DB Archives | Renovo Endodontic Studio

What You Didn't Know About Molar Anatomy

WHAT YOU DIDN’T KNOW ABOUT MOLAR ANATOMY

Posted on May 18, 2018 (March 24, 2021) by Jonathan Wong

WHAT YOU DIDN’T KNOW ABOUT MOLAR ANATOMY CBCT is slowly becoming the standard of care for endodontics for many reasons. In a tooth with a somewhat unusual root shape, such as the case demonstrated here, CBCT helps us determine the number of canals so that we can keep our accesses minimal and make informed decisions of where to look for accessory canals such as an MB2. This tooth had a conical root shape so a CBCT was taken to determine anatomy. As you can see below, this is a highly unusual anatomy where the DB root bifurcates to form four […]

THE DENTAL EMERGENCY

Posted on November 3, 2016 (March 24, 2021) by Jonathan Wong

THE DENTAL EMERGENCY: This case was referred to us because of extreme pain associated with tooth #30. The root canal had been performed by the restorative dentist who had done seemingly well done endodontic treatment and coronal restoration. As evidenced in the CBCT, we were able to identify the source of failure to be an untreated DB canal. Upon access and canal location, we acheived immediate drainage for quite some time. To considerations for this case: 1] The treatment was completed in one visit because we were able to acheive a completely dry canal system after disinfection. 2] We decided […]

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ENDODONTIC COMPLICATIONS

Posted on August 31, 2016 (June 23, 2023) by Jonathan Wong

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PRE-OPERATIVE ASSESSMENT

Posted on March 4, 2016 (March 24, 2021) by Jonathan Wong

The pre-treatment radiograph shows several technical deficiencies in the existing obturation: (1) short DB fill and (2) missed MB2. Radiographically there is a lesion associated with a seemingly well filled palatal root. Careful inspection; however, demonstrates that this lesion is asymmetrically placed off to the distal. This guides treatment towards exploring for apical bifurcations. The post operative image shows that there was in fact an apical bifurcation filled with necrotic tissue. The unlocated MB2 and short DB fill were both corrected for, but it is likely that the patient’s symptoms and infection were attributable to this complex apical anatomy of […]