SERVICES

 

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Example patient testimonial

“I was not even aware there was such a speciality before facing the issues I had with the tooth, however the benefits of a specialist were totally obvious. It went well above and beyond anything that my regular dentist could offer me on this occasion and I am immensely thankful  Review April 2015  

As a specialist endodontist, Peter is trained, experienced and equipped to perform a wide range of treatments including, but not limited to, the following:

  • Non-surgical Root Canal Treatment (most common)

  • Non-surgical Root-canal Retreatment

  • Surgical Endodontics 

  • Post/Fractured Instrument Removal 

  • Bleaching 

  • Vital Pulp Therapy

  • Trauma management

What is Endodontics?

Endodontics is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic clinical sciences including biology of the normal pulp; the aetiology, diagnosis, prevention and treatment of diseases and injuries of the pulp; and associated periradicular conditions.

The scope of endodontics includes, but is not limited to, the differential diagnosis and treatment of oral pain of pulpal and/or periradicular origin; vital pulp therapy, such as pulp capping and pulpotomy; nonsurgical treatment of root canal systems with or without periradicular pathosis of pulpal origin and the obturation of these root canal systems; selective surgical removal of pathologic tissues resulting from pulpal pathosis; repair procedures related to such surgical removal of pathologic tissues; intentional replantation and replantation of avulsed teeth; surgical removal of tooth structure, such as root-end resection, hemisection, bicuspidization, and root resection; root-end filling; endodontic implants; bleaching of discoloured dentin and enamel; retreatment of teeth previously treated endodontically; and treatment procedures related to coronal restorations by means of post and/or cores involving the root canal space.

 

Symptoms

Toothache is an endodontic (root canal) issue. Symptoms of endodontic disease can differ in individual patients. Many patients present with pain caused by the dying nerve, and surrounding inflammation and/or infection. This can sometimes be difficult to locate, as pain may radiate to the jaw. Some patients are symptom-free, and signs of root canal problems can be incidentally picked up on routine dental X-rays.

Reason for referral to an Endodontist

Although general dentists are given endodontic training, they may need to refer to a specialist endodontist with expertise if there is a complex root canal in question, challenging diagnosis, or if an attempted treatment has led to infection or become unsuccessful. In the latter case, this is known as re-treatment. Specialists can be found on the General Dental Council website on the endodontics specialist list. Speciality training in endodontics requires three years of formal postgraduate education.

Root Canal Procedure

This is usually carried out in one or two visits whereby the endodontist will use local anaesthetic around the tooth in question – confirming numbness before beginning. They will then remove any infection in the canal, and also any dental pulp remnants. The hollow is then shaped and further infection is prevented by sealing the space.

Pain Concerns

Painful root canal treatment is a myth if in the hands of an endodontist. As well as complicated root canal treatments, patients are also referred to Peter for difficulties with pain during procedures, so rest assured that pain will not be an issue.

Aftercare

Following treatment, you will be advised about sensitivity and pain control. Your general dentist will be informed of the procedure and of any crown required. You may want to return for a follow-up review to have a further radiograph of the area to confirm healing but all subsequent dentistry will be back with your own dentist.