Marlborough Clinic Belfast - Referrals

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Marlborough Clinic Belfast - Referrals

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15/06/2026

Our specialist Oral Medicine service accepts referrals for the assessment, diagnosis and management of complex conditions affecting the mouth and surrounding tissues.

The oral surgery and oral medicine service is supported by our onsite medical blood investigation team.

Referrals can be made quickly and securely via our online referral form, with our welcome team contacting patients promptly to arrange an appointment.

📱 https://www.cognitoforms.com/Digimax1/MarlboroughReferralForm

10/06/2026

As our patients retain their natural teeth for longer, and those teeth undergo more interventions in the “Restorative Cycle”, a feature we see more and more is Pulp Canal Obliteration (PCO).

PCO is a vital phenomenon, ie. requiring a vital pulp, in response to pulpal insult. This can be in the form of trauma (that solid, yellow, incisor that patients develop years after taking a knock), or more chronic pulpal irritation.

Increasing age, bruxism, or large, or repeated restorations all predispose to PCO.
While not a problem itself, PCO presents a challenge in the presence of apical periodontitis.

Secondary dentine is laid down throughout life, and tends to be ordered, while Tertiary dentine is generated in response to pulpal trauma. Tertiary dentine is quite disordered, and can contain islands of necrotic tissue.

When assessing any case, it is important to note the location and patency of the canals, and plan how you are going to find and negotiate them.

This 72-year-old gentleman was referred for treatment of his maxillary right first molar tooth (1.6).

The tooth had a crown in place, and had radiographic signs of apical periodontitis. It was just possible to trace the coronal portion of the MB canals, but nothing more.

Accessing through the crown revealed the pulp chamber to be completely calcified.
Krasner and Rankow’s 2004 paper, “Anatomy of the pulp chamber floor” is essential reading for anyone who carries out Root Canal Treatment.

Basic rules to follow include:
- The pulp chamber floor coincides with the level of the CEJ
- The Pulp chamber floor is dark grey
- The canal or***ces lie at the junction of the pulp chamber floor and walls.
Using these basic guidelines can keep you out of trouble.

Thankfully, I was able to locate the Palatal or***ce, and prepare the canal to Working Length. The Buccal or***ces were located in turn.

The canals were exceptionally hard to negotiate; especially the two MB canals. Essential aids to negotiation were:
- #8 C+ files
- #8 D-Finder files
- ToothSaver 14.03 rotary files
- 35% Trichloroacetic Acid (TCA)
Time and patience belong on this list as well.

08/06/2026

A big thank you to Final Year Dental students for a wonderful evening at their graduation ball at the iconic Titanic Museum ✨🥂

We hope everyone enjoyed the photobooth. Wishing you every success as you embark on your dental career!

05/06/2026

Meet Dr James Nelson, Specialist in Restorative Dentistry 🦷

James accepts referrals for fixed and removable prosthodontics, restorative dentistry and periodontology, with a particular interest in the stabilisation and rehabilitation of patients with periodontitis through both non-surgical and surgical treatment.

03/06/2026

Access to high-quality postgraduate dental education shouldn't require a flight ✈️

Our collaboration with The Campbell Academy brings one of the UK's most respected providers of dental education to Belfast, making it easier for dentists in Northern Ireland to access exceptional training closer to home.

Together, Marlborough Academy and The Campbell Academy are committed to supporting the development of dentists in Northern Ireland by providing greater access to leading education and practical learning opportunities right here in Belfast.

🔗https://www.campbellacademy.co.uk/

01/06/2026

We’re delighted to welcome ITI Fellow Dipesh Kothari to Belfast for the ITI Belfast Study Club, hosted at Marlborough Clinic Belfast.

The Belfast ITI Study Club brings together the dental community with a shared interest in implant dentistry, from surgical to restorative. With over 15 years of history, it offers a relaxed, informal environment to learn, share ideas, and connect with like-minded professionals.

Dipesh will share evidence-based insights into immediate implant placement and loading, alongside practical protocols for predictable implementation in everyday clinical practice.

