• 01 JUL 16

    The end of the road?

    end of the road

    Endodontist London

    Dentists with specialist interests have always been an integral component of our profession. Specialist practice was a way for practitioners to indulge their personal interests and improve their skills, giving them the range of expertise and confidence to handle some of the most complicated cases out there.

    Nevertheless, specialisms take time. Endodontics now takes at least three years and, along with a house job, membership exams and the initial BDS degree, brings the number of years in training up to nine. Those nine years won’t be cheap and now the exclusivity specialists may have previously had upon completing their training has come to an end; technology, investment and training has made most treatment modalities accessible to all.

    General dental practitioners are achieving excellent results in a wide variety of different fields and certainly in endodontics, with the latest NiTi files and dramatically cheaper microscopes. Indeed, dental technology has advanced to the stage where specialist skills are at risk of losing their monopoly in many cases. GDPs are now capable of achieving high levels of clinical success in fields that once would have required specialist attention – and they can do so with a fraction of the training that would been necessary a couple of decades ago.

    Dentistry is becoming more generalised and it’s not immediately the case that a practitioner with a specialism can achieve better results than one who hasn’t. So, the question is: are specialisms still worth it? To provide an answer we need to look at a number of different factors. First and foremost, we have to understand that experience is key. I have seen some outstanding cases from many of my referring GPDs but often some which, in hindsight, they should never started as they did not have the range of expertise to call upon should anything have gone wrong. Indeed, many specialists are referred cases that require treatment and while this is not ideal for both the health of the patient and the reputation of the GDP who tried and failed to provide appropriate treatment, it does highlight the importance of proper training.

    We must also appreciate the importance of specialists when it comes to training the next generation of professionals. Without the knowledge that our periodontists or endodontists can impart, we may encounter a dearth of expertise in the future. Indeed, it is a sobering thought that some graduates pass out of dental school without having gained any practical endodontic experience at all, completely unprepared for general practice. On top of all this we must consider how dramatic the increase in dental litigation has been in the last few years. The number of GDC hearings has gone through the roof – and, as a result, many practitioners are simply too scared of legal repercussions to perform certain treatments.

    So, I believe the role of dental specialists is far from over. We remain vital to the provision of exceptional patient care, and I think we always will. We may never quite get things back to the way they were, but that is not the nature of progress and I do feel that, as a profession, we are progressing. It may seem bleak at times for us endodontosauruses, but I, for one, am not ready to go extinct just yet.


    Endodontist London

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Patient Testimonials

Just a quick but BIG thank you all for making what was a frightening and miserable procedure into an experience I could hanle. If there had been more people like you all, I would have a much healthier mouth. It was a pleasure meeting you and your kindness is much ...

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Georgia F
Thank you very much for the wonderful work you did for me. I can smile again!

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Zita Drew
I just wanted to take this opportunity to thank you and Mr. Sultan for the excellent patient care I received last week. My reluctance to proceed with the surgical treatment was apparent, but with your advice and reassurance, I am sure that I made the right decision. The procedure, though ...

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Just to say thanks for the coffees & friendly, supportive chats. You certainly helped to take the edge off a stressful time for us.

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Rod & Sue Witheridge
Thankyou so much for once again saving a difficult tooth!!  Another thankyou is due to you for your gift to my daughter of the recipe book written by your aunt. Noelle returned to Dubai with the book firmly tucked under her arm. She returns in July for the summer and ...

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Sheila Ferris
Thank you so much for looking after our nanny Noelia! Thank you also for offering her such a generous discount for your excellent treatment. She asked me to pass on her thanks also. With best wishes.

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Quentin McCoach
This is just to thank you for the root-canal treatment which you carried out on my tooth last Tuesday afternoon. All has now settled down and I can chew on the tooth as normal. I think that we both had a tough ninety minutes last Tuesday but for me it ...

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David Thomson
Thank you for treating my dental pain, it was a great relief! Thank you also for the care I received while visiting your practice.

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Fraser Gray

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Harley Street Root Canal Clinic
99 Harley Street

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Richmond Root Canal Clinic
4-6 George Street
Surrey TW9 1JY

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  • Root Canal Treatment

    You may require root canal treatment if you have pain or swelling associalted with your teeth.

  • Root Canal Re-Treatment

    We can help if you are having problems with teeth previously root canal treated by other dentists.

  • Endodontic Microsurgery

    Using the latest surgical techniques we help save teeth even if root canal treatment is not possible.