Pre-op radiograph of #14

It’s Vital…with No Fillings…but it Hurts!

September 19, 2014

Radiographs can be so deceiving! This radiograph of the first quadrant looks so calm, so unassuming… everything looks normal. What you didn’t see was the patient attached to this radiograph – having extreme, radiating pain. When everything looks fine on the radiograph, and we have a quadrant full of unrestored or minimally restored teeth, my spidey sense tells me to pick up a probe, and also a transilluminating device…

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lost crown

MTA… Saving Open Apices One Tooth at a Time!

June 26, 2013

Providing root canal treatment can be challenging in teeth with incomplete root formation. The apex is large and open, the canals walls are thin and fragile, and this makes disinfection and obturation hard to do. Before the advent of MTA, calcium hydroxide was used in teeth with open apices over a long period of time, anywhere from 6 months to 24 months, to induce a calcified barrier over the open root apex…

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retrofill

How can an Apicoectomy Help?

June 4, 2013

There are times when conventional root canal treatment or retreatment cannot heal every periapical lesion out there. Luckily, we have the option of an apicoectomy – which in today’s terms, means microsurgery. During an apicoectomy, the most apical part of the root tip (usually about 3 mm) is removed…

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needle irrigation

Irrigation…How Low do you Dare to Go?

May 2, 2013

I graduated from dental school years and years ago with a deeply instilled fear of perforation, a reluctance to tackle calcified teeth, and anxiety whenever I waited for my obturation film to emerge from the processor. Irrigating the root canal was the breeziest part of treatment, to my memory…

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permaflo purple

How do You “Seal” the Deal?

April 19, 2013

After we’ve spent so much time doing great endodontic treatment – with rubber dam isolation, perhaps gingerly applying OraSeal or Kool-Dam to make sure everything is water tight, carefully instrumenting, copiously irrigating, and then obturating with great style – how can we protect our painstaking work?

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flare up

I’m having a Flare-Up!

March 25, 2013

When our patients experience a “flare-up”, we wish they were experiencing a transcendental jazz trumpet experience, and not the other kind, the endodontic kind! Fortunately, the reported incidence of flare-ups is relatively low, generally somewhere between 1-8%. But when it happens, no one is happy, which is a negative experience for the patient, of course…

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