two or more years of advanced residency training in the diagnosis and management of diseases and disorders of the dental pulp, and in the diagnosis of dental pain; their focus is therefore on saving teeth. In order to make a proper assessment and accurate diagnosis of which tooth is affected and exactly what is causing the pain, a thorough history and examination is necessary, together with a radiographic picture (x-ray) of the tooth or area.

How is Root Canal Done

Dental Microscopes



Dental Microscopes are one of the great tools of modern dentistry. They allow the dentist to see the most fine details and thus help to provide the patient with the best treatments.

So for example when trying to see what is going on we can see the smallest fractures and exposures. At the same time we are able to detected minor defects in restorations and fillings.

Our Microscopes are all fitted with the latest digital cameras, allowing us to share information and allows more than one dentist to see the field of treatment at the same time.

Depending on the case we are able to offer a full range of instrumentation using the latest equipment and techniques.



We use only the best materials and equipment because this is the easiest way to get the best results for our patients.

We offer Dental Care 7 days a week, and Sundays have proved to be very popular, especially with those patients who have to take time off work midweek or work in London.



. No clutter, Touch Free Taps and lots of other modern innovations

Rubber Dam

Rubber Dam is used

To Isolate the area
To protect the airway
to create a more aseptic space to work



We use it routinely in many procedures such as

Splinting,
Endodontics,
Cosmetic Tooth Restoration Procedures

Ultra Modern Technology

We pride ourselves in using the very best equipment.

Like all dentistry, maybe apart from extractions, technology is improving al the time. This allows even better results.



The Endo Activator

We use Ultra Sonics in Root Canal Treatment to agitate the disinfectant that are used to irrigate and clean the canals.

The EndoActivator® is designed to safely and vigorously energize the hydrodynamic phenomenon. Evidence-based endodontics has shown that cavitation and acoustic streaming significantly improve debridement and the disruption of the smear layer and biofilm. Activating fluids promote deep cleaning and disinfection into lateral canals, fins, webs, and anastomoses. A cleaned root canal system facilitates 3-D obturation and long-term success.

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Watch The Video

Surgical Endodontics in Cambridge

We offer Surgical Endodontic Procedures and have a very experienced team

Have a look at our Apicoectomy Leaflet:

https://www.thehubdentalpractice.com/PDFFiles/ApicectomyLeaflet.pdf

Why would I need Endodontic Surgery?

•Surgery can help save your tooth in a variety of situations.

•Surgery may be used in diagnosis. If you have persistent symptoms but no problems appear on your x-ray, your tooth may have a tiny fracture or canal that could not be detected during nonsurgical treatment. In such a case, surgery allows your endodontist to examine the entire root of your tooth, find the problem, and provide treatment.

•Sometimes calcium deposits make a canal too narrow for the instruments used in nonsurgical root canal treatment to reach the end of the root. If your tooth has this “calcification,” your endodontist may perform endodontic surgery to clean and seal the remainder of the canal.

•Usually, a tooth that has undergone a root canal can last the rest of your life and never need further endodontic treatment. However, in a few cases, a tooth may not heal or become infected. A tooth may become painful or diseased months or even years after successful treatment. If this is true for you, surgery may help save your tooth.

•Surgery may also be performed to treat damaged root surfaces or surrounding bone.



Although there are many surgical procedures that can be performed to save a tooth, the most common is called apicoectomy or root-end resection. When inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure, your endodontist may have to perform an apicoectomy.

What is an Apicoectomy?



In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. Apicoectomy



A small filling may be placed in the root to seal the end of the root canal, and a few stitches or sutures are placed in the gingiva to help the tissue heal properly. Endodontic Surgery Root End Filling



Over a period of months, the bone heals around the end of the root. Endodontic Surgery Healed



Reimplantation of Teeth

The difference between saving and losing a knocked out tooth, is the thirty minutes following the incident.

