Advanced hands-on endodontics
Fractured instruments: you don’t always have to take them out.
A one-day, microscope-led course on the decision that matters most — retrieve, bypass, retain or refer for surgery — and the technique to carry it out.
- 29 January 2027
- Greenwich, London
- Max 10 delegates
- 7 hrs verifiable CPD
£1,300 + VAT · over £1,000 of instruments used on the day, with two kits to take home
The philosophy
Beyond retrieval
Most courses teach you how to remove a separated file. This one teaches you whether you should.
The objective isn’t to remove every fractured instrument. It is to choose the right treatment for the tooth.
Retrieve
When the fragment is accessible and removal won’t cost the tooth its strength. Staged access, ultrasonic troughing and the right retrieval system.
Bypass
When a path exists alongside the fragment. Negotiate past it, clean and shape to length, and incorporate it into the obturation.
Retain
When removal would do more harm than leaving it. Disinfect and seal coronal to the fragment, and monitor.
Surgery
When the fragment can’t be reached or bypassed and the tooth should be kept. Recognise the case early and plan an apical approach.
Reimplantation
When surgical access is limited. Know the indications for intentional reimplantation and when to choose it.
From decision to execution — you will leave knowing which pathway to take, and how to carry it out safely.
The format
Your own microscope. Your own ultrasonics. All day.
Places are limited to ten so that every delegate spends the day working, not watching. Each technique is demonstrated live under the microscope, then practised at your own station with direct feedback from Dr Flynn.
The day
Programme
Assessment and decision-making
Reading the radiograph and the tooth: fragment position, root anatomy, remaining dentine — and choosing the pathway.
Refreshment break
Access, staging and ultrasonic troughing
Straight-line access, creating a staging platform and exposing the fragment safely.
Lunch
Retrieval systems and practical technique
Hands-on with the Yoshi and Rogin systems on training blocks and extracted teeth.
Refreshment break
Bypassing, ledges and curved anatomy
Negotiating past fragments, managing ledges — and knowing when to stop.
7 hours verifiable CPD · GDC development outcomes A, C and D
Included in your place
Over £1,000 of instruments in your hands
You work with over £1,000 of instruments during the course. You then take home two complete kits and any unused files, so you can use the same systems on your next case.
- Yoshi Instrument Removal KitYours to keep
- Rogin Instrument Removal SystemYours to keep
- D-Finders and Elite filesAny not used during the course are yours to keep
Plus lunch and refreshments throughout the day
From specialist practice
Real cases. Real decisions.
Every technique on the course comes from cases managed in specialist referral practice. You will see how each decision was made — when to retrieve, when to bypass, and when leaving the fragment was the right call for the tooth.
Reserve your place
Your course leader
Dr Daniel Flynn
Specialist Endodontist · BDentSc, MClinDent · GDC No. 100571
Daniel is a practising specialist endodontist and the founder of Toothsaver. He manages fractured instruments routinely in referral practice, which is why this course is built around clinical judgement rather than a single retrieval technique.
Dates and booking
Upcoming dates
29 January 2027
09:00 – 17:00 · Toothsaver HQ, Unit 9, Greenwich Business Park, 29 Norman Road, Greenwich, London
Places are confirmed in order of booking, and live availability is shown when you book. Your fee includes tuition, 7 hours of verifiable CPD, over £1,000 of instruments to use on the day, two take-home kits with any unused files, lunch and refreshments. Full refund up to 3 months before the course; 50% refund up to 30 days before.
Questions
Frequently asked questions
Who is this course for?
Dentists with an interest in endodontics who want a structured approach to fractured instruments — from general dental practitioners to specialists.
How hands-on is it?
Most of the day is practical. You will have your own microscope and ultrasonic unit, and you will work on training blocks, 3D models and extracted teeth.
What equipment do I take home?
You use over £1,000 of instruments during the course. You keep two complete kits, the Yoshi Instrument Removal Kit and the Rogin Instrument Removal System, plus any D-Finders or Elite files not used on the day.
Is the course only about removing instruments?
No. The course covers when to retrieve, bypass or retain a fragment, and when to refer for surgery or intentional reimplantation.
Where is the venue?
Toothsaver HQ, Unit 9, Greenwich Business Park, 29 Norman Road, Greenwich, London. Full joining instructions are sent with your booking confirmation.
What is included in the fee?
Tuition, 7 hours of verifiable CPD, use of over £1,000 of instruments on the day, two take-home kits with any unused D-Finders or Elite files, lunch and refreshments.
What is the cancellation policy?
Cancel 3 months or more before the course date for a full refund. Cancel between 3 months and 30 days before for a 50% refund. Cancellations made less than 30 days before the course date are not refundable.
Ten places · One day
A decision framework you’ll use for the rest of your career.
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Max 10 places Reserve your place