Miami Root Canal Specialists

Miami Root Canal Specialists Welcome to Miami Root Canal Specialists! We are a dental practice limited to the specialty of Endodontics (Root Canal Treatments).

We are committed to helping patients save their natural teeth and are experts at diagnosing and relieving dental pain.

A tough retreatment with a huge radiolucency. Patient was young and motivated to try to hold on to her tooth, if possibl...
09/27/2022

A tough retreatment with a huge radiolucency. Patient was young and motivated to try to hold on to her tooth, if possible. I was motivated to try given the poor quality of the original obturation. (Patient was made aware pre-op that the crown would need to be replaced due to open margins.)

The first visit brought the added challenge of discovering and removing plastic Thermafil carriers from the mesial canals. The distal root presented with two canals, but I was only able to achieve patency in the Disto-Lingual. CBCT imaging suggested that the distal canals merged apically, but I could not get an instrument through the DB.

At the second visit, the EdgePro YSGG laser system was used for activated irrigation of the root canal system. The final obturation demonstrated retrograde sealer fill of the previously blocked DIsto-Buccal canal. Additionally, a lateral canal was popped on the distal root. The patient has been scheduled for six-month recall.

We had the EdgePro system installed in the office one week ago. Since then, I have been very happy to have the EdgePro system on hand for cases like this!

Fix-It Felix, Jr. at work! Patient presented with recent RCT of #12 complaining of persistent sensitivity in the area. ...
09/02/2022

Fix-It Felix, Jr. at work! Patient presented with recent RCT of #12 complaining of persistent sensitivity in the area. CBCT scan demonstrated that the buccal canal had been transported into the furcation leaving the apical portion of the canal uninstrumented. At first visit, post was removed along with all obturation material in the palatal root. In the buccal root, gutta percha was removed to the level of the transportation. The true canal was then located and instrumented to patency. The gutta percha in the furcation was left in place and both main canals were filled with calcium hydroxide as an inter-appointment medicament. The patient retuned for the second visit completely asymptomatic. After obturation downpack of both canals, the furcal gutta percha was carefully removed and the perforation was repaired with ProRoot MTA. Patient left happy to be free of symptoms and ready for the permanent crown.

Patient presented with failing RCT completed several years prior. Faced with the choice between EXT or retreat, he decid...
04/02/2022

Patient presented with failing RCT completed several years prior. Faced with the choice between EXT or retreat, he decided not to send the tooth to Davy Jones’ locker… Original treatment had addressed four canals. Two additional canals located during this retreatment. Six canals & six portals of exit at completion. Treatment completed over two visits with calcium hydroxide in canals between appointments. Looking forward to the six month recall!

Premolars can often be more difficult to treat than molars. This patient presented with a #13 with a fractured palatal ...
01/22/2022

Premolars can often be more difficult to treat than molars. This patient presented with a #13 with a fractured palatal cusp and pulp exposure. I opted to capture a CBCT image of the tooth when my master cone did not appear to be following the apical root curvature. 3D imaging suggested a possible palatal accessory canal branching off the main canal just short of the apex. Many pre-bent hand files were used to locate and instrument this accessory canal. Obturation of this deep split was a challenge, but I was very happy with the result. The patient is scheduled to return to their dentist for post/core/crown.

Premolars are often harder to treat than molars. This case presented as a palatal cusp fracture with pulp exposure. My i...
01/22/2022

Premolars are often harder to treat than molars. This case presented as a palatal cusp fracture with pulp exposure. My initial cone fit wasn’t following the apical curvature of the root. 3D CBCT imaging suggested a possible palatal accessory canal branching off the main canal within 3 mm of the apex. Pre-bent hand files were used to locate and instrument the accessory canal. Obturation was a challenge. I was happy to be able to thread gutta percha and sealer into both branches. Next stop, post-core and crown.

