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...
Blog
January 2022 Failing Anterior Tooth Needs SRCT
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...
December 2021 Listen to the Patient and not be blinded by radiographic findings
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)...
November 2021 3 Rooted Virgin Maxillary Premolar Requires Endo
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...
October 2021 Fractured Cuspid Presents Treatment Plan Challenge
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...
File Bending – An essential skill for Endodontics
File Bending - An Essential Endodontic Skill The popularity of nickel titanium engine driven Rotary instrumentation has had one unfortunate byproduct: Graduate students are becoming much less...
Sept. 2021 Cemental Tear
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...
I Just Broke a File – Now What?
You Just Broke a File - Now What? Separated files, busted files, broken files, and my all time favorite "Disarticulated files" (Do files actually "articulate"?!) all mean the same thing - part of...
August 2021 – Surgical Endo Failure Due to Unusual Root Fracture
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...
July 2021 – What can we learn from failure of a retreatment case?
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...
June 2021 – How far does the referral go? Tx Planning for Optimal Patient results?
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...
May 2021 – cbCT assists with case selection
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...
April 2021 – Retrograde canal filling of Unfilled Canal
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...
March 2021 – Assessment of Cases Before Referral – Redux
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...
February 2021 – Treatment Plan Considerations Prior to Referral – Again
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...
January 2021 – Two Rooted Central – Treat or not?
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....
December 2020 – Retreatment Options
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...
November 2020 – Adjacent Pathology Influences Treatment
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...
October 2020 – BWs and Communication with the Referral Best Manages the Case
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...
September 2020 – Lateral Radiolucency
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...
August 2020 – Salvaging a Cracked Molar
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....
July 2020 – cbCT Helps With Decision Making
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...
June 2020 – Examining the Mouth as a Whole Before Initiating Treatment
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...
May 2020 – Multiple Foramina
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...