Endodontic clinician · London

Precision endodontic care, wherever you are in London

Most people arrive with questions - whether treatment will be comfortable, whether the tooth can be saved, or simply what the whole process involves.  My work is limited to endodontics: saving teeth is all I do, every day, under the dental operating microscope.  I see patients on referral at several practices across London and Hertfordshire, so there is usually one close by.

Refer a caseThe difference
Spencer Richman carrying out root canal treatment under a dental operating microscope
Dr Spencer RichmanBDS MSc (Endodontology)
Who I treat

The people I’m here for

Patients
You may have been sent by your own dentist, or found me yourself.  Either way the tooth comes first: an honest assessment of whether that tooth can be saved, and treatment made as comfortable as the case reasonably allows.
Explore treatments
Dentists
Your patient comes back to you following completion of endodontic treatment, with a full written report and radiographs.  Referrals go through WhatsApp with a response within one working day, across practices in London and Hertfordshire.
How to refer
Toothache right now?

Toothache that will not settle needs looking at quickly.

Ask your own dentist to refer you - urgent cases are prioritised, particularly where there is facial swelling or the toothache is disturbing your sleep.  If you are not registered with a dentist, get in touch and I will point you to the nearest of my practices.

Get in touchFind your nearest practice
The difference

Six things that change the outcome

Dental operating microscope
Every case is treated under a dental operating microscope.  The magnification and light let me find, clean and seal canals that are hard to see with the naked eye.
Read more
CBCT 3D imaging
Where indicated, a cone beam CT scan shows the tooth in three dimensions.  The scan reveals extra canals, fractures and root shapes that a standard X-ray flattens out of view.
Read more
Guided endodontics
When a canal is calcified or hard to locate, a CBCT scan and a custom 3D-printed guide allow a minimal, exact access, preserving as much healthy tooth structure as possible.
Read more
Diagnosis
Symptoms are not always where they seem.  A careful history, targeted testing and the right imaging establish which tooth is involved, and whether root canal treatment is the right answer at all.
Read more
Staying comfortable
Getting a tooth comfortably numb is a technique in its own right.  Hot teeth and lower molars need a considered approach, and most patients find treatment feels much like having a filling.
Read more
Nervous patients
Anxiety is common and completely understood.  Treatment is unhurried and explained as the work happens, with IV sedation available through Dr Damien Reilly, Consultant in Special Care Dentistry.
Read more
The process

From first appointment to sealed tooth

01
Assessment
A full history, careful testing and, where needed, a CBCT scan.  You leave the first appointment knowing what is wrong, what the options are and what each one involves.
02
Planning
The case is planned before any treatment starts: which canals, what access, how long the appointment will take and how the tooth will be restored afterwards.
03
Treatment
Carried out under the dental operating microscope, in a single visit for most cases.  Rubber dam throughout, thorough irrigation to disinfect the canal system, then sealing those canals.
04
Restoration and aftercare
A root-treated tooth needs a permanent restoration to last.  You and your dentist get a written report saying exactly what is needed, and I review the tooth afterwards to check healing.
About me

A different approach to endodontics.

I qualified from the University of Manchester in 2002 and completed my MSc in Endodontology in 2015.  My practice has been limited to endodontics ever since, and root canal treatment has been the centre of my working life for far longer than that - every case under a dental operating microscope, with CBCT imaging whenever a tooth needs looking at in three dimensions.

That focus is the point.  Guided endodontics for calcified canals, re-treatment of cases that have not settled, cracked teeth, dental trauma and IV sedation for anxious patients are not occasional cases here - they are the work.  I teach the same techniques to other dentists as a Key Opinion Leader for Dentsply Sirona and as co-founder of Building Better.  I am a member of the British Endodontic Society.

Everything I do is focused on one thing - keeping your natural tooth.

Dr Spencer Richman, endodontic clinician, London
Dr Spencer RichmanBDS MSc (Endodontology)
20+ years
In dental practice
GDC 80497
Registered & regulated
MSc
Endodontology
BES
Member, British Endodontic Society
Dentsply Sirona
Key Opinion Leader
Building Better
Co-founder
Locations

Endodontic treatment across London and Hertfordshire.

