The Endodontic Practice: Dr. Gaurav Vasudeva

19/12/2025

And just like that… 2025 is almost over.

This year felt different for me, a bit quieter on the outside, louder on the inside. I stepped back from posting clinical cases and lesser time on social media for a while, not because I stopped loving the work, but because I needed space. Space to reflect and recalibrate. To look inward, both personally and as the custodian of this practice.

At its core, even though we are a business, the reason I chose to become an endodontist was never about numbers. It was about patients, about saving teeth. I genuinely hate seeing teeth extracted, and I truly believe that with today’s evidence, technology, and skill, most teeth can be saved or at the very least, given a longer, healthier life unless they are truly hopeless.

Ironically, the real challenge isn’t the treatment anymore.
It’s convincing patients to save their own teeth.
Strange, isn’t it? You’d think everyone would fight to keep them but that’s not always the case.

Our practice is approaching its 5-year anniversary. We opened our doors at the height of COVID lockdowns, and I made myself a promise back then: business decisions would never override clinical care. Five years on, I still stand by that promise, though i have gotten better in managing the business too.

I feel incredibly grateful to the people around me. My staff, who feel more like family. Our referring dentists, who trust us. The builders, advisors, patients, and everyone who has been part of this journey. I feel deeply blessed to be surrounded by such good humans.

We still have a long way to go. There is so much more to build, improve, and create.
But for now that’s a wrap for 2025.

It’s time to pause, rest , to enjoy life with friends, family, and our four-legged companions. To recharge and come back stronger, clearer, and more inspired.

Wishing you all a beautiful Christmas and a powerful start to 2026.
See you on the other side.

The Endodontic Practice Perth

24/01/2025

We are delighted to welcome Dr. Stephanie Chan DMD, DCD (Endo) to The Endodontic Practice. Dr. Chan will be joining our team from February 2025 and is now taking new referrals.
Dr. Chan graduated with her DMD degree from the University of Sydney in 2019. After practicing in Sydney for a couple of years and tutoring at Sydney Dental Hospital, she developed a strong interest in Endodontics. Stephanie joined the DCD Endodontics program in 2021 and graduated from the University of Western Australia in 2024. She is passionate about providing the best patient-centered care with a gentle and compassionate approach, and particularly enjoys working with children. Her expertise in advanced endodontic techniques combined with a commitment to minimizing discomfort and staying up-to-date with the latest innovations ensures that patients of all ages receive the highest standard of care.
With Dr. Chan on board, we hope to be able to see your patients sooner and also take on some endodontic emergencies. Stephanie looks forward to treating your referred patients from February 2025.

29/12/2024

Case of the year!

Nonsurgical management of a large 15-16mm cystic lesion associated with #12 (lateral incisor) that destroyed considerable amount of palatal bone. A large palatal swelling with no sinus tract. Both adjacent teeth were vital hence I decided the non surgical approach not fully sure, it would work. We started with drainage through access and then incision and drainage as seen in the video followed by decompression, placing a surgical stent for the lesion to drain for few days. Caoh placement every 3 months or so with 6 monthly cbct assessment. Following 12 months of Caoh, I was finally confident I could obturate the canal and the bone would continue to heal. I have only managed a 6 month follow up for now but the case commenced in 2023.
Happy to see the palatal bone healing and the young 25 year old patient is happy with what we have managed to achieve for her.
This is all that an endodontist needs to feel accomplished and satisfied!
See you all in 2025!

19/10/2024

Excellent opportunity for an ongoing, possibly long term position for a dental assistant to work at our specialist Endodontic Practice.
Primary role: Dental assistant
Secondary role: Reception/Admin
2-4 days/week. (Monday to Thursday)
We are open to both casual and permanent positions for the right candidate.
Please apply via

The Endodontic Practice Perth

17/10/2024

A simple endodontic procedure can work wonders for the not only the tooth but also the tissues around it.

1 year follow up of a large apical abscess associated with right lower central incisor. The left central incisor was still vital even though it looks involved on the radiograph. Two canal with a thin long isthmus connecting the two. Happy to see good healing in progress in just 1 year. Not just the apical bone but also the interdental bone has recovered. The tooth was treated over 3 visits over 6 months with Caoh as intracranial medicament as a predictable approach.

04/10/2024

It has certainly been sometime since I posted some cases here! We have been as busy as ever and gearing up for the end of the year already. This year flew past!!

Interesting anatomy with all 4 canals fusing at the apical 3rd and then diverging into two separate exits.
The crown was removed as there was considerable sec caries underneath. Conservative access, Composite core, ready for a new hat!
Anatomy: 4-1-2

Please follow us at IG for new cases every week.

12/07/2024

It has been a while since we posted some cases.
Rare to see mandibular 2nd molars have 2 separate distal roots and canals. This one split mid root to a separate root! ..

24/05/2024

Another successful workshop conducted by Dr. Gaurav Vasudeva at the oral health center UWA with ADA WA. We had some amazing clinicians eager to take their Endodontic skills to the next level. We had a blast and learn from each other!

04/05/2024

Coming soon! There might be a few places still left! Please access the adawa website to book.
This is a unique 1 day hands-on workshop covering access to difficult canal negotiations/glide path, disinfection, medicaments and temporisation.

29/02/2024

Endodontists’ seldom get to provide emergency care for dental trauma as most patients end with up an emergency dentist or school dentists/oral health therapists first.
This was no different. 9 year old at the time of injury at school. #11 with lateral and extrusives luxation and #21 with subluxation injuries with mild discolouration. Near closed apex for both but it was difficult to predict complete closure had occurred or not by the time I saw them 4-5 weeks after trauma.
The school dentist did an excellent job of manipulating the tooth back to position immediately and splinted the tooth with a ortho wire before referring.
Patient had no pain post operatively and parents were not keep to undergo any further treatment.
We removed the splint straightaway after 5 weeks of splint in place. Both teeth has inclonclusive cold and EPT testing.
I explained that #11 will definitely require Endo due to the nature of injury and though we can wait and watch, it would be best practice to RCT 11 and monitor 21.
Parents declined but agreed to review in 3 months.
By the time I saw them, it was 4 months and to my surprise the root canal and chamber has almost completely obliterated for #11.
That was quick! Though this is not uncommon post dental trauma with luxation.
We initiated Endo for 11 and monitored 21. Eventually 21 didn’t respond well to pulp testing either and was mildly symptomatic after 6 months of trauma hence was root canal treated as well.
The colour came back in a few months and both there have been asymptomatic and functional since. .

01/02/2024

Interesting anatomy #46 with considerably calcified mesial canals that criss-cross at the apical 3rd with separate exits. Distal root with 2 separate or***ce and single exit with a sharp 90 degree curvature just short of the apex. Both roots associated with large apical pathology. Review of healing in 6 months.

12/01/2024

Happy New Year!
6 month follow-up of a case with lateral lesion mimicking possible VRF but cbct reveals a large lateral canals feeding the lesion.
MIE with 3 mesial or***ces and two exits.
Good healing noted in 6 months.