RCT Archives | Renovo Endodontic Studio

INSTRUMENT REMOVAL

Posted on September 19, 2018 (March 24, 2021) by Jonathan Wong

INSTRUMENT REMOVAL – This patient presented to our office with a previously initiated RCT #19 with a separated retained instrument in the ML canal. Information regarding “pathophysiology” of instrument separation, risk-benefit ratio of removing the retained instrument, alternative options if instrument removal cannot be achieved (i.e. bypass and/or apicoectomy), and prognosis were reviewed with the patient. The patient was motivated to save his tooth at all costs. Upon access, the retained instrument was visualized in the ML canal. The instrument was successfully removed using ultrasonics and hedstrom files. The patient was pleased with the final result. […]

RENOVO NOW OFFERING DERMATOLOGICAL TREATMENTS!

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

RENOVO NOW OFFERING DERMATOLOGICAL TREATMENTS! This case is a highly unusual example of a mandibular odontogenic lesion causing an extraoral sinus tract. This patient had already been to see his dermatologist for two biopsies with inconclusive results. After the area continued to bleed for several months, he found our office. A necrotic #27 was noted with lesion expanding to tooth #28 which had an untreated lingual canal with a separated lentulo spiral at the apex. RCT of #27 with adjunctive apicoectomy was completed. During surgery, the chin sinus tract was bleeding as we removed the granulomatous lesion. At his post-surgical […]

Endodontists and Permanent Restorations...

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 […]

Persistent Pain Following RCT

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 […]

Why Does My Endodontist Do Extractions?

WHY DOES MY ENDODONTIST DO EXTRACTIONS?

Posted on October 4, 2017 (March 24, 2021) by Jonathan Wong

WHY DOES MY ENDODONTIST DO EXTRACTIONS? There are several clear benefits of working with endodontists who are comfortable with extractions: (1) If a tooth is found to be non-restorable during treatment due to a severe crack or fracture, we can immediately remove the tooth while they are already numb without having to send the patient to another dentist who may not be able to see them for severaldays (2) It allows us to be somewhat ‘unbiased’ with regards to recommending either RCT or EXT treatment options. However, comfort with extractions also allows us to increase our surgical repertoire to provide […]