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...
Blog
March 2020 – Retreatment Avoids Surgery
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...
February 2020 – The Myth of the Apical Constriction
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...
January 2020 – 3 Distal Canals Mandibular Molar
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...
December 2019 – Do You need a cbCT to do Endo?
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...
November 2019 – Treatment Plan or Fail ?
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...
October 2019 – Furcal Lesion Heals Nicely
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...
September 2019 – The Need to Confirm the Diagnosis in YOUR Office
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...
August 2019 – Classic Maxillary Molar Retreatment
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...
July 2019 – Cavity Test Aids in Proper Diagnosis
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...
June 2019 – BWs After Crowns – A Necessity?
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...
May 2019 – Are You SURE its Endo?
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...
April 2019 – Calcified Maxillary Lateral Proves to be a Challenge
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...
March 2019 – Virgin Cracked Molar
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...
February 2019 – Root Exposure and Thermal Sensitivity: Is Endo the Solution?
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....
January 2019 – Treatment Planning Needed – 3
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...
December 2018 – Management of Dens Evaginatus
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...
November 2018 – Molar Disassembly Retreat
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...
October 2018 – Perio or Endo?
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...
September 2018 – Handling an Ugly Perforation
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...
August 2018 – Iatrogenic Oral Surgery Fixation Complicates Case
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...
July 2018 – Where is YOUR Treatment Plan?
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...
June 2018 – Will Endo Help This Case?
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...
May 2018 – Overzealous Access Causes Loss of Tooth
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...