Dr Aaron Gascoigne, Endodontist

Dr Aaron Gascoigne, Endodontist Dr Aaron Gascoigne is a specialist endodontist servicing dentists and their patients in Shellharbour, Wollongong, the Illawarra and NSW South Coast

LOWER INCISOR RETREATMENT This 44 year old female patient presented with pain and recurrent swelling localised to the 31...
05/03/2023

LOWER INCISOR RETREATMENT

This 44 year old female patient presented with pain and recurrent swelling localised to the 31 buccal region. She reported having endodontic treatment performed on tooth 31 about 30-years ago following a car accident.

Clinical assessment revealed a draining sinus in the 31 buccal alveolar mucosa. Radiographic examination revealed a large apical radiolucency. In situations like this it’s important to double check the sensibility testing because there’s a high chance of a misdiagnosis due to the extension of the radiolucency to the adjacent teeth. In this case, both of the adjacent teeth responded normally to cold testing, revealing the lesion was exclusively related to tooth 31.

Assessment showed the root filling was sub-optimal with an untreated lingual canal.

Treatment was completed over 2 appointments with an inter-appointment calcium hydroxide dressing. The draining sinus had resolved at the time of the obturation appointment. The tooth was obturated with AH-plus sealer and warm vertical compaction.

A 12-month review revealed good healing.

ENDODONTIC TREATMENT OF CALCIFIED LOWER MOLAR TOOTHThis 51YO female patient had endodontic treatment previously initiate...
11/07/2022

ENDODONTIC TREATMENT OF CALCIFIED LOWER MOLAR TOOTH
This 51YO female patient had endodontic treatment previously initiated on her 46 tooth. She was referred due to considerable calcification of the root canal system. At the time of presentation she was experiencing a dull aching pain on biting.

Treatment was completed over 2 appointments with an inter-appointment calcium hydroxide dressing. Her symptoms had resolved at the time of the second appointment. The tooth was obturated with AH-plus sealer and warm vertical compaction. A composite resin core was placed and the patient was referred for a crown.

ENDODONTIC TREATMENT OF TOOTH 46 UNDER IV SEDATIONThis 62 year old female patient was referred for root canal treatment ...
17/04/2022

ENDODONTIC TREATMENT OF TOOTH 46 UNDER IV SEDATION

This 62 year old female patient was referred for root canal treatment of her 46 tooth. She was experiencing an aching pain in the region that was triggered by hot drinks.

After clinical assessment, a diagnosis of irreversible pulpitis with symptomatic apical periodontitis was reached.

She had a severe dental phobia particularly with the notion of having root canal treatment, so we arranged for her to be treated whilst under an IV sedation.

Treatment was completed in a single visit with canals being instrumented an irrigated with 4% sodium hypochlorite. The tooth was obturate with AH-plus sealer and warm vertical compaction. A composite resin core was placed and the patient was referred back to her general dentist for a crown.

ENDODONTIC RETREATMENT OF TOOTH 16 & 26This 25 YO Female patient was referred for root canal retreatment of her 16 tooth...
20/02/2022

ENDODONTIC RETREATMENT OF TOOTH 16 & 26

This 25 YO Female patient was referred for root canal retreatment of her 16 tooth. She had been experiencing a constant dull ache and pain on biting associated with the tooth.

Radiographic assessment revealed an untreated MB2 canal in tooth 16. Incidentally, tooth 26 also had an untreated MB2 canal and a periapical radiolucency.

Both 16 & 26 were re-instrumented and irrigated with 4% sodium hypochlorite. The MB2 canals were located and cleaned. Root canal treatment was performed over two visits and an inter-appointment calcium hydroxide dressing was placed.

Her symptoms completely resolved. The teeth were obturated with AH-plus sealer and warm vertical compaction. A composite resin core was placed in both teeth and the patient was referred for crowns.

ENDODONTIC TREATMENT OF TOOTH 36 This 35YO male patient was referred for endodontic treatment of tooth 36. He was experi...
22/01/2022

ENDODONTIC TREATMENT OF TOOTH 36

This 35YO male patient was referred for endodontic treatment of tooth 36. He was experiencing an aching pain on chewing. Treatment had been initiated and the referring dentist had difficulty getting to working length.

The mesial canals were curving acutely inwards and a ledge was observed upon accessing. The ledge was bypassed and chemo-mechanical cleaning was performed. Endodontic treatment was completed over 2 visits and an inter-appointment calcium hydroxide dressing was placed.

His symptoms had resolved at the time of the final appointment. The tooth was obturated with AH-Plus sealer and warm vertical compaction. A composite resin core restoration was placed and the patient was referred for a crown.

