Dr Ho Y.B.

Dr Ho Y.B. Dentist Creating Smiles Everyday
B. Dent. Sc (Hons) (Dublin)
MFD (RCSI)
Batu Pahat, Johor

22/05/2026

Colleague referred a previously RCT premolar with unresolved abscess and pain. The RCT was done with a good protocol and well obturated.
Going into this case there are 2 options:
1. Retreatment 2. Apical surgery.
We decided to start with retreatment with the possibility that an apical surgery will still be necessary.
After accessing through the crown, patient felt pain during GP removal in mid-buccal canal.
With a closer look under microscope a vertical crackline is visible on the buccal root wall.
Sadly, this makes the tooth unrestorable & needs an extraction and replacement.

07/04/2026

Sometimes patient factors will make a RCT case much harder than the tooth itself. Thank you for taking over the crown part.

27/02/2026

Retreatment in an upper lateral incisor. Very long and curved root prevent abscess from perforating the bone which led to a lot of pus buildup and pain. It took more than usual visits to remove all discharge.

15/01/2026

One of the most challenging cases in recent weeks.
Young girl self referred to complete RCT on her lower left first molar. The case was started elsewhere and the dentist wasn't able to find another 2 canals.
Pre-op IOPA shows
- partially cleaned canals
- canals are not visible at apical thirds
- possible ledges given the direction of root curvature vs filing direction
- bulbous roots, always a sign of difficulty in my experience
- extraradicular infection
When I entered the canals, all 4 canals were ledged, all were curved apically, all were sclerotic. 🤯
It took 4 hours and many C+ files just to negotiate the canals. Finger cramps were very real. Glad that it ended well because I was on the verge of giving up.

09/01/2026

Old gentleman complained of pain on biting hard foods and spontaneous nocturnal pain. Diagnosed with SIP and SAP. Exam revealed 37 with a crack through the distal marginal ridge extending into pulp space. Important considerations for this case:
- lone standing second molar in Q3
- adjacent to an acrylic denture
- very heavy occlusion which contributed to the crack
- distal root resoprtion from deep impacted wisdom tooth
- deep pulp roof
A thorough exam + CBCT allows accurate root canal instrumentation of the distal apex.
Using pre-op Digital design printed crown reduces issue of high contact point, which is very common in second molar crowns and avoids current denture fit.

Any wisdom or tricks to make this easier is welcomed!44 Midroot Lingual Root Split. Tooth dx: SIP + SAP.Very tricky to g...
02/10/2025

Any wisdom or tricks to make this easier is welcomed!
44 Midroot Lingual Root Split. Tooth dx: SIP + SAP.
Very tricky to get the lingual canal as it is off centre and diverged from the main buccal canal. Widening the access using ultrasonics took forever while trying to avoid a perforation. Obturation was even more challenging with ceraseal covering the orifices.

Broken file: It's always nerve-wrecking when a file suddenly comes out short from the canal. One of my early cases from ...
05/09/2025

Broken file: It's always nerve-wrecking when a file suddenly comes out short from the canal. One of my early cases from 2021 and first few broken file cases. The 46 was dx as SIP with CAA. Very narrow chamber and canals were not visible apically on the PA. It took a while to open the canals from #6.02. While trying to rush the finishing stages, the PTG F1 fractured 3-4mm at the apical,most probably due to torsional failure. 🥲
Then I had to spend more time to bypass it + copious amount of irrigation. The tooth was medicated and luckily the abscess resolved by the next visit. 2 years later the tooth was symptom-free and showed good bony healing of the periapical radiolucency.
Lesson learnt - never rush an endo, you will end up spending more time and energy.

Retreatment on 11. Asymptomatic but presence of periapicla lesion and incomplete obturations necessitates a retx pre-ort...
04/07/2025

Retreatment on 11. Asymptomatic but presence of periapicla lesion and incomplete obturations necessitates a retx pre-ortho. Interestingly here we get some unexpected cotton pellets hiding out in midroot which was carefully retrieved with barbed broach. GP retrieval was straightforward. Tooth was medicated and obturated on following visit to ensure more thorough disinfection.
Protaper gold + Ceraseal + Microscope.

Officially starting in Artizen Dental Clinic Batu Pahat with Special Interest in Root Canal Treatment and Restorative De...
08/02/2025

Officially starting in Artizen Dental Clinic Batu Pahat with Special Interest in Root Canal Treatment and Restorative Dentistry

RCT 47 with pulp canal stone: SIP + normal PA.Very hyperemic and reactive pulp as can be expected with the presence of p...
11/01/2025

RCT 47 with pulp canal stone: SIP + normal PA.
Very hyperemic and reactive pulp as can be expected with the presence of pulp stone. Quite rare to get a stone growing in the shape of the canal, so of course the nerd in me asked the patient to let me keep this 10mm pulp stone! 🤓

Retx 21: previously treated with asymp AP. Tooth fractured and was left open for many years before tx was sought. GP rem...
06/08/2024

Retx 21: previously treated with asymp AP. Tooth fractured and was left open for many years before tx was sought. GP removal with solvent + PT retx files. Obturation with accessory GP + ceraseal.

Address

No. 49, Jalan Susur Perdana Tengah, Taman Bukit Perdana 2
Batu Pahat
83000

Opening Hours

Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00
Saturday 09:00 - 17:00

Telephone

+60177989843

Website

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