Cases of the Month – 2020

Retreatment OptionsThis 48 year old male patient was referred to me by their dentist for consideration of Endodontic treatment of tooth #36. The patient had a history of discomfort that was...

Adjacent Pathology Influences TreatmentA 41 year old female patient was sent to me for continuation of treatment of tooth #47. The truth had been previously endodontically accessed by the referring...

BWs and Communication with the Referral Best Manages the Case A 52 year old male patient was referred for Endodontic treatment of a mandibular left first molar. The patient had a history of gross...

Lateral Radiolucency This 80 year old patient was sent to me with a history of draining buccal sinus associated with a maxillary right cuspid (#13). The tooth had been crowned as one of the...

Salvaging a Cracked Molar This is a 59 year old male patient who came in with a localized complaint of pain for approximately one week. They had been awakened at night and the pain was increasing....

cbCT Helps With Decision Making This 60 year old male patient was referred to me for evaluation of the area of tooth #37. The tooth had a history of previous endodontic treatment with full gold...

Examining the Mouth as a Whole Before Initiating Treatment This was a 41 year old female looking to see me regarding treatment of tooth #16 . As we can see from the initial examination, the patient...

Multiple Foramina Although cone beam tomography has wonderful imaging capabilities, treatment of what appears to be relatively normal canal anatomy can result in some interesting final results. In...

Severe Attrition - Endo Indicated?Here is an example of a fairly young patient  in his early 20s with very severe attrition. We can see that the molars on the left hand side have pretty much lost...

Retreatment Avoids Surgery This patient was referred to me because of persistent apical palpation symptoms and draining buccal sinus associated what the apex of tooth #11. The tooth had been...

The Myth of the Apical Constriction This mandibular first molar was referred to me for possible treatment due to the presence of a draining buccal sinus . The patient remarked that it had been there...

3 Distal Canals Mandibular Molar Here is an interesting case that was sent to us . 80% of the cases I see are molars of some type. The distal canals of molars are often extremely variable in their...