Endodontic Cases & Questions

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 was forwarded...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.