• 13 APR 16

    What’s next?

    Root Canal London

    In a profession that is as heavily regulated as ours, there will always be those compulsory training days and sessions that we’ve all come to dread. Mine, in particular, is the annual infection control lecture.

    I always approach these sessions, with a distinct sinking feeling. Past experience has left me concerned about the quality of the CPD on offer, worried that I will be subjected to another afternoon of scaremongering and opportunistic commercialism.

    Far worse, though, is the yo-yo-like introduction and withdrawal of guidelines that happens year on year – usually without any scientific evidence to support the decisions.

    Of course, you must not mistake these grumblings as a disregard of the importance of infection control. Like any conscientious practitioner, I take these responsibilities very seriously and, ultimately, I think the changes that have been made have been positive. I certainly feel more comfortable in the treatment chair when I know all the instruments being put in my mouth have been properly cleaned and that when the nurse leans over me I won’t see any blood splatters on their uniform from the previous extraction.

    But all I want is a little consistency. I’m sure we can all remember when we were required to keep our sterilised equipment in bags, to be re-sterilised after 30 days of non-use. That quickly changed to 60 days and now it’ gone up to one year. Why? Who knows!

    The science that dictates these guidelines is not made widely available to professionals – we are simply required to dogmatically follow them. What’s more worrying, however, is the fact that private practitioners are not consistently informed of these regularly changing guidelines. NHS practices and hospitals receive regular updates from the Department of Health – but in private practice we are too often let in the dark. Gone are the days when the BNF was sent to all practices: we now have to purchase it or subscribe online.

    In fact, and I say this with a certain amount of trepidation, I regularly find out about new guidelines by reading through some of the GDC fitness to practise hearings. I often see cases where practitioners are being penalised for something of which I’m not even aware. In this, I think, there has been a fundamental failing in the profession – which is having serious ramifications for practitioners right across the country.

    And so, this year, I took my seat with the unfortunate presumption that I would be going home dissatisfied and frustrated, loaded down with bags and disinfectant solutions that I’m not sure I really need. But I was actually pleasantly surprised. The quality of the lecture was really very good and the lecturer herself was incredibly knowledgeable and gave us all practical guidance, advice and updates. She was also a CQC practice inspector, meaning she actually understood how dental practices work on a day to day basis.

    She provided some interesting insights into current clinical trends – including how the number of hepatitis B cases, which have remained relatively stable for many years, has suddenly doubled, with the biggest rises in young women. We also discussed the use of antibiotics in the practice, the dangers of AMR and how to best strike a balance with course length and appropriate dosage.

    I came away far more satisfied than I thought I would, reassured that there is hope out there after all – but, nonetheless, I couldn’t help tallying up just how much compliance could end up costing. With all the changes, with all the considerations, I was left wondering what strategies I would have to employ to make it feasible – and it came back down to the question of consistency again. Should practices spend significant sums of money to replace their old sinks with ones that are compliant this year but potentially not the next? Should they have to budget for the Governments indecisiveness?

    It’s a difficult situation and, ultimately, the patient will suffer. If practitioners are always having to buy new equipment, new cabinetry or new PPE, the cost of treatment will inevitably go up to accommodate the additional expenditures. It’s not a case of ignoring these topics – the protection of our patient is, and always our foremost consideration – but in order to best do that, we need a consistent direction and a better system for sharing the knowledge we need. If we had that, we could all move forward together, knowing what to expect.


    Root Canal London

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Click on the link above to see what happened when we were invited by Channel 4’s Embarrassing Bodies to treat a patient who was suffering from an extreme case of  teeth grinding.

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Patient Testimonials

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
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
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
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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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

Our Clinic Locations


Harley Street Root Canal Clinic
99 Harley Street

Contact this Clinic:
Call us: 0207 224 0999
Email us: CLICK HERE


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

Contact this Clinic:
Call us: 0208 912 1340
Email us: CLICK HERE

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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.