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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Why is there soreness above her tooth?

The patient chief complaint is best described as “soreness when she touches above her tooth.” Here is the intake periapical radiograph. The patient chief complaint is best described as “soreness when she touches above her tooth.” Her DDS had been watching the area for...

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Where is the odontogenic swelling stemming from?

A 52-year- old man presented with moderate discomfort and definitive fluctuant swelling on the buccal aspect of his maxillary left quadrant.   As one can visualize from this intake periapical film not information could be evaluated from the image. We went ahead and...

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Cortical Cloaking Case #5

So often the patient will present with a previous radiograph that was imaged at another. Here presents that intake radiograph that was electronically attached to the patient’s file. Not a poor image yet it lacked the clarity I would prefer to visualize for...

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Cortical Cloaking Case #4

Film radiograph sent with patient upon referral. Slight swelling in the unattached gingiva at the junction of the attached and unattached mucosa. Limited subjective symptomatology. A CBCT scan was acquired and an anatomic slice presents: The...

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Cortical Cloaking Case #3

Fracture patterns can also be visualized in certain cases. Here the foreshortened periapical radiograph was noncontributory, and the decision was made to acquire a low volume CBCT scan of the anterior maxilla. Here this sagittal view slice...

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Cortical Cloaking Case #2

Here another case was referred, due to generalized discomfort, with a possible suspicious maxillary osseous lesion between the roots of teeth #1 and #2. The decision was made to acquire a CBCT scan. The coronal view clearly describes the width...

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Cortical Cloaking Case #1

CBCT slices yield digital visual information of cancellous osseous tissue allowing us in dentistry to remove this “cortical cloaking” and vastly improve our ability to render, for our patients benefit, the nature and extent of their actual condition.

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