Endodontics

We are unable to accept referrals for molar endodontics (either primary or retreat) unless the tooth is of strategic importance – this would, for example, include teeth that are supporting essential bridgework.

The following are acceptable reasons (in non-molar teeth) for referral:

• A second opinion is required.
• A treatment plan is required.
• There is a specific problem with the tooth, which cannot otherwise be treated in general practice. For example – management of open apices, resorption and trauma.
• Where the medical history supports endodontic therapy rather than extraction (e.g. risk of osseonecrosis due to bisphosphonate medication or previous radiotherapy).
• Where conventional endodontics has failed and a surgical approach may be required on any tooth other than a molar.

 

In addition to the above reason for referral, the following criteria must be met:

• The patient is a regular attender in practice and is well motivated with no active caries or periodontal disease.
• The letter of referral contains an indication of the history of the problem and of the treatment carried out to date.
• The tooth must be restorable and functional.
• A recent (within three months) high quality periapical radiograph of the tooth in question must be sent with the referral letter. Digital print-outs must be of diagnostic quality.