Jung Endodontics

Jung Endodontics Our Mission is simple: to provide you with the finest endodontic treatment available anywhere.

Restorative Endodontics. 8yo. Symptomatic Irreversible Pulpitis.Buccal wall of enamel with minimal dentin support so the...
05/13/2023

Restorative Endodontics.

8yo.

Symptomatic Irreversible Pulpitis.

Buccal wall of enamel with minimal dentin support so the buccal was built up first, before RCT.

There was no initial intention for a dual (truss) access but it can’t hurt and hopefully it helps. 😂

Restorative Endodontics. Symptomatic Irreversible Pulpitis. Severe hyperemia at the first visit so I was unable to compl...
04/17/2023

Restorative Endodontics.

Symptomatic Irreversible Pulpitis.

Severe hyperemia at the first visit so I was unable to complete treatment. Medicated the tooth with calcium hydroxide.

Tooth was asymptomatic soon after the first visit. Completely dry at the completion visit.

A large gap to close but I was able to do it. You can see the bit of rubber dam stuck in the mesial contact. I removed the composite flash after the postop radiographs.

First thing the patient asked was “Were you filling in the gaps in between my teeth?” He was super happy. Sore but happy.

Restorative Endodontics. Symptomatic Irreversible Pulpitis. Proximal contact was intact so I didn’t break it; however th...
04/17/2023

Restorative Endodontics.

Symptomatic Irreversible Pulpitis.

Proximal contact was intact so I didn’t break it; however there was caries under the intact marginal ridge. The tooth was restored without a need for a matrix.

Crown to be placed shortly.

Conservative endodonticsInitial evaluation in 2019Asymptomatic then and up through now. Blurry photos so they will stay ...
03/15/2023

Conservative endodontics

Initial evaluation in 2019

Asymptomatic then and up through now.

Blurry photos so they will stay in a collage. 😂

-Necrotic debris and fluid
-DCTaper 17.04 in ML
-DCTaper 20.06 with necrotic debris from the apical third of D (shy of WL)
-Sliver of “calcified/petrified” necrotic pulp tissue from D
-Access closure
-Occlusion adjusted

Restorative Endodontics. Symptomatic Irreversible Pulpitis. MB1, DB, P were routine. MB2 was a struggle the whole way do...
02/06/2023

Restorative Endodontics.

Symptomatic Irreversible Pulpitis.

MB1, DB, P were routine.

MB2 was a struggle the whole way down. 😭

Existing composite was well-placed/sealed.

Composite on the premolar is breaking down. Placed resin to seal the occlusal margin. Recommendation to replace ASAP.

Retreatment. History of recent symptoms. Currently asymptomatic after a regimen of antibiotics. Upon access a small amou...
12/03/2022

Retreatment.

History of recent symptoms. Currently asymptomatic after a regimen of antibiotics. Upon access a small amount of necrotic smell and debris was observed. Irrigated with solvent to ensure removal of as much gutta percha as possible.

Bioclear Evolve. Cold sensitivity. Reversible Pulpitis.Tunnel prep. Opportunistic access for the distal of #14(26). Sil...
11/19/2022

Bioclear Evolve.

Cold sensitivity. Reversible Pulpitis.

Tunnel prep. Opportunistic access for the distal of #14(26). Silver diamine fluoride. Created a window (no photo) in the Bioclear Evolve to ensure heated composite flowed to the cavity preparation.

8-Year Follow-up. Asymptomatic and functional.
10/24/2022

8-Year Follow-up. Asymptomatic and functional.

Patchwork Dentistry*Preop radiographs from April2021*September2022: symptoms after recent patchwork amalgams on Teeth #...
10/22/2022

Patchwork Dentistry

*Preop radiographs from April2021

*September2022: symptoms after recent patchwork amalgams on Teeth #2(17) and #3(16) due to recurrent caries. #2(17) amalgam replaced due to presence of remaining caries. Carefully tunneled to the buccal to remove all the visible caries. RCT initiated due to a pinpoint pulp exposure on the palatal (😭) and the patient was going on a month-long outdoor adventure.

*October2022: patient reported mild symptoms for 10 days after the first visit but was able to enjoy his trip without tooth pain.

*MB, DB and P fully instrumented and obturated. Did not find MB2. All existing composite buildup material removed.

*Observed carious dentin. Uncovered MB2 or***ce after removing remaining caries. MB2 separate POE. 14.03/15K

***who hates how IG crops images? 🙋🏻‍♂️

Restorative Endodontics. 17yo. Self-referral. RCT started by his dentist but was unable to complete the case. The patien...
10/17/2022

Restorative Endodontics.

17yo. Self-referral. RCT started by his dentist but was unable to complete the case. The patient was referred to another endodontist but the patient's aunt recommended me. ☺️

These sorts of cases bring a certain degree of trepidation as it’s a mystery what you’ll find once you re-access the tooth. I was a little concerned when I saw the access but thankfully only a slight ledge in the apical third of the mesiobuccal canal owing in part due to the sharp curve as the mesiobuccal joins the mesiolingual canal. The dentist was conservative in the instrumentation of the canals and stopped at the right time. The mesials were definitely a challenge and took a lot longer than I was anticipating.

This tooth posed a restorative challenge as it was not fully erupted. made it easy. No effort to place a proximal contact as the patient is treatment planned for a crown.

Emergency patient. Severe pain and swelling. Incision and Drainage: purulent and hemorrhagic drainage. While it’s benefi...
10/15/2022

Emergency patient. Severe pain and swelling.

Incision and Drainage: purulent and hemorrhagic drainage.

While it’s beneficial to establish any sort of drainage so as to relieve the pressure and flush out the local inflammatory mediators, it’s always more gratifying when you see pus.

Am I wrong? 😂

Persistent infection.After hours emergency patient. Copious drainage from only the mesiolingual canal. Placed calcium hy...
10/15/2022

Persistent infection.

After hours emergency patient. Copious drainage from only the mesiolingual canal. Placed calcium hydroxide powder in the mesiolingual canal.

Patient called 5 days later pain and swelling returning. Prescribed antibiotics and medication for pain. Accessed only the mesiolingual canal. Left the tooth open to drain with instructions to keep the drainage hole clean.

Two weeks from the start of treatment, the patient reported only mild palpation tenderness. No pain otherwise. Swelling resolved. 

But…persistent straw-colored drainage. Remedicated with calcium hydroxide and closed access.

Next (and hopefully last) appointment in another two weeks.

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12565 Hesperia Road, Suite 3
Victorville, CA
92395

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