3D MicroEndo

02/14/2022

Here is the outside the box thinking i was referring to. How many of us consider intentional replant for failing root canals? This is my 1 extraction for the year and a great option for that specific case where we can possibly still save a tooth.

02/14/2022

In school we were taught if a root canals fails we need to either 1. Retreat 2.apico 3. Extract. We were not really taught to think outside the box 📦. I will post a video that shows outside the box thinking.

02/02/2022

Where is the real apex? Sometimes when there is a dead stop there is an exit somewhere.

02/02/2022

We finally got a 98 percent save!!! And that we did. Treated 31 2 years ago. Patient wanted to wait on 30. Treated 30 1 year ago and now we have full healing! Root canals work!

01/14/2022

This is a great case to share. Number 3 was treated endodontically. Lesion persists apical to number 3 db root. Fistula traced to 3 db root. Asked to see what we should do. 48 percent said to apico 3 db root and 52 percent said to treat 2 endodontically. I really was hnsure of the best treatment for this patient. I decided to treat number 2 as it was non vital and had periapical lesions and needed treatment anyway. Look at that mb puff leads directly from 2 to 3!!! Sometimes we question if teeth are connected. Here we see clearly there is a connection from 2 to 3. Please share this case as it is very telling for future difficult diagnostic cases.

01/11/2022

Why do we need 3d imaging in endodontic diagnosis? Look how many of us(including mysef) want to do treatment based on 2 dimensional imaging.

01/07/2022

This is a straight forward case to save a tooth! 15 year follow up with complete healing after db root apicoectomy and mb root amputation. Almost 20 percent of people wanted to take this out!

12/10/2021

55 percent want to extract this 25 mm lower canine. Saving teeth is still an option.

12/08/2021

Once again is cbct or 3d imaging important in endodontic diagnosis? From 50/50 to almost 90/10. Thats a major difference in treatment. We need to see what we are treating!

12/08/2021

10/29/2021

This is a great discussion. The apico retreat was almost 50/50. Its interesting that we arent closer to 90/10 on these cases. We did the apicos on 3 and 14 on the same week in 2019. Here is a 2 year follow up with complete bone fill without using any grafting material. Is grafting and membrane important for apical surgery? Why would almost 50 percent want to retreat these? Pls share and discuss.

10/28/2021

This was a case where the patient chose to retreat an old root canal knowing we may need to apico in the future. Even though we were able to get to length the case failed and an apico was needed. Here is a 1 year recall and full healing. Don’t give up if a case fails.