Pratik Shah

Dentist
Specialist Endodontist

Qualifications: BDS, MFDS RCSEd, MSc, MEndo RCSEd, FHEA

GDC: 85645

Pratik graduated from University of Sheffield in 2005 and worked in general practice for over 10 years. In 2016 he completed the MSc in Endodontic Practice programme at Queen Mary University of London, with Merit and gained further experience as a Specialty Dentist/Clinical Lecturer in Endodontics at the Royal London Hospital. In 2020, he received the Membership in Endodontics from the Royal College of Surgeons of Edinburgh.

Pratik teaches and mentors postgraduate students on the MSc in Endodontic Practice programme at Queen Mary University of London and is also involved with the delivery of hands-on CPD courses for dentists.

He performs all endodontic treatments under an operating microscope or high magnification loupes and utilises a wide variety of endodontic armamentarium. Pratik’s kind and caring nature and clear explanations of procedures help ease patients during treatments.

Outside root canals, Pratik enjoys keeping fit by swimming, football and long walks.

Pratik

Dr Pratik Shah Cases

Case 1

Patient TH had a separated instrument in the LR5, which extend beyond the apex. Treatment was completed in a single visit by accessing through the old filling, removing the separated file with ultrasonics and the IRS kit, and preparing, disinfecting, and filling the root canal with gutta percha and sealer. A crown and further review was advised.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 1 Image 1 Pre-operative

Separated file

Pratik Shah Case 1 Image 2 Separated file

Post-operative

Pratik Shah Case 1 Image 3 Post-operative

Case 2

Patient CB developed pain from UL4, which unusually had three roots. Treatment was completed over two visits by accessing through the old filling, locating the three canals, disinfecting, and filling with gutta percha and sealer. A crown was recommended 12-month image shows a favourable outcome.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 2 Image 1 Pre-operative

Obturation of the three canals

Pratik Shah Case 2 Image 2 Obturation of the three canals_

Post-operative

Pratik Shah Case 2 Image 3 Post-operative

12 month review

Pratik Shah Case 2 Image 4 12 month review

Case 3

Patient LC developed a sinus tract from a previously traumatised and asymptomatic UR1 that had been crowned. UR1 developed internal resorption following the trauma and, after complete pulp death, apical disease developed later. Treatment was completed over two appointments with healing of the sinus tract after the first visit. The root canal was accessed through the crown, prepared, disinfected, and obturated with gutta percha and sealer. The access cavity was filled with composite. A 12-month review image shows the healing complete.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Post-operative

Healing at 12 months

Pratik Shah Case 3 Image 1 Healing at 12 months

Pre-operative

Preparation

Pratik Shah Case 3 Image 5 Preparation_

Obturation

Restoration

Pratik Shah Case 3 Image 7 Restoration

Case 4

Patient FT developed a severe pain from LL7, which had a C-shaped root canal system. Treatment was completed over two appointments, with resolution of the discomfort after the first visit. The tooth was accessed, three canals were located, prepared, disinfected, and filled with gutta percha and sealer. A crown and further review was advised.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 4 Image 1 Pre-operative

Post-operative

Case 5

Patient RJ developed a sinus tract from LR8, which also had a periapical lesion. Treatment was completed over two appointments, with resolution of the sinus tract after the first visit. The tooth was accessed, and three canals were located and prepared, disinfected, and filled with gutta percha and sealer. A 6-month review image shows the healing progressing.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 5 Image 1 Pre-operative

Post-operative

Pratik Shah Case 5 Image 2 Post-operative

Healing at 6 months

Pratik Shah Case 5 Image 3 Healing at 6 months

Case 6

Patient MP developed pain previously from LR6, which was sub-optimally root-filled. Treatment was completed in one appointment by accessing through the old filling, removing the old root-filling, locating the missed canals in both roots, disinfecting, and filling with gutta percha and sealer. A crown and further review was advised.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 6 Image 1 Pre-operative

