Endodontic Cases & Questions

Find answers to real-life clinical cases and questions faced
in the day-to-day practice of endodontic dentistry.

Have a case or question you want feedback on? Post a Case Now!

To read cases on implants check out  

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...

read more

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...

read more

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...

read more

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...

read more

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 live...

read more

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...

read more

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...

read more

What Etiology Presents in This Case?

How Would You Treat This Case? A 52-year-old male presented with a tooth had been bothering him with sub acute subjective symptomatology for about 3 to 4 months. The referral from a local clinician requested an endodontic evaluation. The following image...

read more

What is the working length of this central incisor?

All to often I hear students and young dentists immediately try to determine a working length once the canal has been identified. There is a proper procedural sequence with specific chamber conditions that will allow for the most accurate working length...

read more

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...

read more

Why is the patient experiencing maxillary discomfort?

A healthy 57 year old female presents with sudden discomfort of the last few days presenting in the area of #14. She had some trouble sleeping the previous evening due to the discomfort. Signs and Symptoms Teeth #14 was distinctly percussion...

read more