If you would like to find out more about ITI Belfast Study Club, visit https://network.iti.org/events/event-search/event/-/event-detail/__/307224

29/05/2026

Specialist Endodontic Referrals with . Complimentary CBCT scan when clinically necessary and IV Sedation available for nervous patients.

Repost from
•
Re-treatment of a 3.6 with retained instrument fragment.

This 42-y-o M was referred with a large PARL and a sinus on his attached buccal gingiva.
The 3.6 had been treated some years previously.

After discussion about the guarded prognosis, I treated the 3.6 over two visits.

The GP was wet, and stained black.
ReTreaty 25.07 (Bully File) to remove the GP.
A previously undiscovered Mid-Mesial was located and negotiated to patency, and there was a lot of space around the distal GP.
I did not attempt removal of the file fragment in the ML, as it was clear that the canals merged, and the original treatment had already been quite aggressive.
AUI with 5.25% NaOCl and continuous chelation with HEDP.
The tooth was medicated for 4 weeks with Calcium Hydroxide.

At the return visit today, the sinus had healed, and the patient had had no further symptoms in the interim.
Lots of irrigation again today, and the canals were filled with Hydraulic Condensation of EdgeBioceramic.

Grandio core, and review in six months.

28/05/2026

A huge congratulations to our dental nurse Kesja, who has successfully passed her radiography exam 🎉

This is a fantastic achievement and a brilliant reflection of Kesja’s hard work, dedication, and commitment to continuing her professional development.

We are all incredibly proud of you, Kesja! 👏

25/05/2026

Special Care Dentistry referrals with timely access 🙌

We are pleased to offer prompt access for patients requiring additional care. Your patients will be contacted without delay and seen at a time that suits them, with clear communication provided throughout.

Our multidisciplinary setting allows us to support patients with more complex medical or behavioural needs, ensuring treatment is delivered safely, comfortably and in line with their overall care plan 🦷

Refer securely online at www.cognitoforms.com/Digimax1/MarlboroughReferralForm

21/05/2026

Specialist Endodontic Referrals with . Complimentary CBCT scan when clinically necessary and IV Sedation available for nervous patients.

Repost from
•
This was a tough one.

73-y-o M referred for management of his 1.6
The 1.6 presented with Pulp Necrosis and Chronic Apical Periodontitis.
Treatment was complicated by the presence of a PFM crown, and Pulp Canal Obliteration.

Just locating the canals was the first challenge. In cases like this, I like to “own” each canal; once identified, I like to negotiate each canal to patency, and prepare to the final file size, before moving on to the next. Just doing this can help you to picture where the other canals might be.
Palatal first in this case, then on to the DB.

A recent webinar mentioned the use of trichloroacetic acid (TCA) to aid negotiation of calcified canals. The logic is that the canal is not fully calcified but retains collagen blocking the finer portions. TCA dissolves the collagen. I have used it at 30% in several of these cases, including this one, and I do think it helps. Thanks Terry Pannkuk and .chaniotis_antonis for the tip.

The MB canal had a blockage, or ledge, in the cervical root. I was, eventually, able to bypass this with pre-bent #8 and 10 D-Finders, but that’s as far as I could go…
Enter the Plan B Blackjack file. One pass and the ledge was bypassed. The MB was negotiated to patency with MULTIPLE #8 C+ and D-Finder files, before a TS 14.03 made it to patency.
MB2 took another 20 minutes alone, and ended up blending into the MB when it was prepared.
Shaping was with EdgeEndo X7 Utopia, to 25.04 and the canals were filled with Hydraulic Condensation of EdgeSealer.

Note the lateral POE on the MB root, associated with it’s own lateral radiolucency.

You have to love these cases; they sort the wheat from the chaff.

Delighted with the outcome, and very glad to have such a pleasant patient to treat.

Address

1 Marlborough Park
Belfast
BT96XS

Website

https://www.marlboroughclinicbelfast.com/

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