Dr. Matt Nourmand

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Dr. Matt Nourmand Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Dr. Matt Nourmand, Endodontist, New York, NY.

07/12/2026

A J-shaped radiolucency does not always mean a crack.

This tooth 19 had a previous root canal, done by another endodontist, with gutta percha extended past the mesial apex, a large J-shaped lesion on the mesial root, and a periapical lesion on the distal. Classic crack-suspicious pattern, but there were no deep probings and the tooth was intact.

We chose to save it with an apicoectomy on both the mesial and distal roots, sealing the root ends surgically rather than extracting.

At just six months the bone had filled back in remarkably around both roots. The apico was successful and the tooth is healing.

A J-shaped radiolucency does not always mean a crack.This tooth 19 had a previous root canal, done by another endodontis...
07/12/2026

A J-shaped radiolucency does not always mean a crack.

This tooth 19 had a previous root canal, done by another endodontist, with gutta percha extended past the mesial apex, a large J-shaped lesion on the mesial root, and a periapical lesion on the distal. Classic crack-suspicious pattern, but there were no deep probings and the tooth was intact.

We chose to save it with an apicoectomy on both the mesial and distal roots, sealing the root ends surgically rather than extracting.

At just six months the bone had filled back in remarkably around both roots. The apico was successful and the tooth is healing.

07/06/2026

Separated instruments do not always mean the tooth is lost.

This lower molar had a 12 mm rotary file broken off near the top of the canal from a previous treatment. Because it separated coronally with good access, it was an ideal candidate for removal.

Using ultrasonics and a tube technique under the microscope, the fragment was lifted out. The distal was rebuilt with composite, and the canals were then cleaned, shaped, and sealed.

Coronal separations like this are often retrievable. Worth a referral before assuming extraction

Separated instruments do not always mean the tooth is lost.This lower molar had a 12 mm rotary file broken off near the ...
07/06/2026

Separated instruments do not always mean the tooth is lost.

This lower molar had a 12 mm rotary file broken off near the top of the canal from a previous treatment. Because it separated coronally with good access, it was an ideal candidate for removal.

Using ultrasonics and a tube technique under the microscope, the fragment was lifted out. The distal was rebuilt with composite, and the canals were then cleaned, shaped, and sealed.

Coronal separations like this are often retrievable. Worth a referral before assuming the worst.

07/02/2026

A pink spot on a front tooth is not always a stain.

This was external cervical resorption on a front tooth. The tooth was still alive and the root was still developing, so the first step was patience. We monitored until the root matured and the apex closed.

Once the timing was right, the tooth was treated with root canal therapy, followed by surgical repair of the resorptive defect from the outside.

Three years from the first image to the final repair. We resolved the discoloration, and the natural tooth is still in place.

A pink spot on a front tooth is not always a stain.This was external cervical resorption on a front tooth. The tooth was...
07/02/2026

A pink spot on a front tooth is not always a stain.

This was external cervical resorption on a front tooth. The tooth was still alive and the root was still developing, so the first step was patience. We monitored until the root matured and the apex closed.

Once the timing was right, the tooth was treated with root canal therapy, followed by surgical repair of the resorptive defect from the outside.

Three years from the first image to the final repair. We resolved the discoloration, and the natural tooth is still in place.

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