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Endodontic 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. We are happy to discuss cases by phone or email. See Contacts.


Making a correct diagnosis can be very difficult when symptoms are vague, signs inconclusive and radiographic.


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

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.

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.

Curved canals


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.



Fractured Instruments

This is a hazard of endodontic treatment. Separation of instruments happens to everyone at some time but this is not a negligent act. Do tell the patient what has happened. Use our Consent form prior to treatment to ensure the patient is aware of the risks.

Post Removal

Using ultrasonic's and other advanced post removal kits we are able to remove almost all posts avoiding the need for surgical intervention giving a better long-term result.


A hazard when locating canals or incurved canals or often during post preparation. We use MTA and a number of related products to successfully repair all types of perforation.

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Surgical Endodontics

For those cases that have to be treated surgically, the latest microsurgical techniques are used and all surgery is carried out under the microscope. Many cases that used to be treated by endodontic surgery can now be dealt with by disassembly and orthograde re-treatment using MTA. 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.

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