London endodontist



Endo specialist London Root canal expert London
Endo Advice
One of the most common malpractice insurance claims is for unsatisfactory endodontic treatment. Of all claims settled, 25% relate to endodontic treatment.

If in doubt, you risk nothing by asking for specialist advice. Your patients will appreciate the concern and effort on their behalf. You will have greater peace of mind.
Careful evaluation is advised in the following situations:
1. Diagnosis
Making a correct diagnosis can be very difficult when symptoms are vague, signs inconclusive and radiographic

2. Access to the tooth
Some patients have limited opening, which can make access to posterior teeth very difficult.

3. Sclerosed canals
These can be difficult to locate and are usually found in the older patient, the heavily restored tooth or one that has suffered trauma.

4. Curved canals
These can be quite difficult to deal with and require particular techniques and instrumentation. Without them, ledging, blocking, stripping or perforation of the canal is easily done.
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5. Re-treatment cases
Previous endodontic treatment that has failed may be best dealt with by the specialist. This includes dealing with blockages and perforations, the removal of posts as well as existing root filling materials - including pastes, gutta percha and silver points as well as fractured instruments.
6. Surgical endodontics
Many cases that used to be treated by endodontic surgery can now be dealt with by disassembly and orthograde re-treatment. The results are more predictable and successful than ever before. Although the need for endodontic surgery has not been eliminated altogether, modern techniques allow it to be drastically reduced. For those cases that have to be treated surgically, the latest microsurgical techniques are used.

7. Elective endodontics
There are situations where the pulp may have to be sacrificed for restorative reasons, or because of questionable pulp viability. Elective re-treatment may be indicated even though the tooth is symptomless, as crown preparation or re-preparation can disturb the existing coronal seal and cause re-infection of the tooth.

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Endo advice for GP dentists
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