Jacobs Endodontics

Jacobs Endodontics Endodontics (root canal) services @ Jacobs Endodontics in Prestwich, Manchester

13/01/2026

We know endodontic treatment can feel daunting — so feedback like this really matters to us.
Clear explanations, gentle care and a great outcome ⭐️ Thank you for the lovely review.

3 cases treated today LL6 2 visits due to significant bone loss on CBCTVitapex dressing Great bony infill come today’s o...
27/10/2025

3 cases treated today

LL6 2 visits due to significant bone loss on CBCT
Vitapex dressing
Great bony infill come today’s obturation
Review booked for February prior to overlay

LL7 flare up 15 years after suboptimal RCT
Missed MB Canal

UL7 MB and DB Filled Feb 25
Persistent low grade symptoms
Pal canal located
DB and P connected until apical 1/3, separate roots/exits




UR6 cracks under amalgamPN SAPChallenges and solutions 1) Deep calcified pulp chamber continuing into coronal 1/3 of can...
20/10/2025

UR6 cracks under amalgam
PN SAP
Challenges and solutions

1) Deep calcified pulp chamber continuing into coronal 1/3 of canals

- remove all the amalgam first, assess the cracks and caries. More light. Stepped access into pulp chamber. US to break up and remove the calcifications. Utilise the CBCT which is invaluable in cases like this.

2) Curvature of roots and Narrow/slender roots

- Keep prep minimal. In this case 15.03 Minikut, 20.03, VS Blue 25.06v regressive taper.
-Activation with EDDY and 15.03 Endo activator tip and GP manual dynamic agitation.
-25.03 cones for obturation, with small heated pluggers and packers.

3) Managing the cracks

- cusps reduced 1mm.
SDR flow + laid separately over each of the cracks.
Dual cure composite in accudose turquoise tip to ensure well sealed core with no voids.
Full coverage crown advised asap.






Do you believe in selective retreatments?UL6 UL7 previously treated 10-15 years ago with an Endodontist. Missed MB2 in U...
13/10/2025

Do you believe in selective retreatments?

UL6 UL7 previously treated 10-15 years ago with an Endodontist.
Missed MB2 in UL6
Missed MP in UL7
Both had lesions and became symptomatic.

CBCT assessment revealed no lesion UL6 palatal root which had a fibre post to 18mm from cusp tip. Saw no benefit in retreating this canal. All other canals retreated as apical lesions.

UL7 crown removed. All restorative removed to confirm favourable prognosis for retreatment. Fibre post removed with US.

UL7
Single MB canal, wide DB/DP with fibre post
Missed MP canal independent to the apex
Patency all canals/shaping/disinfection

UL6
Targeted access through crown of MB/MB2/DB
Patency/prep/disinfection

Canals dressed with Vitapex for 4 weeks
2nd visit symptoms resolved
DB/DP canal filled with BC Putty as wide oval apex.
Other canals GP and BC sealer.
Fibre post replaced in the UL7 as previously.
Comp core placed in preparation for new crown UL7
Comp core to seal crown UL6





This 37yr old female had very long cast post crowns after a childhood trauma. She’d had apicectomies of both teeth in 20...
17/09/2025

This 37yr old female had very long cast post crowns after a childhood trauma. She’d had apicectomies of both teeth in 2017 but there was no evidence of a retrograde filling and both teeth had lesions that had steadily increased in size over time.

Good anaesthesia with full 10 minutes after final injection to avoid washout of the LA as per the advice of in previous mentoring. This led to a completely painless procedure for the patient.

Papilla sparing flap with relieving incision distal to 13 (Previous submarginal with scarring)

Osteotomy of both sites and granulation tissue removed. Clean firm bone at both sites.

Shaved both roots perpendicular to the long axis of the root.

Prepared both canals with 6mm US tip up to the posts.
Cotton pledget soaked in 1:1000 adrenaline placed in both crypts for 5 minutes.

Filled with one fil putty.
Overfilled and polished with wet cotton pledget and waited for initial set.

Bleeding re established in crypts and repositioned flap. Review scheduled in 2 weeks.

I’m expecting good healing with this repeat surgery.






Few cases from today coming over the next few days. UL6 referred with Dx PN CAAPalatal root pathology directly in commun...
16/09/2025

Few cases from today coming over the next few days.
UL6 referred with Dx PN CAA
Palatal root pathology directly in communication with the sinus.

4 canals, merging MBs
Palatal was wide so F3 PTU prep
Buccals prepped with VS Flexi Blue 25.06 variable taper and filled with 25.03 GP Cones
Nice anatomy captured in the palatal mid root.
Direct restoration with Luxacore - as always 5 mins self/chemical cure before light curing





Myth vs Truth!We’re setting the record straight on some of the biggest misconceptions about root canal treatment. ...
08/09/2025

Myth vs Truth!
We’re setting the record straight on some of the biggest misconceptions about root canal treatment.

Lateral lesions often = lateral canals!Referral from prior to Invisalign, whitening and composite bonding Minimal acces...
05/09/2025

Lateral lesions often = lateral canals!

Referral from prior to Invisalign, whitening and composite bonding

Minimal access
Canal prepped to F2 PTU
NaOCl 5.25%, EDTA 17% and then lots more NaOCl 5.25% activated with the .uk Endo Activator only.

Single cone matched GP and the trusted One-Fil from with a mid root downpack and heated GP.

Restored with Ever X flow dentine shade from and Omnichroma composite from supplied by .chana_trycare 👍👍






Address

406 Bury Old Road
Prestwich
M251PZ

Website

Alerts

Be the first to know and let us send you an email when Jacobs Endodontics posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Jacobs Endodontics:

Shortcuts

Share

Category