Dental Health News Blog Illinois | Renovo Endodontic Studio
Compromised Teeth...

Compromised Teeth 2

Posted on by Jonathan Wong

Compromised Teeth: Here is an interesting case where there are 2 things going on with the same tooth. First, there is significant bone loss around one of the roots (see green arrows) which would seem to suggest possible fracture (this tooth also had deep isolated probing in a specific area which would also support non-restorable fracture). Additionally, there is root resorption associated with the same root (see red arrow). Due to circumstances outside of our control, we did not complete this case for 6 months. We were happy to see that not only did we achieve complete bony healing, but […]

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Compromised Teeth...

Compromised Teeth…

Posted on by Jonathan Wong

Compromised Teeth: Let us preface this post first by saying that choosing to save compromised teeth requires very clear communication between the patient, comprehensive dentist, and the specialist. There are many factors involved in making decisions to save or not to save teeth. Here, the factor that would limit success of the tooth is the restorative aspect, and not the endodontic treatment. Although a dental implant may be a more predictable long term outcome, longevity of the tooth truly depends on the patient so long as the endodontic and restorative treatment are adequate (i.e. maintaining hygiene and always be aware […]

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Adverse Outcomes

Adverse Outcomes

Posted on by Jonathan Wong

Adverse Outcomes: We present here a case where the patient presented with a broken instrument within one of the canals. This is always a cause for concern for patients who are worried of infection and systemic effects. We must first recognize that bacteria causes infection, not foreign materials. The broken instrument only serves as a physical obstruction towards proper cleaning of the tooth. Here, we were able to identify with CBCT that the canal with the broken instrument shares a common exit with other canal which does not have a broken instrument. In this case, we were able to bypass […]

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Success/Failure

Success/Failure

Posted on by Jonathan Wong

Success/Failure (of root canal treated teeth) – The prognosis for endodontically treated teeth depends on 3 main factors which are as follows: 1] How good is the root canal? 2] Is there an appropriate restoration for the endodontically treated tooth? How good is the restoration? 3] THE PATIENT: We like to call this the X-Factor. It is up to the patient to maintain the dental work so that it will last as long as the expected. Here, the endodontic treatment and restorative treatment were adequate when compared to older radiographs, but recurrent decay set in underneath the prosthesis rendering the […]

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Dx and Internal Root Resorption

Dx and Internal Root Resorption

Posted on by Jonathan Wong

Diagnosis and Internal Root Resorption: Interesting case presented here. This tooth is non-vital and infected. However, prior to getting to this state there was a process of internal root resorption (green arrow) which can only have happened while the tooth was alive (live tissue is required for this process to happen). Additionally, there is significant bone loss evident in the furcation area. This is NOT caused from the resorption defect; rather likely from an infected accessory canal! Pretty interesting because there are multiple things going on with this tooth. […]

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Continuing Education

Continuing Education

Posted on by Jonathan Wong

Continuing Education: A great end to a solid CE session with the topics of Minimally Invasive Endodontics AND Minimally Invasive Restorations (in general and of root canal treated teeth). As a practice philosophy, we always want to preserve as much natural and healthy tooth structure as possible so that you can keep your tooth for as long as possible! […]

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