As someone with multiple obligations in your life, you will have two locations where you can receive your treatment. We also aim to give our patients various payment options because we know that financial obligations outside the dental office may take immediate priority. We perform consultations and provide treatment in both of our offices. After your arrival in our office, your appointment will begin with a consultation. A thorough examination will be performed and a diagnosis will be determined. Most of our patients elect to initiate treatment on the day of their consultation. Once endodontic treatment is initiated, it is often completed in a single visit. However, certain cases may require more than one visit. We usually perform endodontic retreatment in two visits because we feel that our patients have a better chance for success and healing. If a patient needing Endodontic care has an infection or extensive inflammation, we may complete the treatment in two visits in an attempt to give a greater prognosis or to attempt to avoid post-operative pain or swelling. Fill out the form below and one of our staff will contact you shortly to complete your appointment. You may of course call us at either office to make an appointment.

First Name:
Middle Initial:
Last Name:
Home Phone:
Work Phone:
Email:
General Dentist:
Preferred Office:	Mt. Pleasant   Charleston
Have you ever had a root canal before?		no		yes

Preferred Payment:		cash		MasterCard		Visa		Discover
		American Express				Wells Fargo Financing

Will you need a referral to a restorative dentist for a restoration following the procedure?  no   yes

Preferred Date/Time: