Access Closure: Case #1

When the crown is still intact and in good shape the root canal access opening can be sealed and the crown can be reused. Modern access shape outlines should not overextend and weaken the peri-cervical area. These shapes do not conform to endodontic textbook teachings. These shapes are to be done by qualified microscope using…

Read More

Endodontic Microsurgery: Case #4

This patient has persistent pain after root canal therapy performed 2 years earlier. Due to her new bridge she did not want a retreatment. It was a reasonable choice for microsurgery to be performed. A scalloped incision was made to prevent gum recession and to hide the scar due to her high lip line. Pain…

Read More

Endodontic Microsurgery: Case #3

Patient referred for a consultation and treatment of a radiolucent (dark area) at the end of the root with pain and swelling.  A 3-dimentional image (CBCT) was taken during his consultation appointment. Reviewing the images showed two roots in a lower first. The CBCT was an invaluable tool is aiding our diagnosis and treatment.  A…

Read More

Endodontic Microsurgery: Case #2

The root canal was performed 6 months prior by an excellent endodontist a notation that there was a possible third canal present during the initial root canal but they were unable to negotiate it. Slight pain persisted and an apicoectomy (root canal microsurgery) was decided upon due to its complex root anatomy. As expected 3…

Read More

Endodontic Microsurgery: Case #1

Very rare and unique. Patient referred for a consultation and treatment of a radiolucent (dark area) at the end of the root.  A 3-dimentional image (CBCT) was taken during her consultation appointment. Reviewing the images showed two roots in a Maxillary central incisor (upper front tooth) which is a rare occurrence. The CBCT was an…

Read More

Endodontic Retreatment: Case #3- Retreatment of a recent root canal performed 2 weeks earlier. The general dentist was not pleased with the recent root canal only having 2 canals treated and without a microscope.

During his consultation It was determined that there is untreated canals present and initiated retreatment. With the aid of the microscope 5 canals were present, treated and sealed. Both the patient and his general dentist were extremely pleased with the outcome.

Read More