Post Placement and Occlusion Affect Prognosis A 59 year old male patient was referred to me for consultation regarding symptoms associated with tooth #14. The tooth had been endodontically treated...
Failing Anterior NSRCT needs SRCT A 68 year old female patient in good health was referred to my office for consideration of tooth #21. The patient's current complaint was a history of previous...
Do not be fooled by obvious radiographic findings This patient was seen on for assessment for possible retreatment of #46. The patient arrived with a current complaint of thermal (cold sensitivity)...
A 3 Rooted Cracked Virgin Maxillary Premolar A 33 year old male patient was seen referred to me for examination regarding symptoms arising from his right maxillary 2nd premolar. The patient's...
Treatment Planning a Fractured Cuspid A 43-year-old male in good health was referred to my office for examination of tooth #33 (mandibular left cuspid) . This virgin tooth had been involved in a...
Cemental Tear This patient was referred to me for examination and consultation regarding a mandibular anterior tooth that had been previously treated by the Referring Dentist. The 49 year old...
Surgical Endo Failure Due to Unusual Root Fracture A 55 year old female patient was referred to me in late 2013 for consultation and possible treatment of tooth# 12. The patient had a history of...
What have we learned from this retreatment failure? A 61-year-old male was referred for endodontic consideration of #35. The patient had #36 extracted by his dentist two weeks previously. Reason...
How far does the responsibilty of the Endodontist extend? A 58 year old female patient has been referred because a draining Bu sinus was noted during her hygiene appointment. The patient was...
cbCT assists with case selection A 39 year old male patient arrived with a history of sharp chewing sensitivity and elevated thermal sensitivity in a maxillary 2nd premolar. He previously had the...
Retrograde Filling of Unfilled Canal A 59 year old male patient in good health was seen for endodontic consideration of tooth # 22. He presented with a 3-unit bridge #11- #22 and had a history...
Assessment of CasesBefore Referral - Redux A 78 year old male patient was referred to my office for Endodontic consideration of teeth #s 36 and 37. The patient had a history of interproximal caries...
Treatment Plan ConsiderationsPrior to Referral - AgainThis 55 year old female patient was seen for symptoms of irreversible pulpitis in #15 and initiation of endodontic treatment. The patient...
Two Rooted Central - Treat or not? This patient was sent to me because of persistent sensitivity to percussion associated with previous Endo treatment of this maxillary central incisor....
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...
Do You need a cbCT to do Endo?Sometimes, with conventional radiography things just don't look right . The case seems fairly simple the canals are fairly easily negotiated and things seem to be going...
Treatment Plan or Fail ? For today's case of the month we discuss treatment planning with regards to this important maxillary first molar distal abutment. The patient presented with evidence of...
Furcal Lesion Heals Nicely Patients are sometimes referred with furcal radiolucencies or furcal involvement that may or may not be of Endodontic etiology. The question always is: How much of the...
The Need to Confirm the Diagnosis in YOUR Office A 47 year old female patient was referred to me for endodontic treatment of a maxillary left first molar (#26). The tooth had been restored...
Classic Maxillary Molar Retreatment A 53 year old male patient was referred to me for endodontic consideration of tooth #26. The patient had pain for five days and was awakened at night. The pain...
Cavity Test Aids in Proper Diagnosis A 26 year old female patient was referred to me for consideration of the mandibular Central Incisors The referring dentist had seen a periapical radiolucent...
BWs After Crowns - A Necessity?This patient was referred to me for endodontic treatment of a mandibular right first molar. The tooth had been restored with a composite restoration which had broken...
Are You SURE its Endo? Add a Title This patient was seen for endodontic consideration of #16. The tooth had been restored with a composite. The tooth had a crack that ran from the mesial...
Calcified Maxillary Lateral Proves to be a Challenge Like the song says, sometimes you gotta "Know when to hold 'em and know when to fold 'em." The patient was referred for Endodontic treatment of...
Virgin Cracked Molar Virgin teeth are extremely hard when the enamel is intact . However even virgin teeth can undergo fracture to the point where the pulp becomes involved. In this case a virgin...
Root Exposure and Thermal Sensitivity: Is Endo the Solution? A 48 year old female patient was originally referred to me in 2016 regarding sensitivity associated with the maxillary anterior teeth....
Treatment Planning Needed - 3 This patient was referred to me for Endodontic treatment of tooth # 36, the left mandibular first molar. The patient presented with symptoms to chewing and on...
Management of Dens Evaginatus This 17 year old Asian female patient was sent to me for consideration of a Virgin mandibular second molar on the right side. The patient had a history of pain in this...
Molar Disassembly Retreat This 41 year old female patient was referred to me for endodontic consideration of tooth #37. The patient had a history of endodontic treatment with post and amalgam...
Perio or Endo?This case was referred by a local periodontist for Endodontic consideration of this mandibular right second molar. The patient presented with gross labial gingival swelling along the...
Handling an Ugly Perforation This 29 year old male patient was referred to me in mid treatment. The patient had complained of slight discoloration of this lower incisor and the referring dentist...
Iatrogenic Oral Surgery Fixation Complicates Case This 27 year old male patient was referred to me after having had a traumatic incident which resulted in the fracture of his right mandible . The...
Where is YOUR Treatment Plan? The 64 year old female patient was referred to me for possible continuation of Endodontic treatment of a mandibular 2nd premolar. The patient was referred with a note...
Will Endo Help This Case? A 65 year old male patient was seen for exam and consultation regarding teeth #s 31 and 32. Tooth #31 had a history of regenerative periodontal surgery by a local...
Overzealous Access Causes Loss of Tooth Lateral perforation during attempted endodontic access is a particularly difficult problem to deal with because of the associated destruction of coronal tooth...
Endo works magic on Furca Predicting outcomes in cases with furcation involvement can be some of the most challenging situations Endodontists can face. When it comes to deciding on Endodontically...
Cracked Virgin Maxillary Premolar This case is a comedy of errors. The case was initially referred to me as a Virgin maxillary first premolar tooth with a mesial-distal fracture running through the...