We provide care in all phases of surgical and nonsurgical endodontics. A typical day can range from a no-treatment consultation to the most complicated cases. Here are a few of our favorites this year.
Tooth #9
Trauma case in which no treatment was conducted.
Not all trauma needs treatment - this case is a prime example. This fractured root has healed and the tooth maintained vitality without conducting treatment. X-rays show progression over 6 years.
Tooth #31
Mesial root with deep split into two canals.
Diagnosis
Previously treated with asymptomatic apical periodontitis. The patient presented after her dentist saw a lesion during routine prophy. #31 had endo completed roughly 5 years earlier. The tooth is clinically asymptomatic.
Treatment
PAX and CBCT scan show large apical lesion with buccal plate perforation. Scan also shows an untreated ML canal internally. All canals were treated to full length and new obturants were sealed in composite to prevent recontamination. The patient is scheduled for follow-up appointment to check healing.
Tooth #31
Highly curved tooth with great results.
Diagnosis
Patient presented to our office with a history of pain to function and cold. Recent crown prep did not resolve her symptoms. Testing revealed #31 as the source of the pain and a diagnosis of symptomatic irreversible pulpitis with symptomatic apical periodontitis was revealed.
Radiographically, highly curved apical segments of both root ends observed. Mesial root actually shows double curvature.
Treatment
In order to properly debride and shape these areas, extra hand filing and slow enlargement of the canals were needed to prevent instrument breakage in these areas. Use of pathfiles and NiTi rotaries were able to clean to full length without complication. Mesial canals were only shaped to a 25/.04 and distal to a 35/.04 apical size.