Post-operative

Pratik Shah Case 6 Image 2 Post-operative

Case 7

Patient AT developed a large swelling from LR6, which had a supplementary distal root and a large periradicular lesion. Treatment was completed over two appointments, with resolution of the swelling after the first visit. The tooth was accessed, and all four canals were located and prepared, disinfected, and filled with gutta percha and sealer. A 6-month review image shows the healing nearing completion and a crown was advised.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 7 Image 1 Pre-operative

Post-operative

Healing at 6 months

Pratik Shah Case 7 Image 3 Healing at 6 months

Case 8

Patient DG developed pain previously from LL6, which had a narrowed and curved root canal system, and had been crowned. Treatment was completed in one appointment by accessing through the crown, locating, shaping and disinfecting the four narrowed canals, and filling them with gutta percha and sealer.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 8 Image 1 Pre-operative

Post-operative

Case 9

Patient SS developed a sinus tract that was traced to a previously traumatised UR1. The UR1 experienced pulp necrosis following the trauma resulting in an immature root, with an opened apex, and apical disease. Treatment was completed over two visits with the healing of the sinus tract after the first appointment. A thorough disinfection was done prior to filling the apical portion with bioceramic putty. A 6-month review image shows the healing nearing completion, and complete after 12 months.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 9 Image 1 Pre-operative

Bioceramic plug

Pratik Shah Case 9 Image 2 Bioceramtic plug

Post-operative

Pratik Shah Case 9 Image 3 Post-operative

Healing at 6 months

Pratik Shah Case 9 Image 4 Healing at 6 months

Case 10

Patient KB developed a sinus tract and swelling from UR4, which had a large apical lesion. Root canal treatment was completed over two visits, with the resolution of the symptoms after the first appointment. A 6-month review image shows the healing nearing completion and a crown was advised.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 10 Image 1 Pre-operative

Post-operative

Pratik Shah Case 10 Image 2 Post-operative

Healing at 6 months

Case 11

Patient JF developed apical disease in a previously traumatised and asymptomatic UR1 next to an implant. UR1 underwent pulp canal obliteration (extreme narrowing of the root canal system) following the trauma and resulting in pulp death and apical disease several years later. Treatment was completed over a single visit, with location and negotiation of the extremely narrowed canal, disinfection, and filling with gutta percha and sealer. A 12-month review image shows the healing complete.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 11 Image 1 Pre-operative

Post-operative

Healing at 12 months

Case 12

Patient SM developed severe pain from UL7, which had a narrowed root canal system and supported a bridge. Treatment was completed over two visits, with resolution of the discomfort after the initial appointment. The tooth was accessed through the bridge and the four narrow canals were located, shaped, disinfected, and filled with gutta percha and sealer. A 6-month review image shows the healing progressing.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 12 Image 1 Pre-operative

Post-operative

Pratik Shah Case 12 Image 2 Post-operative

Healing at 6 months

Pratik Shah Case 12 Image 3 Healing at 6 months

Case 13

Patient RD developed a painful swelling from UR6, which had a narrowed root canal system and had been crowned previously. Treatment was completed over two visits, with resolution of the pain and swelling after the first appointment. The tooth was accessed through the crown and the four narrowed canals were located and prepared (see master cone image), disinfected, and filled with gutta percha and sealer. A 6-month review image shows the healing progressing.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 13 Image 1 Pre-operative

Master cone

Pratik Shah Case 13 Image 2 Master cone

Post-operative

Pratik Shah Case 13 Image 3 Post-operative

Healing at 6 months

Pratik Shah Case 13 Image 4 Healing at 6 months

Case 14

Patient AL developed a swelling in her mouth due to infected sub-optimal old root fillings on UL1 and UL2, and needed root canal retreatment. Treatment completed over two visits with removal of the old gutta percha from UR1 and silver point from UL2. After resolution of symptoms both teeth were filled with new gutta percha and sealer to the apex. A 6-month review image shows the healing progressing.

Case by: Dr Pratik Shah – Specialist in Endodontics

Pre-operative

Pratik Shah Case 14 Image 1 Pre-operative

Post-operative