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endodontist

Dr. Adrian Stewart BDS, PG Dip Endo (UCL), MSc

We are very fortunate to have Dr Adrian Stewart on the team. Adrian has completed a MSc in Clinical Dentistry (Restorative) at the University of Leeds 2013 (Pass with Merit), a Postgraduate Diploma in Endodontic Practice (Eastman Institute, UCL) 2013 (Pass with Distinction) and also a Diploma in Restorative Dentistry (RCS Eng) 2010 (Special interest module – Endodontics). He also has over twenty years' experience in general dentistry. Adrian has been working in practice limited to endodontics since 2013 and has extensive experience, having worked in specialist practices in the south of England and in King's College Hospital, London.

Adrian has a lovely, warm manner and is very popular with patients. In his spare time he farms and he is a keen rugby fan, having represented Ireland at u20 level.

Below please see some examples of Adrian's work.

 

Case Study 1:
This upper right second molar had been root treated by an Endodontist in New York,where the patient lived, 2 years previously. The patient complained that there had been a constant ‘ulcer’ in his gum since. The RCT and core were of a good standard so surgery was chosen rather than orthograde re-treatment. The final radiograph shows excellent healing at 6 months.

 Presentation

Presentation

 Post=Surgery

Post=Surgery

 6 Month Review

6 Month Review

Case Study 2

The referring dentist had dressed the root of the lower right central incisor on multiple occasions but there remained a persistent, serous exudate from the canal. The lower left central incisor responded negatively to sensibility tests also. A combined orthograde/surgical approach was chosen for the LR1 with simultaneous orthograde treatment of the LL1. The final radiograph shows excellent healing at 6 months.

 Presentation

Presentation

 Post-Surgery

Post-Surgery

 6 Month-Review

6 Month-Review

 

Case Study 3:
The referring dentist had identified a 90 degree curvature of the MB root of this upper right first molar.
Careful management of the curvature enabled a satisfactory result in two mesio-buccal canals.

 Presentation

Presentation

 Post-Surgery

Post-Surgery

 

Case Study 4:
Deep distal pocketing and a J-shaped radiolucent lesion were strongly suggestive of a vertical fracture in this lower first molar.
The tooth was chemo-mechanically prepared and dressed or 6 weeks with calcium hydroxide.
At the return visit, the pocketing had resolved and the tooth was symptom-free. Healing had already commenced.

 Presentation

Presentation

 Completion after 6 weeks dressing with calcium hydroxide

Completion after 6 weeks dressing with calcium hydroxide

 

Case Study 5

This lower second molar had three canals, which communicated in the apical region via isthmuses. The irrigant solutions could be drawn out of all canals by needle aspiration in any other. The 6-month review radiograph shows excellent healing and the isthmuses are clearly seen to contain root filling material.

 Presentation

Presentation

 Post-Surgery

Post-Surgery

 6 Month Review

6 Month Review

 

Case Study 6:
This upper central incisor was referred due to pulp canal obliteration. With the aid of the Dental Operating Microscope and ultrasonic tips, the canal was located and negotiated to patency.

 Presentation

Presentation

 Completion

Completion

 

Case Study 7:
This upper first molar was referred due to the dentist’s inability to locate the canals. The canals had undergone Pulp Canal Obliteration. With the aid of the Dental Operating Microscope and ultrasonic tips, the canals were located and negotiated to patency with 0.06 K-files and EDTA gel.

 Presentaton

Presentaton

 Completion

Completion

 

Case Study 8:
The referring dentist had fractured a file in the MB canal of this upper first molar. The file was first bypassed in the MB, then the MB2 was negotiated. With copious irrigation and ultrasonic activation the file was loosened and removed.

 Presentation

Presentation

 Completion

Completion

 

Case Study 9:
Lower right 6 with previously initiated therapy and Radix Entomolaris. Six-month review.

 Presentation

Presentation

 Completion

Completion

 6 Month Review

6 Month Review

 

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