Intentional Replantation

Pre-op #31

Pre-op #31

Extracted #31

Extracted #31

Check x-ray

Resected root

MTA retrograde filling

Immediate post-op

9 months follow up

9 months follow up

 

White Sox Fan

White Sox – 2005 World Series Champions

White Sox – 2005 World Series Champions

 

Unedited Root Canal Obturation Video

#19 Pre-op

unedited obturation video

#19 Post-op

 

Implant Or A Root Canal

Tooth #9 and 10

No periapical pathosis over tooth #10

Failing implant #9

 

Endodontic Treatment Planning in Patients Taking Bisphosphonates

Her anterior teeth have no problems, no decay, molars and premolars are missing on her lower right.

Tooth #12 is already banked (just needs a restoration), tooth #15 asymptomatic and needs a crown.

Tooth #19 is scheduled for RCT and #20 and 21 are likely to have RCTs as well. Note: #20 and 21 test WNL to cold and percussion, #19 lingering response to cold.

Root tips of tooth #3 are partially covered with gingiva and cannot be salvaged. The referring oral surgeon’s treatment plan is NOT to extract any teeth due to a high risk of ONJ. At this time this patient is in a difficult position: on one hand, there is an infection associated with root tips of tooth #3, on the other – the risk for developing osteonecrosis is high.

 

Florid Cemento-Osseous Dysplasia Of The Jaws.

March, 2012

March, 2012

2008

2008

2008

 

Oral Sedation Update

 

Pre-op

Six canals

Post-op

Post-op angulated

 

Today’s Cases

Pre-op

Pre-op Angulated

Pre-op Photo

MTA

MB1-MB2 isthmus, DB MTA

Calcium Sulfate Barrier

Five interrupted and one vertical matress sling

Post-op

Pre-op

MB1-MB2 obturated

Post-op

Case 3.
RCT #3

Pre-op

Access

Post-op

Pre-op

Post-op

RCT #18

Pre-op

Pre-op (buccal IRM)

Post op

 

Difficult Retreatment

Pre-op #3

Post isolated

Post is ready to go

7mm post (from the pulpal floor apically)

Conservative access opening, 4 canals

Post-op

 

Another Molar Saved

Pre-op

Pre-op, thin dentin wall mesial to the post

Pre-op photo

MTA root end fillings including isthmus

Immediate Post-op

1 year recall

1 year recall

 

Pre-op tooth #21

Post-op tooth #21

 

pre-op, separated instrument

instrument visualized and being removed using the ultrasonic instruments

instrument was removed and canals obturated

instrument in the MB canal

file was removed and canals were retreated

separated file in the apical third

file was removed and canals were obturated

 

Pre op

Access opening

Same access with liquid in it

Post op

Pre op

Access, "water bending effect"

Post op

MB root of #14 resected

Water bending effect

MTA in MB1-MB2 with isthmus and DB

 

Surgical Cases

Pre-op

Immediate post op, Dynoblast and membrane

2 year follow up

2 year follow up

pre op

post op, MTA and calcium sulfate

1 year follow up

pre op

resin cement, post perforation

post reduced

repair with "Sequence" ceramic material

bone graft

immediate post op

4 months post op

tissues at 4 months

 

Pre-op #19

Carriers visualized

Carrier burn-down

Carrier removal

Carrier removed

Removed carriers

Access cavity after cleaning and shaping

Immediate post-op #19

 

Walking Bleach

Pre-op #9

Pre-op

RCT and barrier

1 week after RCT, still grey

Walking bleach - two weeks

 

Regenerative Endodontics

 

The “Ugly Truth”

pre-op #30

mid-op #30, broken file ML canal

post-op1 #30, instrument removed

post-op#2, instrument removed

 

Malpractice Claims in Endodontics

 

Apical Surgery – To Do or Not To Do

Pre-op #13

Root end preparation using ultrasonic instruments

MTA root-end fillings in buccal and palatal roots (no isthmus here, roots are separate here)

Immediate post-op #13

Follow-up 2 years

Follow-up 2 years

Pre-op #7, large periapical area

Flap raised, lesion was curretted out

MTA root-end filling

Immediate post-op, calcium sulfate barrier was placed into the surgical crypt.

Follow-up 3 years

Pre-op #30, sinus track traced

Immediate post-op #30

Follow-up 1 year

 

Pre-op

Post-op

Pre-op

Post-op

 

Instrumenting Curved Canals

Pre-op

Post-op

Pre-op

Post-op

 

Nice Periapical Healing

Tooth #4
Necrotic pulp with asymptomatic periapical periodontitis.

Pre-op

Post-op

Follow-up 6 months

 

Palatal Root Apical Surgery


Apical microsurgery has changed drastically with the use of microscopes, ultrasonics and new root end filling materials. It is now possible to minimize the size of the osteotomies, preserve bone and have access to difficult to reach areas. There are also prospective clinical studies with long-term follow-ups using current surgical techniques and materials that show over 90% success in saving natural teeth using apical surgery option.

Pre-op


All roots were resected, root-end preparations were made using ultrasonic instruments and MTA root-end fillings were placed.

MTA in MB1, MB2, isthmus, and DB

MTA in the palatal root

Post-op

5 days post-op at suture removal

18 months follow-op


At 18 months follow up, although radiographically there is no complete healing observed, the tooth is asymptomatic and functional.

 

Trigeminal Neuralgia

Pre-op

Post-op

 

Root Amputation

Pre-op

Post-op