To save the tooth, follow these steps:

•Rinse the tooth gently in tap water by holding the crown of the tooth
•Avoid scrubbing the tooth
•Insert the tooth into the empty socket quickly
•If you are uncomfortable inserting the tooth, put the tooth in milk or water Get to the dentist or endodontist immediately

If the tooth can be reimplanted into its socket within 30 minutes following the incident then your endodontist will delay the root canal treatment for 2 weeks in order to stabilise the tooth. If more than an hour has elapsed root canal treatment will be performed prior to Reimplantation However the prognosis is such cases is guarded due to future root resorption and eventual loss of the tooth.

The Endodontist might perform include dividing a tooth in half in order to eliminate a furcation involvement, repairing an injured root, or even removing one or more roots. The Endodontist will be happy to discuss the specific type of surgery your tooth requires.

In certain cases, a procedure called Intentional Replantation may be performed. In this procedure, a tooth is extracted, treated with an endodontic procedure while it is out of the mouth, and then replaced in its socket.

These procedures are designed to help you save your tooth.

Dr Jonathan William Harper,
Special Interest in Root Canal Treatments and General Dentistry



Cambridge is Jonathans home City.

Jonathan graduated from Bristol University in 2013.

Jonathan is keen to continue his academic training having already successfully completed part 1 of the Diploma of Membership of the Joint Dental Faculties at the Royal College of Surgeons of England (MJDF RCS Eng).

Jonathan is focussed on Root Canal Treatments and is very comfortable and competent to treat almost all but the most complex cases.

He uses loops and the microscopes so as to achieve the very best results.

Jonathan has attended numerous courses on Endodontics since he graduated and is aiming to pursue specialist training in endodontics and start his course very soon.

Dr Lorenzo Valero,
Special Interest in Root Canal Treatment and Cosmetic Dentistry

Education and training:

•DDS
•MSc in Endodontics and Restorative Dentistry

Lorenzo qualified in Spain from the University CEU Cardenal Herrera in 2011. He started practicing general private dentistry where he found his true vocation, Endodontics. Since then, Lorenzo has been working in private practice limited to Endodontics.

Between 2013 and 2014 Lorenzo completed a Certificate in Rotatory and Microscopic Endodontics at the University of Valencia. During the following 2 years, Lorenzo completed a full time Masters in Endodontics and Restorative Dentistry in the same University.

2016 - 2017
Certificate in Cosmetic & Aesthetic Restorative Dentistry.
Dr. Christopher Orr. London

2016
Endodontics and Restorative Dentsply Maillefer
Certified Trainer. Ballaigues

2016
Hands on course. Anterior Dental Composites.
Dr. Cremades. Madrid

2016
Hands on course. Anterior Dental Aesthetics.
Dr. Autran. Barcelona

2016
Guided Treatment Plan in Restorative Dentistry Diploma.
Dr. Bruno Pereira. Valencia

2015
WaveOne Gold, Clinical Procedures Course.
Dr. Julian Webber. Valencia.

2015
The use of bioactive materials in Endodontics.
Dr. Giuseppe Cantatore. Valencia


2016
CBCT in Endodontics. Valencia
Dr. Manuel Ruiz.

2015 Adhesive and Aesthetic Dentistry International Meeting. Lisbon

2015
Simplifying Endodontics Course.
Dr. Leopoldo Forner.

2014
Stratification Course. 3M. Valencia

2014
Spanish Conservative and Aesthetics Dentistry Society Meeting. Madrid.

2013
Spanish Conservative and Aesthetics Dentistry Society Meeting.

2015
Clinical Case Conseuro 2015. Kings College. London

2015
Spanish Conservative and Aesthetics Dentistry Society Meeting. Madrid.

2014
Curved Canals with Reciproc. Valencia

Memberships and Accreditations

•Spanish Endodontic Society (AEDE)
•Spanish Conservative and Aesthetics Dentistry Society (SEOC)

To make an appointment please ring 01908 690326 or 01223 363277 or email us on Lorenzo@TheHubDentalPractice.com