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dental patient forms

Patient Forms

Fill out the forms ahead of time with our interactive PDFs.

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Contact/Visit Us

Have a question about our clinic or our root canal procedures? Looking for directions?

Root Canal Treatment Appointment


Fill out our form and we will contact you by phone as soon as possible to complete your registration.

We specialize in helping you feel comfortable.

We look forward to meeting you!

Dr. Brett E. Gilbert and Dr Samantha Synenberg along with our experienced endodontic staff are committed to providing the highest standard of professional care in a pleasant and comfortable environment. We hope that this site will provide you with the answers to many of your questions and concerns.


Our endodontic practice has been serving the needs of the Northwest Chicago area for over 35 years.

State of the Art

Some of our equipment includes 3D imaging, digital x-rays, dental operating microscopes, Endovac irrigation system, Calaject computer assisted anesthesia delivery, bioceramic materials, and ultrasonic instruments.

Root Canal Patient Reviews

Reviews / Social Media

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Dentist in Niles

Referring Doctor?

Need a referral form? Have confidence that your patient will receive our full attention.

Endodontics Clinical Experience Courses

CE Courses

Take a look at Dr Gilbert’s upcoming live clinical experience course schedule.