Restorative Care

Root Canal Treatment

When the nerve inside a tooth becomes infected, the choice is usually between treating it and losing it. Root canal treatment clears the infection from within and keeps your own tooth in place.

The clinicians behind your root canal care.

Root canal treatment at Wong & Sim Dental is provided by clinicians with specialist & postgraduate training in endodontics, supported by the use of surgical operating microscopes for enhanced precision and visibility.

More complex cases — including dental trauma, unusual root canal anatomy, or previously treated teeth requiring retreatment — can be referred within our team and to our specialist endodontist for further management.

Dr. Charlotte Hing, Principal Dentist
Principal Dentist

Dr. Charlotte Hing

BDS (PIDC) · PGDip Endodontics (IMU)

Carries out root canal treatment under magnification, including the cases where a canal was missed the first time and the tooth has never fully settled.

  • Root Canal
  • Microscopic Endo
  • Retreatment
  • General Dentistry
Dr. Ng Wei Liang, Principal Dentist
Principal Dentist

Dr. Ng Wei Liang

BDS (AIMST) · PGDip Endodontics (IMU)

Treats the canal and then rebuilds what is left of the tooth around it, working to keep as much sound structure as possible rather than reducing the tooth for a crown by reflex.

  • Root Canal
  • Biomimetic Restoration
  • General Dentistry
Dr. Travis Tan, Specialist Endodontist
Specialist Endodontist

Dr. Travis Tan

BDS (AIMST) · MDS Endodontics (HKU)

Takes on the referred cases — dental trauma, teeth with incompletely formed roots, calcified canals and treatments that have failed elsewhere.

  • Trauma Management
  • Regenerative Endo
  • Surgical Endo

What root canal treatment actually does.

Inside every tooth is a soft core of nerve and blood vessels, running from a chamber in the crown down through narrow canals in each root. Deep decay, a crack, repeated fillings or a knock to the tooth can let bacteria reach that core. Once they do, the tissue cannot recover on its own.

Root canal treatment removes the infected contents, disinfects and shapes the canals, then seals them so bacteria cannot re-enter. The tooth stays where it is, held by its own root, and continues to function.

The signs are not always dramatic. Lingering pain after something hot or cold, an ache on biting, a tooth that has darkened, a gum boil that comes and goes, or swelling around the jaw all warrant an examination. Some infected teeth stop hurting entirely, which is not the same as getting better.

Left untreated, the infection spreads through the root tip into the surrounding bone. At that stage the realistic options narrow to treatment under more difficult conditions, or removing the tooth and later replacing it with an implant or a bridge.

Keeping a natural tooth is almost always simpler and less costly over a lifetime than replacing it.

Magnification changes what can be seen.

We use surgical operating microscopes during root canal treatment to manage complex anatomy and canals that are difficult to reach. Painless injections and safe, precise treatment under magnification make the appointment comfortable and the outcome predictable.

Root canal treatment under surgical operating microscope

“Careful cleaning and a well-sealed canal matter far more to long-term success than how quickly the treatment is finished.”

Canals are narrow, curved and often branched. Some molars carry an extra canal that sits hidden under a shelf of dentine and is easy to miss with the naked eye — and a canal that is missed is one that stays infected, which is the most common reason a root canal treatment fails.

Under high magnification and coaxial light, those openings become visible. Fractures can be identified before treatment rather than discovered afterwards, and only the tooth structure that has to go is removed.

Comfort is dealt with before any treatment begins. Topical gel numbs the gum first and the anaesthetic is delivered slowly, so the injection itself is barely felt, and we confirm the tooth is fully numb before starting. Most patients find the appointment far easier than they expected.

Treatment is carried out under rubber dam, a thin sheet that isolates the tooth. It keeps saliva and bacteria out of the canals during cleaning and stops irrigating solutions and small instruments from reaching the rest of your mouth.

Ways we can save your tooth.

Which of these applies depends on the state of the nerve, how much tooth remains, and whether the tooth has been treated before.

← Swipe to view options (01 – 07) →
01

Primary root canal treatment

The standard treatment for a tooth whose nerve has become irreversibly inflamed or infected. The canals are cleaned, shaped, disinfected and sealed, and the tooth is then rebuilt.

