Coronavirus Policy for Dentists

  • During these unprecedented times all Treatment has so far stopped at EndoCare due to the risk of the spread of Covid 19. We are now cautiously reopening with enhanced procedures aimed at keeping both staff and patients protected so that treatment can once again be carried out in a safe environment. Before you make an appointment we will be asking various questions to make sure that staff and other patients can be well looked after:

    Nobody with Covid symptoms is allowed into the practice.

    • How are you generally?
    • Do you have a temperature at the moment and if so, is it over 37.8 degrees centigrade?
    • Do you have a new persistent cough?
    • Have you got or have you had muscle pains?
    • Have you got or have you had a persistent headache in the last 14 days?
    • Have you become breathless or are you more breathless than usual?
    • Have you lost your sense of taste and/or smell within the last 14 days?

    Nobody who is asymptomatic but self-isolating should come for an appointment.

The New Treatment Cycle

Patient Triage

Patient Arrival

In Surgery

After Treatment

Root Canal Treatment Protocol:

Magnification and improved illumination are advised.

Magnification and improved illumination are advised.

Pre-op mouthrinse

Pre-op mouthrinse with 1%–1.5% hydrogen peroxide or 0.2% povidone-iodine for one minute.

Local anaesthesia

Local anaesthesia as indicated – consider use of Articaine or Mepivicaine in cases of pulpitis

Isolation

Isolation – Use of dental dam mandatory, ideally single tooth, and placed prior to access in such a way that the entire oral cavity is covered. Use of caulking cement to improve seal (Oraseal/Opaldam)

Decontamination

Decontamination of the operative field (both dental dam and tooth to be treated) with 3% NaOCl or 1.5% Hydrogen Peroxide

Access into pulp chamber

  • If possible, limit AGPs to the start of the appointment to minimise fallow period.
  • Removal of restorative material / access through enamel with high speed electric or turbinehandpiece, reduced coolant can be used.
  • High volume aspiration (HVA) is mandatory.
  • Removal of dentine to refine access cavity can be undertaken with slow speed handpiecewith minimal or no coolant required.
  • Avoid use of 3 in 1 syringe, use of NaOCl in Monoject syringe to remove debris favourable.

Access into Pulp ChamberOrifice location and chemo-mechanical preparation

  • Initial coronal flare with Gates-Glidden burs or NiTi orifice shapers.
  • Where the tooth has been root treated previously, Gates-Glidden burs and specificretreatment files may be used to remove existing root filling material, with or withoutsolvent.
  • Assessment of working length with electronic apex locator.
  • Completion of root canal preparation with preferred file system. Irrigation with 1%–5.25%NaOCl throughout chemo-mechanical preparation phase, with activated irrigation once mechanical preparation complete (avoid use of sonic or ultrasonic activation, manual dynamic GP pumping preferred).

Dressing if required

  • Dry pulp chamber using high volume aspiration and cotton wool pledget and canal using paper points.
  • Place dressing material (preferably Ca(OH)2 into canals, place cotton wool / sterile sponge or PTFE into pulp chamber and hard wearing temporary restorative material (RMGIC / IRM).

Obturation

  1. Obturation – dry pulp chamber with cotton wool pledget, dry canals with paper points and use preferred obturation materials and technique of choice. Remove obturation material at orifice level and restore with permanent core restoration.
Endocare Root Canal Specialist London - Embarrassing Bodies

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.

ENdocare Welcome Video

Click on the link above to watch an overview of what we do and to learn more about EndoCare.

Endocare Blog

Click on the link above to read our blog. We regularly release new articles and posts to allow you to stay up-to-date with all of our latest news.

Weekend Opening

Endocare Root Canal London and Richmond surgeries are now open on Weekends. If you need to see a Root Canal Dentist on Saturday or Sunday then we are now open. For details of our new weekend opening hours please contact us now.

Patient Testimonials

This page is having a slideshow that uses Javascript. Your browser either doesn't support Javascript or you have it turned off. To see this page as it is meant to appear please use a Javascript enabled browser.

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 ...

Read More

David Thomson
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 ...

Read More

Georgia F
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 ...

Read More

Anne
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 ...

Read More

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

Read More

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

Read More

Fraser Gray
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.

Read More

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

Read More

Zita Drew

Our Root Canal Treatment Clinic Locations

Endocare Root Canal Specialist Harley Street

Harley Street Root Canal Clinic
99 Harley Street
London
W1G 6AQ

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

Endocare Root Canal Specialist Richmond

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

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

logo-harleystreet-gallery-v6
Endocare Richmond - Root canal treatment
logo-photoshoot-gallery-v6

Endocare Root Canal Centre - Root Canal Specialist London - Why Choose Us

  • 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.

Coronavirus Policy for Dentists

During these unprecedented times all Treatment has so far stopped at EndoCare due to the risk of the spread of Covid 19. We are now cautiously reopening with enhanced procedures aimed at keeping both staff and patients protected so that treatment can once again be carried out in a safe environment. Before you make an appointment we will be asking various questions to make sure that staff and other patients can be well looked after:

Nobody with Covid symptoms
is allowed into the practice.

How are you generally?

Do you have a temperature at the moment and if so, is it over 37.8 degrees centigrade?

Do you have a new persistent cough?

Have you got or have you had muscle pains?

Have you got or have you had a persistent headache in the last 14 days?

Have you become breathless or are you more breathless than usual?

Nobody who is asymptomatic but
self-isolating should come for an appointment.