Nudera Endodontics

Nudera Endodontics Nudera Endodontics.

Board Certified endodontist, Dr William Nudera shares endodontic cases from his private practice to educate, inspire and empower dentists to provide high quality and predictable root canal treatments.

Check out these side-by-side radiographs of Teeth  #18 and  #19—both successfully treated using advanced endodontic prot...
05/04/2026

Check out these side-by-side radiographs of Teeth #18 and #19—both successfully treated using advanced endodontic protocols.

Tooth #19, treated in 2018 with GentleWave, demonstrates exceptional capture of canal anatomy. Fast forward to 2025, Tooth #18—treated with Fotona SWEEPS laser—shows equally impressive results.

Different technologies. Same objective. Same outcome.

This is the power of advanced irrigation—enhanced debridement, improved pe*******on, and the ability to consistently achieve high-level results across evolving techniques.

04/15/2026

launching a podcast For The Love Of Endo today!

For the Love of Endo is making its debut live from the showroom floor at AAE 2026.Join Dr. Brett Gilbert and Dr. Bill Nu...
04/08/2026

For the Love of Endo is making its debut live from the showroom floor at AAE 2026.
Join Dr. Brett Gilbert and Dr. Bill Nudera for real conversations, shared ideas, and a new podcast built for the endodontic community.
Come join the conversation at Booth 1801.
Live recording times:
Wednesday 11:30 AM–1:00 PM and additional time added 3:00 PM–4:30 PM
Thursday 3:00 PM–6:30 PM
Friday 11:00 AM–1:30 PM
Stop by, say hello, and be part of the launch.

Retreatment of tooth  #4 with a silver point lodged in the buccal canal at the level of a ledge. Cases like this demand ...
03/24/2026

Retreatment of tooth #4 with a silver point lodged in the buccal canal at the level of a ledge. Cases like this demand more than routine technique—they demand ingenuity.

I modified a black Luer lock tip to accept a Hedstrom file, creating a custom device that could grasp the silver point and leverage it out using the Hedstrom Launch technique. From there, the original canal was recaptured with Strategic file Bending and the WOtS technique, restoring access to the true canal path.

Retreatment is often about solving the mechanical problem first, then having the system to finish the case predictably.

Tooth  #13 was diagnosed with necrotic pulp and chronic apical abscess, as evidenced by the presence of two sinus tracts...
03/19/2026

Tooth #13 was diagnosed with necrotic pulp and chronic apical abscess, as evidenced by the presence of two sinus tracts consistent with two separate portals of infection. Tooth #13 was treated in a single visit using the Fotona protocol. It is especially satisfying on the postoperative radiograph to see all portals of exit obturated.

Tooth  #13 was diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis, with a Type IV can...
03/16/2026

Tooth #13 was diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis, with a Type IV canal configuration. Treatment was notably more complex due to the canal bifurcating into two distinct apical pathways, which increases the difficulty of identifying, negotiating, cleaning, shaping, and obturating both branches predictably.

If you want to learn more about my systematic approach to managing complex endodontic anatomy like this, check out NuEndo hands-on courses and online education. NuEndoOnline.com

Case ReflectionTooth  #19 presented with a prior root canal and symptomatic apical periodontitis. Radiographically, the ...
03/09/2026

Case Reflection

Tooth #19 presented with a prior root canal and symptomatic apical periodontitis. Radiographically, the distal root showed a bone loss pattern concerning for a possible fracture, although a fracture could not be definitively confirmed.

Despite the uncertainty, the patient was motivated to attempt retreatment and preserve the tooth.

Retreatment was completed today, and once inside the tooth the anatomy revealed a plausible explanation for the pathology.

Cases like this are a great reminder that radiographs don’t always tell the full story — sometimes the answer is found only after careful retreatment.

I’m glad we made the attempt.

This one should heal.

Patient presents with a history of trauma to the maxillary anterior region approximately 51 years ago. Teeth  #7 and  #8...
03/05/2026

Patient presents with a history of trauma to the maxillary anterior region approximately 51 years ago. Teeth #7 and #8 have undergone prior root canal treatment, multiple restorations, and previous surgical intervention on tooth #8.

Radiographic evaluation shows tooth #7 with prior root canal treatment, significant external root resorption, and a large periapical lesion consistent with a chronic apical abscess. Tooth #8 demonstrates prior root canal treatment with a persistent periapical radiolucency consistent with asymptomatic apical periodontitis.

Nonsurgical retreatment was not possible due to large posts. Endodontic microsurgery was performed on teeth #7 and #8 in an attempt to preserve both teeth.

Tooth  #3 | Symptomatic Irreversible Pulpitis | Normal Periapical TissuesNot all root canals are created equal.This maxi...
03/03/2026

Tooth #3 | Symptomatic Irreversible Pulpitis | Normal Periapical Tissues

Not all root canals are created equal.

This maxillary first premolar presented with classic symptoms of irreversible pulpitis — but the real challenge? Four roots with challenging anatomy and significant curvatures.

Anatomy like this is common, but it can be easily missed without three-dimensional imaging and proper magnification.

Understanding root morphology before initiating treatment is critical. When you respect the anatomy — and prepare for it — complex cases become predictable.

Precision treatment. Thoughtful diagnosis. Confident outcomes.

Tooth  #24. History of trauma.The patient began noticing tenderness and sensitivity when touching the tooth with the ton...
02/26/2026

Tooth #24. History of trauma.

The patient began noticing tenderness and sensitivity when touching the tooth with the tongue on the lingual. What seems minor at first can sometimes signal something much deeper.

Diagnosis: Necrotic pulp with symptomatic apical periodontitis.

On radiographic evaluation, a resorptive defect was identified at the mid-root level on the lingual surface. These defects can be subtle — and easy to miss on traditional two-dimensional imaging.

Root canal treatment was completed and the resorptive defect was carefully sealed to preserve the natural tooth.

This is exactly why cone beam CT (CBCT) imaging matters. Three-dimensional visualization allows us to detect resorption, understand its true extent, and plan treatment with precision.

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1 Tiffany Pointe
Bloomingdale, IL

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