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Monday 8am - 4pm Tuesday 8am - 4pm Wednesday 8am - 4pm Thursday 8am - 4pm Friday 8am - 4pm

Stephanie Wu DDS

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United States
McLean, VA
Stephanie Wu DDS

Practice limited to Endodontics

05/08/2026

Friday emergency at the new office had my work cut out for me. 25+ mm in all canals (AFTER already reducing occlusion), candy cane curve, and an MB2 to boot.

03/13/2026

Patient was referred from OS who had done I&D and placed a drain for moderate swelling. The pre-op PA hinted at a lateral canal, with a separate lateral radiolucency. I was able to get a curved 10 file down and handfiled the lateral to #30 k file. Main canal was instrumented to VB 30.04. We’ll follow up on healing in 6 months. AAEfoundation endodontist boardcertifiedendodontist

12/07/2023

Record-breaking case for me today. 6 canal #19. Pre op CBCT clued me in to a low-splitting mid mesial (3rd image). However, I thought there were only 2 distal canals. I took another CBCT after instrumentation and calcium hydroxide to check if I had gotten that mid mesial (I hadn't yet 🙃), but I did notice that I got a mid distal and missed DL (4th image).

04/11/2022

Once again, a follow up reminded me to post to this account... whoops! The canal space and radiolucency looked a little strange in the PA sent over with referral for RCT #10. On CBCT I noted separate apical and lateral lesions, and some internal resorption midroot. The patient reportsed no symptoms. RCT was completed. 3 months later, he came back with a sinus tract on the buccal gingiva between #9 and #10, more towards the gingival margin than the root apex. A sinus tract tracing PA showed that the source was the lateral lesion. I discussed apicoectomy and surgical approach to the lateral lesion. Upon root reflection I could see a lateral canal midroot on the direct mesial root surface. Root resection was done for the apical lesion, ultrasonics was used to prep both lateral and apical foramen, and retrofill was done with BioCeramic Putty, At 6 month follow up, both lesions have healed and there has been no recurrence of the sinus tract.

09/18/2021

Follow up post! Sorry I let this account go a little cold (been a little busy welcoming our little baby in April 🤱🏻). Here's a case I posted after completion in February. In August, I saw her back again and look at that lateral and apical healing!

12/14/2020

Took a little hiatus from posting but I'm back with a great case to share! Chief concern of hot and cold pain, with dull ache and throbbing for the last 2 weeks and worsening. PA and CBCT showed a radiolucency in the furcation, although no probing pockets were found. As #3 had lingering pain to cold and pain to percussion, I discussed endo-perio lesions with the patient and referring dentist. Both were on board to give this tooth a shot. After RCT was completed, the patient saw the periodontist and received SRP and some grafting. I did not speak with the periodontist directly about treatment, but the patient does not remember having sutures (?). 6 month follow up shows amazing regen of furcation bone in the PA and CBCT. In a 70+ y/o, no less! No pockets present again and tooth is asymptomatic. Vortex Blue /.04.

08/15/2020

Finished up one of the most calcified teeth I've had in a while. This one took a bit of elbow grease and a lot of RC prep. It was initiated by the referring dentist but due to the calcifications, was referred. Distal canal was tight but exposed and navigable. I found ML next after some troughing and also managed to work down to length. After finding the MB or***ce, I had to work apically literally 1 mm at a time from 10mm to length at 18 mm. Cbct was taken pre op and after the first appointment where I instrumented ML and D, but neither showed MB canal space. Very happy though that cbct showed that the root was very straight. The patient had moderate swelling at initial presentation so I cautioned that if I couldn't instrument MB to length, the swelling might not resolve and we might be looking at extraction. She was very patient as I worked through so many files chasing after the small stick in the canal. Dx: PI/AAA. Vortex Blue /.04. @ McLean, Virginia

08/04/2020

I dug up this old case to show a colleague last week and it’s one of my favs because of the radiographic and photo documentation. It’s going to be a 2 part post. I inherited this case from an older resident. He saw the pt for consultation of prev treated #24 that the referring dentist noted a large lesion and buccal probing on. Pt’s chief concern was “my teeth were loose”. No pain noted at any point. The resident before me splinted the teeth and retreated it (only 1 canal on CBCT), and followed up at 1 month to remove the splint, and at 3 months for a new PA. At 9 months I inherited the case. Because the lesion did not show any signs of resolution, and there was no improvement of mobility and probing, we made the decision for apicoectomy. The teeth were splinted again, the lesion was curetted and submitted to pathology en toto, apico was done with Bioceramic Root Repair Material putty, and root calculus was removed. No graft or membrane was placed (in retrospect I probably should have). I followed up at 1, 4, and 6 months and was surprised to see the rate of healing. Path report came back as a granuloma. Stay tuned next week for surgery pictures and videos!

07/22/2020

Retreat with a challenging deep DB split off a common buccal trunk. The chamber floor had 2 canals with a line connecting them so it would be misleading to think there wasn't a DB. I gently widened the buccal or***ce more distally, put sharp bends on my 6/8/10 files, and moved the files down the distal wall of the common buccal canal until I got a stick into the DB canal. With careful hand instrumentation and probably 25 bent up files, I eventually worked up to being able to get rotary angled into the canal. Retx done before new dentist made new crown. Dx: PT/NAT. Vortex Blue /.04. @ McLean, Virginia

06/25/2020

Really proud of this retreat I completed today. The patient doesn't remember ever having a root canal (or 1/3 of one?). He said it must have been over 10 years. Upon access through the porcelain-GOLD crown, there was a nice ripe cotton ball... The distal canal was partially obturated, and the mesials were calcified. 3 canals (MB/ML/oval shaped D) were navigated with a big of elbow grease and a lot of EDTA, and medicated at the first appointment. At the 2nd appointment, I felt a deep apical split in the distal canal and located an additional DB canal. Although I had taken a pre op CBCT, the split wasn't seen as all canal spaces were fairly calcified. Obturated all 4 and was able to seat 2 separate cones side by side in the distal. Dx: PT/AAP. Vortex Blue /.04. @ McLean, Virginia

Address

1313 Dolley Madison Boulevard #307
McLean, VA
22101

Opening Hours

Monday	8am - 4pm
Tuesday	8am - 4pm
Wednesday	8am - 4pm
Thursday	8am - 4pm
Friday	8am - 4pm

Telephone

+17038470989

Website

http://mcleanendo.com/

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