Dentartistry by Leeba Varghese

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Dentartistry by Leeba Varghese Center for microscopic root canal treatment and microscope enhanced dentistry.

Ample parking, 100% sterilized instruments, caring services, near Kottayam Medical College, Kerala.

🦷 The Story Behind a Pink ToothThis 50-year-old patient presented with a striking pink discoloration of a front tooth. T...
06/06/2026

🦷 The Story Behind a Pink Tooth

This 50-year-old patient presented with a striking pink discoloration of a front tooth. The history? Significant trauma as a child, with the tooth completely knocked out and replanted—not once, but twice.

Remarkably, the tooth has survived and functioned for over 40 years following the injury. The pink appearance is a classic sign of internal resorption, a condition that can develop years—even decades—after dental trauma.

A fascinating reminder that traumatic dental injuries can have lifelong consequences and that long-term monitoring is essential.

DentalEducation ToothTrauma ClinicalCase DentalFacts

A long journey, a lot of learning, and endless gratitude—proud to now be Dr. Leeba Varghese (MDS, MEndo RCS Edinburgh) 🎓
24/04/2026

A long journey, a lot of learning, and endless gratitude—proud to now be Dr. Leeba Varghese (MDS, MEndo RCS Edinburgh) 🎓

Rare anatomy: Caucasian male patient with 2 roots and 2 root canals in a mandibular canine.The global prevalence of 2 ro...
05/03/2026

Rare anatomy: Caucasian male patient with 2 roots and 2 root canals in a mandibular canine.

The global prevalence of 2 root canals in mandibular canines is 7.5% and that of 2 roots is 1.9%. Caucasian and Indian (south Asian) ethnic groups, females, and older patients exhibited higher proportions of 2 roots. Martins et al 2024.

74 year old male patient presented barely 3 months after an open heart surgery with circumferential caries involving pul...
10/12/2024

74 year old male patient presented barely 3 months after an open heart surgery with circumferential caries involving pulp in tooth 37.

Given the patient's medical condition, extraction was not an option. The cardiologist advised to use only plain lignocaine without adrenaline. He probably does not know that the effect lasts for a maximum of maybe 5 minutes! Had a really hard time with this vital lower molar.

Though difficult, we managed to isolate with rubber dam and teflon. A post was passively bonded to retain the core. A full coverage PFM crown was given to protect the tooth.

We frequently get fractures in teeth with long standing amalgam restorations. Some fractures extend way too deep into th...
07/12/2024

We frequently get fractures in teeth with long standing amalgam restorations. Some fractures extend way too deep into the bone, necessitating extraction.

But if the fractured margin can be isolated with a little bit of gingivectomy or even osstectomy, I prefer to try to save the tooth.

Sharing here my method of isolation and restoration of a tooth in which the mesiopalatal cusp decided to fracture off. X-rays in the last slide.

Healing of periapical lesion in a tooth with a lovely C shaped anatomy😍This kinda follow-up x-ray still makes me so happ...
25/11/2024

Healing of periapical lesion in a tooth with a lovely C shaped anatomy😍

This kinda follow-up x-ray still makes me so happy like a child, even after so many cases and so many years of practice... Is it the same for you?

This patient was told by her previous dentist that "the root canal is done, you just need a crown now". She came to us f...
16/11/2024

This patient was told by her previous dentist that "the root canal is done, you just need a crown now". She came to us for "just the crown" during her 2 week vacation😬😬

We had a hard time explaining to her that:
👉the coronal restoration was just a temporary one,
👉the most difficult part was yet to be done,
👉we don't know if the periapical radiolucency means a healing lesion or a developing one,
👉the mesial aspect was guaged way too much,
👉a post and bonded core would be the best option and that
👉the 3rd molar needed to be extracted.

The patient agreed for the permanent restoration with deep margin aquisition, but did not agree for the post and core. She has been given written instructions to get the 3rd molar extracted.

We managed to restore the tooth and delivered a crown with a tiny overhang which could not be corrected because of her schedule.

I really don't know why the previous dentist promised to restore this tooth instead of suggesting extraction.

Would you prefer extracting such teeth or restoring them?

Phew! This one was 10/10 on the difficulty scale😥😰😰The tooth was vital, the victim of its neighbour, the wisdom tooth. R...
14/10/2024

Phew! This one was 10/10 on the difficulty scale😥😰😰

The tooth was vital, the victim of its neighbour, the wisdom tooth. Restored this one with bulkfill flowable plus bulkfill paste in snow plough technique.

How do you restore such vital second molars? I know some colleagues who do intentional endodontic treatment followed by crowns.

Direct composites for a new smile😍
25/09/2024

Direct composites for a new smile😍

Routine endodontics except that it was difficult NOT to break a file in one of those multiplanar curves 〰️⤴️⤵️ ❤ ...
27/05/2024

Routine endodontics except that it was difficult NOT to break a file in one of those multiplanar curves 〰️⤴️⤵️

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Address

Kottayam

Opening Hours

Monday 9:30am - 5pm
Tuesday 9:30am - 5pm
Wednesday 9:30am - 5pm
Thursday 9:30am - 5pm
Friday 9:30am - 5pm
Saturday 9:30am - 5pm

Telephone

+918921915733

Website

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