Best for Deep decay reaching the nerve, lingering pain, abscessed teeth Visits Usually 1–2 Follow-up Reviewed at 6–12 months
02

Root canal retreatment

For a tooth treated previously that has stayed sore, flared up again, or shows infection on a radiograph. Old filling material is removed, missed or untreated canals are located, and the system is cleaned and sealed again.

Best for Persistent symptoms, missed canals, leaking old restorations Visits Usually 2 Follow-up Reviewed at 6–12 months
03

Managing complications from previous treatment

Some teeth arrive with a difficulty already inside them — an instrument separated in a canal, a canal that has been blocked or ledged, a perforation through the root wall, or a post that has to be removed before the canal can be reached again. Under the microscope, most of these can be dealt with and the tooth kept.

Best for Separated instruments, blocked or ledged canals, perforations, posts needing removal Visits Usually 2, depending on access Follow-up Reviewed at 6–12 months
04

Emergency pain relief

When you arrive in acute pain or with swelling, the first appointment is about settling it. The inflamed tissue is removed and the tooth dressed with intracanal medication, which usually relieves the pain quickly, with the full treatment completed afterwards.

Best for Acute toothache, facial swelling, pain keeping you awake Visits Same-day opening appointment Follow-up Treatment completed within a few weeks
05

Treatment for children's teeth

Baby teeth and newly erupted adult teeth are handled differently. In children the aim is to keep the tooth in place until it is due to be lost, or to let an immature root finish developing before anything more is done.

Best for Decay reaching the nerve in children, knocked or broken front teeth Visits Varies with the tooth Follow-up Monitored as the tooth develops
06

Surgical endodontics

Where infection persists at the root tip and conventional retreatment is not possible or has not worked, the tip of the root and the surrounding infected tissue can be removed through a small procedure at the gum, and the root end sealed.

Best for Persistent infection under posts, crowns or blocked canals Visits One procedure, plus a review Follow-up Healing assessed over 6–12 months
07

Rebuilding the tooth afterwards

A treated back tooth is more prone to fracture and usually needs full coverage — an onlay or a crown — to protect it. How much healthy structure is left decides what it needs, and we remove as little of it as possible.

Best for Every treated tooth, particularly molars and premolars Visits 1–2 after the root canal is completed Follow-up Checked at your routine visits

Root canal FAQs

The treatment itself is carried out under local anaesthetic and should feel much like having a filling. Topical gel is applied first and the injection given slowly, so the numbing itself is barely felt. Most of the pain people associate with root canals is the pain of the infected tooth beforehand, which the treatment relieves. The tooth is commonly tender to bite on for a few days afterwards, and ordinary pain relief is enough to manage that.
Many teeth can be completed in a single appointment, typically 60 to 90 minutes. Teeth with several canals, a persistent infection or a previous treatment usually need two. Restoring the tooth afterwards takes one or two further visits.
Back teeth usually do. A treated molar or premolar has lost internal structure and takes heavy biting force, so full coverage protects it from splitting. Front teeth with limited decay can often be restored with a bonded filling instead. We assess how much sound tooth remains and recommend the least destructive option that will protect it.
Extraction is quicker and cheaper on the day, but the space then needs managing. Neighbouring teeth drift, the opposing tooth over-erupts, and replacing the tooth with an implant or bridge costs more than the root canal would have. Where a tooth is restorable, keeping it is generally the better long-term decision. Where it is cracked below the gum or too little structure remains, we will say so honestly rather than treat a tooth that cannot be saved.
Well-treated teeth that are properly restored commonly last for decades, and many last for life. The main risks are fracture of a tooth left unprotected, new decay at the margins, and infection persisting in a canal that could not be fully cleaned. Regular check-ups catch these early.
A small proportion of teeth do not settle. In most of those cases retreatment is possible, and where it is not, a surgical approach at the root tip is often an option. We review treated teeth at six to twelve months specifically so that anything failing to heal is picked up while options remain.
Fees depend on which tooth is involved, how many canals it has, whether it has been treated before, and what it needs to restore it afterwards. An accurate figure requires an examination and a radiograph. You will be given the full cost in writing before treatment starts, including the final restoration. Please contact the clinic for current fee ranges.

Tell us about your dental concerns.

Share your needs with us and our team will be in touch shortly. Every treatment journey begins with a conversation.

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