I work across several carefully chosen practices, from the City of London out to Hertfordshire - so expert endodontic care, including treatment with sedation for nervous patients, is always close to you.  Each practice is selected because the setting lets me treat every patient with the time and attention their case requires.

Flagship practice
Bellevue Dental
7 Jaggard Way, Wandsworth CommonLondon SW12 8SG

07375 353160bellevuedental.co.uk
Root canal treatment in Wandsworth
Flagship practice
Sardinia House
52 Lincoln’s Inn Fields, HolbornLondon WC2A 3LZ

07376 917992sardiniadental.com
Root canal treatment in Holborn
Flagship practice
Widegate House
26 Widegate Street, Liverpool StreetLondon E1 7HP

07497 573936widegatedental.com
Root canal treatment in Liverpool Street
Greenleaves Dental
Potters Bar, Hertfordshire

07732 183090greenleavesdental.co.uk
Root canal treatment in Potters Bar
Improve Your Smile
Woodford Green, East London

07827 138558improveyoursmile.co.uk
Root canal treatment in Woodford Green
The Park Dental Practice
Stanmore, North West London

07554 419104theparkdentalpractice.uk
Root canal treatment in Stanmore
Strand on the Green
Chiswick, West London

strandonthegreendental.com
Root canal treatment in Chiswick
Common questions

What patients ask me most

Does root canal treatment hurt?

The tooth is fully numbed, so for most people treatment feels much like having a filling.  Most patients arrive with toothache from an inflamed or infected nerve - the treatment is what resolves that toothache.

Read the full guide

How do I know whether I need root canal treatment?

Lingering sensitivity to hot or cold, pain on biting, a tooth that darkens, or a small pimple on the gum are the usual signs.  Some teeth give no symptoms at all and are picked up on an X-ray.

Read the full guide

How many visits will treatment take?

Most cases are completed in a single visit.  Complex or heavily infected teeth sometimes need two, and you will be told which at the assessment rather than part-way through.

See the treatments

Should I just have the tooth out instead?

Where the prognosis is good, keeping your own tooth is usually the better option - nothing quite replaces a natural root.  Extraction with an implant is an excellent alternative when a tooth cannot be saved.

Read the full guide

Will I need a crown afterwards?

Often, yes - particularly on back teeth, which take the heaviest load.  A root-treated tooth needs a well-sealed permanent restoration to last, and your own dentist provides that restoration.

Read the full guide

I am very anxious about dental treatment: what are my options?

Say so at the start and the appointment is paced around that anxiety.  IV sedation is available through Dr Damien Reilly, Consultant in Special Care Dentistry, for patients who would rather not be aware of the procedure.

Read the full guide
Refer a case
For referring dentists

Refer once and you will know what to expect.

My practice is limited to endodontics and I work only on referral.  Your patient stays your patient - they come back to you sealed, temporised and fully documented.

Reply within one working day

Send the case by WhatsApp with a photograph and a radiograph.  You will have an answer within one working day, including whether I think the tooth is worth treating.

A full written report

What was found, what was done and what the tooth needs next - with images taken down the dental operating microscope, so you can show the patient.

The tooth comes back ready

Sealed and temporised, with clear guidance on the permanent restoration and how soon placement should follow.

CBCT reporting for cases you keep

A scan and a written report where you would rather manage the tooth yourself - useful for suspected cracks, resorption and unexplained symptoms.

See case studies
Want to talk a case through?
Send me a message on WhatsApp with a photograph and a radiograph and you will have an answer within one working day - including whether I think the tooth is worth treating.  If you are a patient rather than a dentist, get in touch instead and I will point you to the nearest practice.
Message me on WhatsApp
Spencer Richman
Endodontics
Explore
TreatmentsCase studiesPatient guidesLocationsAbout
For dentists
Refer a patientTeaching
Contact
hello@spencerrichman.co.ukGet in touch
GDC Registered · 80497Privacy policy
© 2026 SJR Endo Ltd, trading as Spencer Richman Endodontics · spencerrichman.co.uk