Emergency patient came in for evaluation very late on a Friday. The patient had been experiencing spontaneous pain worse...
12/11/2021

Emergency patient came in for evaluation very late on a Friday. The patient had been experiencing spontaneous pain worsened by cold. I did not have enough time to complete treatment, but was able to get the patient out of pain for the weekend with a simple pulpotomy (partial root canal treatment). Full procedure was completed the following week. Patient was happy to get out of pain quickly. I was happy to have a full appointment slot to devote to the apical anatomy of this curvy tooth. Crown recommended.

Elderly patient presented with pain and slight intra-oral swelling involving tooth #21. Patient sought to try to hold o...
07/06/2021

Elderly patient presented with pain and slight intra-oral swelling involving tooth #21. Patient sought to try to hold on to his tooth if at all possible, despite periodontal condition. Missed lingual canal suspected as main cause of failure. Referring doctor inquired if apical surgery were an option as the post/core and crown had been placed a 1-2 years prior. Recommended retreatment for the best chance of eliminating infection in the missed canal. (Also concerned that surgery would need to be performed in close proximity to the mental foramen and could worsen periodontal condition and crown-root ratio of the tooth. After disassembly of the existing restoration and removal of post, the missed canal was located and instrumented to patency. Retreatment completed over two visits with Calcium Hydroxide as an inter-appointment medicament. Completed new post and core for referring doctor. Patient asymptomatic and happy at second appointment. Looking forward to recall!

A lot has changed in dentistry over the past few decades. This patient presented for retreatment of a root canal that ha...
03/21/2021

A lot has changed in dentistry over the past few decades. This patient presented for retreatment of a root canal that had been filled with Silver Points—a material that lost popularity in the 1970s over concerns of corrosion and poor sealing ability. The MB cone was found to be short. The DB and Palatal roots were found to be fused with the DB cone significantly short of the root apex. Removal of silver points requires a lot of patience to avoid having part of the cone separate deep inside the canals. Thankfully, in this case, the cones were each removed in one piece. Looking forward to seeing the healing at recall!

Patient presented with a loose mesial composite filling on the upper left second molar ( #15). The tooth was diagnosed a...
03/09/2021

Patient presented with a loose mesial composite filling on the upper left second molar ( #15). The tooth was diagnosed as requiring root canal therapy. I chose not to take a pre-op CBCT for this case and was quite surprised by the anatomy I found during treatment. In addition to a normal mesiobuccal and a normal palatal root, this tooth ended up having two separate distal roots (with the distopalatal being especially long and curved). No two teeth are alike, but some definitely stand out more than others ...

Nice recall on a difficult case. Necrotic and symptomatic molar complicated by severe calcification and fusion of the di...
03/09/2021

Nice recall on a difficult case. Necrotic and symptomatic molar complicated by severe calcification and fusion of the distobuccal and palatal roots. The microscope and 3D CBCT scan were both a huge help in completing this case. Four canals located after extensive troughing. Treatment completed over two visits with calcium hydroxide in canals between appointments. Patient returned at six months with an asymptomatic and fully functional tooth. Crown strongly recommended to avoid fracture.

What’s your ideal access design for this lower premolar? With today’s heat treated rotary files, we can often modify the...
03/09/2021

What’s your ideal access design for this lower premolar? With today’s heat treated rotary files, we can often modify the location of our access based on the location of caries/decay in the tooth. This patient presented after caries excavation by a referring dentist led to a pulp exposure along the buccal (cheek side) of the tooth. Rather than create a second access in the occlusal (chewing) surface, we opted to perform the entire root canal procedure through the portion of the tooth that had already been undermined by decay. Two canals were located, cleaned and shaped. Both canals were obturated (filled) with Gutta percha and bioceramic sealer. Canals were sealed with purple flowable composite coronally. Referring dentist now has the choice whether to restore with a crown or seal the access with a composite filling. What would you prefer?

Address

8390 W FLAGLER Street, SUITE 210
Miami, FL
33144

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+13052218390

Website

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