Dental Health News Blog Illinois | Renovo Endodontic Studio

Patient Management and Endodontic Treatment

PATIENT MANAGEMENT AND ENDODONTIC TREATMENT

Posted on April 10, 2018 (March 24, 2021) by Jonathan Wong

PATIENT MANAGEMENT AND ENDODONTIC TREATMENT: It is not always the anatomy that is difficult in the aspect of treatment. However, added factors can compound case difficulty such as minimal opening, unfavorable angulation towards the cheek, the position of being last tooth in the mouth, AND LONG (WL – 24mm) Curvy Calcified (MB2) Anatomy. At first glance, this just looks like a “run of the mill” root canal with some nice curvatures. However, it is important to note that we treat people, not just teeth. […]

An Unusual 'Post' Removal

AN UNUSUAL ‘POST’ REMOVAL

Posted on March 28, 2018 (March 24, 2021) by Jonathan Wong

AN UNUSUAL ‘POST’ REMOVAL Apicoectomy can be a highly predictable treatment option for patients with failing endodontic therapy. Modern microscurgery involves not only root resection, but also retropreparation using ultrasonics and retrofil using bioceramic materials like MTA. Without these two key factors, treatment success drops from ~87% to nearly 60% and is the reason apicoectomy tends to have a “50/50” connotation with some oral surgeon offices. The following is a great case to demonstrate the possibilities in modern endo! Pre-operatively you can note that the ‘post’ (silver point) goes to the apex and CBCT showed a corresponding lesion. Placing bioceramics on […]

Broken Instruments...or Modified Root Filling?

BROKEN INSTRUMENTS…OR MODIFIED ROOT FILLING?

Posted on March 22, 2018 (March 24, 2021) by Jonathan Wong

BROKEN INSTRUMENTS…OR MODIFIED ROOT FILLING? Here we present a relatively interesting case, #14, with a recurrent infection associated with the MB root. Other than pain associated with this tooth, medical history remains unremarkable. We were able to remove the “root filling” which appears to be endodontic instruments that may have also been used in initial instrumentation. In any case, we were able to remove the all three instruments and locate a previously untreated MB2 canal. This would prove to be significant as this it the only canal in the MB root that was able to be instrumented to full root […]

Philanthropy...

PHILANTHROPY 4

Posted on March 12, 2018 (June 2, 2023) by Jonathan Wong

A big thank you to Drs. Felicia Chu, Cathy Nguyen and the entire team at Celebrating Smiles for inviting us to participate in their annual Dentistry With A Heart event! From the looks of it, our very own Dr. Tam Trinh represented team Renovo well! Until next time…. […]

ENDODONTIC SURGERY…

Posted on January 31, 2018 (March 24, 2021) by Jonathan Wong

ENDODONTIC SURGERY: Here we present our patient, 33yo health female, who presented with a swelling in the mandibular central area. Root canal treatment when rendered when the patient was an adolescent. Years later, a periapical lesion developed with what appears to be a resorption defect that was not filled at the time of the original fill. We decided to so apicoectomy with conventional root end resection and retrofill, cortical allograft and resorbable membrane. As one can see, the entire buccal surface of the tooth was exposed due to the pathology. Upon post surgical follow-up and secondary recall, the surgical area […]

ENDODONTISTS AND PERMANENT RESTORATIONS…

Posted on January 28, 2018 (March 24, 2021) by Jonathan Wong

WHY IT IS USEFUL IF YOUR ENDODONTIST CAN DO PERMANENT RESTORATIVE TX: While as endodontists, we always defer core and crown fabrication to the restorative expert (the patients general dentist), we do offer core placement and crown repair for those dentists who request it of us. Here is a great example of why it can be useful to have the core build-up completed at the time of RCT. You will see intra-op photo (5 canal #14) compared with a 6 month recall with gross caries throughout the entire access after the patient failed to have the tooth restored in a […]

Restorative Complications with Endodontic Treatment

RESTORATIVE COMPLICATIONS WITH ENDODONTIC TREATMENT

Posted on January 11, 2018 (March 24, 2021) by Jonathan Wong

Here we present a healthy 18yo African American female in which non-surgical root canal treatment was rendered on #21 demonstrating a nice trifurcation anatomy. Some time later were we were contacted by the restorative dentist wanting us to re-evaluated the post/core placement prior to crown fabrication. As one can see, it appears that that something went awry while preparing the post space and large void had been left on the mesial aspect at mid-root level. We felt that this would compromise long term fractural resistance. Therefore, the post was removed and dual-cured core composite was placed to aid with fracture […]

Why is it Beneficial for Endodontists to be Proficient in Extractions and Socket Preservation?

WHY IS IT BENEFICIAL FOR ENDODONTISTS TO BE PROFICIENT IN EXTRACTIONS AND SOCKET PRESERVATION?

Posted on December 7, 2017 (March 24, 2021) by Jonathan Wong

WHY IS IT BENEFICIAL FOR ENDODONTISTS TO BE PROFICIENT IN EXTRACTIONS AND SOCKET PRESERVATION? This patient presented to our office complaining of a draining sinus tract on the palatal gingiva of tooth #14. Clinically, tooth #14 had an isolated deep probing depth of 13mm on the palatal aspect with corresponding complete bone loss around the palatal root on the CBCT (not pictured below). The patient was advised that these findings are consistent with vertical root fracture and prognosis is hopeless. The patient was highly motivated to extract tooth #14 and restore with an implant. Although it is not a requirement […]

Thanksgiving Wishes!

Posted on December 7, 2017 (March 24, 2021) by Jonathan Wong

Thanksgiving Wishes! Our team at Renovo wishes all of our friends and their families a happy and healthy Thanksgiving! May you enjoy (or perhaps survive?) your time with those closest to you! We were able to provide some good news to a patient today. The case below shows the healing potential of endodontics. One year after completion of an advanced endodontic infection with a 12 mm buccal periodontal probing and considerable furcation bone loss, the area has resolved! […]

PERSISTENT PAIN FOLLOWING RCT

Posted on December 7, 2017 (March 24, 2021) by Jonathan Wong

PERSISTENT PAIN FOLLOWING RCT: Determining the etiology of persistent pain following a “well-done root canal” can be a challenge as there are many possible explanations. Such possibilities include an untreated canal, coronal leakage, fracture, or referred pain from another tooth or non-odontogenic structure. The attached images are of a 41 year-old patient who returned to our office 5 months following RCT tooth #8. The patient described her “persistent pain” as tenderness when she palpates the facial gingiva overlying apex #8. CBCT examination demonstrated that tooth #8 is facially inclined with its apex located outside of the bony housing of the maxilla—allowing […]