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We are unable to accept referrals for endodontics (either primary or retreat) if the tooth is not of strategic importance - this would, for example, include teeth that are supporting essential bridgework, or if the tooth contributes to the maintenance of a functional dentition (normally a shortened dental arch of 10 occluding pairs).  Most cases accepted for treatment will be taken to a point where the referring practitioner should be able to complete treatment.

Referrals not fulfilling the following criteria shall be rejected:

  • De-novo treatment has been attempted
  • There is a specific problem with the tooth, which cannot otherwise be treated in general practice (cases of complexity 1 and 2 difficulty will normally be referred back with advice); for example:
    > complex root canal anatomy (such as sclerosed canals or excessive curvature)
    > separated instruments
    > management of open apices, resorption and trauma
  • The tooth is of strategic importance to the patient in terms of function (normally a shortened dental arch of 10 occluding pairs)
  • Molar teeth can only be considered for endodontic treatment if they are strategically important teeth to maintain function, or if they are important to the retention of a prosthesis.
  • The tooth is restorable and functional; it is the responsibility of the referring dentist to ensure that the tooth is caries-free, has good periodontal prognosis and any unsatisfactory restoration has been replaced to ensure a coronal seal is achieved.
  • Where the medical history supports endodontic therapy over extraction (e.g. risk of osseonecrosis due to bisphosphonate medication or previous radiotherapy)
  • 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.
  • A recent (within 3 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.

For further information on sub-specialty areas, click on appropriate link below: