Dr. Frederic Pascal Duke – Dentist | Victoria, BC

Dr. Frederic Pascal Duke is a Endodontist. Practicing at Apex Endodontics in Victoria, BC, Dr. Duke is committed to delivering high-quality, patient-focused dental care. Dr. Duke is licensed by The British Columbia College of Oral Health Professionals (BCCOHP) and adheres to the highest professional and ethical standards of the dental profession in BC. As a certified specialist in Endodontics, Dr. Duke is dedicated to the diagnosis and treatment of diseases and injuries of the dental pulp (nerve) and periradicular tissues (tissues surrounding the root of a tooth). Primary services include complex root canal therapy, retreatment of previous root canals, endodontic surgery (apicoectomy), and management of traumatic dental injuries. Dr. Duke serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors. For patient convenience, direct billing to many major dental insurance plans may be available at Apex Endodontics.

Dr. Frederic Pascal Duke earned a Dental Degree. This was followed by specialized training in advanced training to become a specialist in Specialty Practice in Endodontics. Dr. Duke brings valuable clinical experience to the practice. Dr. Duke is dedicated to ongoing continuing education to provide up-to-date dental care. This commitment ensures that Dr. Duke remains at the forefront of endodontic advancements, benefiting patients with the latest techniques and technologies.

Key aspects of Dr. Duke's dental practice philosophy include: a dedication to creating beautiful, healthy smiles that enhance both confidence and overall well-being; a strong emphasis on preventative dentistry and patient education to help maintain lifelong oral health; believing in conservative dentistry, aiming to preserve natural tooth structure whenever possible. Dr. Duke is fluent in English and also offers consultations in French.

As a specialist in Specialty Practice in Endodontics, Dr. Frederic Pascal Duke addresses specific and often complex oral health conditions such as:

Preventative Oral Health Topics

• Need for Routine Dental Check-up & Cleaning: Understanding the importance of routine examinations and professional cleanings for long-term dental wellness.
• Concerns about Oral Hygiene Practices: Seeking advice on how to improve brushing, flossing, or overall oral hygiene techniques.
• Questions about Dental Products (Toothpaste, Mouthwash, etc.): Wanting to understand which dental products are best for their specific oral health needs or conditions.

Tooth Trauma Endo

• Traumatic Injury to Teeth Involving Pulp Exposure or Root Damage: Seeking expert emergency and long-term care for severe dental trauma to maximize the chances of saving the injured tooth/teeth and maintaining their vitality and function.

Complex Dental Diagnosis Needs

• Need for Detailed 3D Imaging for Diagnosis or Treatment Planning (CBCT): Complex dental cases that significantly benefit from the superior diagnostic information and precise measurements provided by CBCT scans for optimal treatment outcomes.

Pulpal Root Canal Issues

• Severe Tooth Pain, Dental Abscess, or Suspected Need for Root Canal Therapy: Intense, persistent, throbbing toothache, significant swelling of the face or gums, a pimple-like lesion (fistula) on the gum, or prolonged sensitivity to hot/cold, indicating probable inflammation (pulpitis) or infection (necrosis, abscess) of the tooth's pulp (nerve), often requiring root canal treatment (endodontic therapy) to save the tooth.

This list offers some examples of conditions commonly addressed. A comprehensive diagnosis is always based on an individual assessment by Dr. Duke. If your specific oral health concern isn't listed, please contact the clinic to discuss your needs and appropriate treatment options.

• Complex Root Canal Therapy & Retreatment (Specialist Level): Expertise in handling complex endodontic situations beyond the scope of general practice.
• Oral Cancer Screening: Regular visual and tactile screening of the mouth, lips, tongue, and throat to detect any early signs of oral cancer or precancerous conditions.
• Management of Traumatic Dental Injuries to Pulp & Roots: Endodontic management of complex dental injuries to save traumatized teeth.
• Digital X-rays & Radiography (Intraoral & Extraoral): Low-radiation digital radiographs to detect cavities between teeth, assess bone levels, view tooth roots, and identify other hidden dental issues.
• Comprehensive Dental Examinations: Complete dental check-ups to assess your current oral health status, identify any existing issues, and develop a personalized treatment plan.

Note: This list highlights some of the key services offered by Dr. Duke. Not all services may be listed, and the suitability of any treatment depends on individual assessment. For a comprehensive understanding or to discuss your specific dental needs, please schedule a consultation.

All dental services by Dr. Frederic Pascal Duke adhere to scope of practice for Endodontists in BC and standards of The British Columbia College of Oral Health Professionals (BCCOHP).

As a specialist in Specialty Practice in Endodontics, Dr. Duke is dedicated to helping patients achieve significant improvements related to their specific and often complex oral health needs. At Apex Endodontics, the focus is on partnering with you towards outcomes such as:

• For individuals troubled by needing a thorough dental check-up and clearance before starting a major medical treatment or undergoing surgery (e.g., cardiac surgery, organ transplant, chemotherapy), Dr. Duke's approach is focused on delivering feeling refreshed and clean after a thorough professional dental cleaning and check-up. This often makes it possible for them to resume important activities like actively engaging in conversations without being preoccupied by a dental concern with a healthier smile.
• Many people seek Dr. Duke's professional help and expertise when dealing with their existing dentures not fitting as comfortably or securely as they used to. The mutually agreed upon, collaborative goal is consistently their receding gums being stabilized or treated, protecting their tooth roots, allowing a confident and satisfying return to valued life activities like being able to their child looking forward to dental visits rather than fearing them.
• If a need for a professional dental opinion on a growth, unusual spot, or texture change in their mouth that they discovered is preventing you from fully enjoying kissing their loved ones with confidence and without oral discomfort or causing discomfort, Dr. Duke offers expert dental solutions. The primary aim is to achieve the sore spot or ulcer in their mouth healing completely after diagnosis and treatment through comprehensive and personalized dental care.
• Managing a persistent and unexplained bad taste in their mouth, even after brushing effectively and proactively is a top priority for Dr. Duke and the dental team. The clear aim is always a single discolored tooth being aesthetically restored to match the rest of their smile, which directly helps patients get back to enjoying replacing missing teeth and feeling whole again, with a complete and functional smile and their daily routines without dental hindrance.

Your specialized treatment plan, developed in consultation with Dr. Duke, will be meticulously designed to address your unique concerns and help you reach your specific objectives within their area of expertise. Dr. Duke is committed to providing the highest standard of specialized care, tailored to your individual needs.

Apex Endodontics, where Dr. Duke practices, is situated in a well-regarded dental office in a Victoria neighborhood of Victoria. The clinic is conveniently located near Royal BC Museum and is accessible via Victoria Regional Transit System (BC Transit). Convenient patient parking is typically available near the clinic.

What should I expect during my first dental visit with Dr. Duke at Apex Endodontics?

At your initial appointment, Dr. Duke and the team at Apex Endodontics will focus on getting to know you and your oral health. Expect to fill out a medical history form, have a discussion about any dental issues or goals you have, followed by a detailed examination of your mouth. Digital X-rays may be taken to get a complete picture. Based on this, Dr. Duke will explain their assessment and any recommended treatments. It's a great time to ask questions.

Is dental treatment generally covered by provincial health plans like Medical Services Plan (MSP) of BC in BC?

In British Columbia, the provincial health plan (Medical Services Plan, or MSP) typically does <strong>not</strong> cover routine or major dental procedures in private clinics. Some limited dental surgeries performed in a hospital setting <em>might</em> be covered. Most dental care costs are paid out-of-pocket, through private dental insurance (often employer-sponsored), or government assistance programs for eligible individuals (e.g., children from low-income families, seniors on specific benefits). It is crucial to verify your eligibility for any public coverage and check your private dental insurance details (coverage, co-pays, deductibles, annual maximums) before treatment at Apex Endodontics.

Are dental X-rays safe, and how often are they needed?

Dental X-rays are very safe, particularly modern digital X-rays using minimal radiation. Protective lead aprons are used. X-rays are taken only when necessary for diagnosis (e.g., for new patients, to detect decay, assess bone health, or plan complex treatments). Dr. Duke determines the frequency based on your individual oral health, risk factors, and dental history, following guidelines like ALARA (As Low As Reasonably Achievable).

How often should I (or my child) visit Dr. Duke for a check-up and cleaning?

For most patients, preventative check-ups and cleanings are generally recommended every 6 months. However, Dr. Duke will personalize your schedule based on your individual needs, risk factors for cavities or gum disease, and any existing conditions. Some patients might need more frequent visits (e.g., every 3-4 months), while others may have longer intervals. Follow Dr. Duke's specific recommendations.

Do I need a referral to see a general dentist like Dr. Duke?

No, you generally do not need a referral to see Dr. Duke for a check-up, cleaning, or consultation. You can book an appointment directly with Apex Endodontics.

Apex Endodontics
200-4396 West Saanich Road
Victoria, BC, V8Z 3E9

Phone: (250) 590-0052

Dr. Frederic Pascal Duke is a licensed Endodontist in BC, regulated by The British Columbia College of Oral Health Professionals (BCCOHP) under the Health Professions Act (British Columbia).

Registration can typically be verified through the website of The British Columbia College of Oral Health Professionals (BCCOHP).

Regular dental check-ups and good oral hygiene are essential for maintaining overall health. Dr. Duke and the team are committed to providing you with comprehensive dental care. If you have a dental emergency, please contact the clinic promptly. For after-hours emergencies that are life-threatening, proceed to the nearest hospital emergency department.