ENDODONTIC TREATMENT OF TOOTH 16This 42 YO male patient was referred for root canal treatment of tooth 16. He was experi...
27/11/2021

ENDODONTIC TREATMENT OF TOOTH 16

This 42 YO male patient was referred for root canal treatment of tooth 16. He was experiencing a constant intense aching pain prior to the tooth being extirpated by his general dentist. On presentation, the tooth was tender on biting.

Chemo-mechanical cleaning was performed and the tooth was irrigated with 4% sodium hypochlorite. Endodontic treatment was performed over 2 visits and an inter-appointment calcium hydroxide dressing was placed.

His symptoms had completely resolved at the time of the final appointment. The tooth was obturated with AH-Plus sealer and warm vertical GP compaction. A composite resin access cavity restoration was placed and the patient was referred for a crown.

ROOT CANAL TREATMENT OF TOOTH 26This 37 YO Female patient was referred for root canal treatment of her 26 tooth with cal...
27/10/2021

ROOT CANAL TREATMENT OF TOOTH 26

This 37 YO Female patient was referred for root canal treatment of her 26 tooth with calcified canals. She had been experiencing an intense aching pain to pressure and biting associated with the tooth.

The tooth was instrumented and irrigated with 4% sodium hypochlorite. The MB2 canal was found to join the MB canal at the mid-root level. Root canal treatment was performed over two visits and an inter-appointment calcium hydroxide dressing was placed. Fortunately, her symptoms had completely resolved at the time of the final appointment. The tooth was obturated with AH-plus sealer and warm vertical compaction. A composite resin core was placed and the patient was referred for a crown.

APICAL SURGERY OF TOOTH 21This 25-year old female patient was referred for retreatment of tooth 21. She was suffering on...
01/10/2021

APICAL SURGERY OF TOOTH 21

This 25-year old female patient was referred for retreatment of tooth 21. She was suffering on-going aching pain and tenderness to pressure after her root canal treatment was completed. The tooth had sustained a crown fracture when the patient was 8 years old.

A pre-operative PA radiograph showed a peri-apical radiolucency and extruded endodontic material. The patient was booked for apical surgery under IV sedation. Prior to this, the temporary coronal restoration was replaced to ensure a sound coronal seal.

The patient was asymptomatic at the 6-month review and good peri-apical healing was observed radiographically.

VITAL PULP THERAPY OF TOOTH 15This was an unusual case, whereby a patient was referred for endodontic re-treatment of to...
03/08/2021

VITAL PULP THERAPY OF TOOTH 15

This was an unusual case, whereby a patient was referred for endodontic re-treatment of tooth 15. She had endodontic treatment performed overseas and complained of irritation around the distal 15 gingiva. A clinical and radiographic assessment revealed a perforation through the distal aspect of the tooth and evidence of extruded endodontic material into the adjacent bone.

Surprisingly, the tooth had remained vital and the decision was made to preserve the pulp and perform vital pulp therapy. After restoration of the perforation defect, MTA was placed over the vital pulp tissue and a resin composite access cavity restoration was placed.

The extruded material was surgically retrieved.

A 12 month review, revealed that the tooth responded normally to pulp sensibility testing and had no evidence of periapical pathosis.

PERFORATION REPAIR AND ROOT CANAL TREATMENT OF TOOTH 36This patient was referred for management of a perforation on the ...
04/06/2021

PERFORATION REPAIR AND ROOT CANAL TREATMENT OF TOOTH 36

This patient was referred for management of a perforation on the furcation floor of her 36 tooth. During the initial consultation, she reported having pain on biting and to pressure. After repair of the perforation defect using MTA and chemo-mechanical debridement, a calcium hydroxide dressing was placed. The patient was asymptomatic at the time of obturation. A resin composite core was placed. A 6 month review showed great healing.

MTA APEXIFICATION OF AN IMMATURE CENTRAL INCISOR This patient had suffered a trauma to his front tooth as a child, which...
26/03/2021

MTA APEXIFICATION OF AN IMMATURE CENTRAL INCISOR

This patient had suffered a trauma to his front tooth as a child, which subsequently became infected while he was in his late teens. A clinical assessment revealed that the tooth had a draining sinus and the root was significantly underdeveloped with a wide open apex. After dressing with calcium hydroxide, the patient’s symptoms resolved and an MTA apical plug was placed. A 2.5 year review confirmed that the patient had remained asymptomatic and was showing excellent radiographic healing.

Address

Shop 2, 1 Memorial Drive
Shellharbour, NSW
2529

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

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