Endodontic Cases & Questions
Find answers to real-life clinical cases and questions faced
in the day-to-day practice of endodontic dentistry.
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#12 Diagnosis and Patient Management
I am working into my fourth decade of full time clinical endodontics. The impressive technology that we have in our offices for diagnostic purposes makes my clinical practice of endodontics much more satisfactory, as it provides images of pathology previously unseen...
What is the source of this defect?
Patient presents for evaluation of a large asymptomatic dentinal defect… Signs and Symptoms The tooth tests vital and this radiographic view was the foundation for the referral generated from an annual hygiene appointment. Beyond the obvious distal decay pattern the...
Cortical Cloaking
The primary mode of radiographic visualization within the dental environment utilizes the bitewing, periapical, or orthopantomographic image, viewed either digitally, or by film equivalent. Many of us where trained, licensed, and have been in dental practice prior to...
“Keep in mind distal root end variation of lower molars.”
“Keep in mind distal root end variation of lower molars.”
What do you see?
Well, we have all had the chance to view many radiographs. I love the fact that when I began dentistry the digital world was only briefly imagined and not yet realized. We would develop and fix images on film, some of us still do. This post encourages the requirement...
When do you recommend a CBCT scan?
A fit, healthy, 54 year-old male presented with the chief complaint of “having on and off swelling” from a draining sinus tract in the mucco-buccal fold proximal to an endodontically treated upper left first molar. Intake Radiographs We took a...
Testimonial: Dr. Nicole Rottjakob, DDS
Success in Endodontics 2.0 Testimonial Below is an excerpt from a video testimonial from Dr. Nicole Rottjakob, DDS Nicole (On Success In Endodontics 2.0): The most beneficial section for me was the accessing section. I liked learning how you did like the crown-down...
An Endodontic Conventional Retreatment Case…
“Success in Endodontics” was conceptualized to help avoid the necessity of retreatments and possible tooth loss. The 2.0 program lays out a clear sequential treatment format that from a procedural standpoint will powerfully enhance many aspects of...
Congratulations Recent Dental School Graduates!
Hi everyone, so I'm sort of at the tail end of my first day back from Florida. I took off on Thursday. I went to Florida to do some brother-sister bonding with my sister that lives out in Boca Raton. We had a really good time. I got to see Florida, you guys who...
Radiographically Unapparent Distal Canal Morphology… Visual Tip Off…
When evaluating a case I am always trying to visualize/integrate varieties of canal and chamber morphology; as you know we will see it almost every day in the clinical environment. An unapparent canal anatomy displayed by possible calcification at the...
What types of rotaries do you use in your clinical practice?
I prepare canal lengths in thirds… remaining cognizant of which third I am clearing and irrigating dentin and associated pulpal remnants. Considering the root preparation in three stages, I have recently been practicing with the V-Tapers for the “Apex-Up” portion of...
Patient Management 101
I am working into my fourth decade of full time clinical endodontics. The impressive technology that we have in our offices for diagnostic purposes makes my clinical practice of endodontics much more satisfactory, as it provides images of pathology previously unseen...