Axis Endodontics - Dental Specialist

10/15/2026

This was a case from yesterday. I’m sharing this because it’s not “cool” to find five canals it’s doing what’s right by the patient.

Sadly, I went to a meeting this week and was approached by a dentist who said, hey you post on IG, how come you always get crazy cases or cases with MB2s? I didn’t really know how to respond because inside of me I wanted to because they are always there, but instead I said yes the cases are sometimes difficult sometimes intriguing and challenging. Response: yeah I know but the canals aren’t always there, you post about mid mesials but really they’re not there and they join all the time anyway right? I do all my own endo and I’m pretty good and I never see this, you just seem to wind up with weird cases.

That is not the truth and not the case. We do not know what we do not know about cosmetics, oral cancer, endodontics, periodontics, restorative, TMD, etc if you are not aware of all aspects. I respectfully ended the conversation quietly that I went home to realize that so many of us practice what we think we know, but don’t delve into the research to learn more. Hopefully, we can all continue to try to be better.

Lower molar, 5 canals 4 separate exits 3 on the mesial. Core build up placed. 🥂

06/12/2026

05/13/2026

This case was almost as frustrating as this song.
#2 IP/SAP. Four canals 4 POE, mb and mb2 wicked curves had me sweating. Floor sealed with liner. Full coverage recommended.

05/11/2026

#7 and #8 prev treated decades ago, posts the size of Utah in each tooth. Discussed all options and prognoses, opted for apico on both. 1st attempt on 7 retrofill didn’t get far enough down, went back and got a nother millimeter, would loved to be flush with post but couldn’t condense further some already started setting. Used new retroprep tips from Dr. Ahzim kit I got at the AAE. thank you!

Hoping to get some longevity out of these teeth, flap extended sub-sulcular from distal aspect of maxillary labial frenum for vertical, to distal or 6 horizontally.

03/19/2026

Patient is an Oral Surgery Dental Assistant of a colleague, previously treated years ago by specialist, no symptomatic to percussion and bothering her to the point where she wanted to get it pulled. He told her no, lol, go see Neil and makesure it can’t be fixed.

I believe there was a separated instrument in the Mesial root, (yellow arrows) but I can’t justify it because I got patent on all canals, didn’t fish it out, maybe the laser popped it out 👀 🤣.

CBCT showed a mid mesial area, retreated all canals, located mid mesial, Obturated and sealed crown with a core build up.

Endo for the win!!! THANK YOU for trusting us both to the patients and professionals we work with.

GOOD LUCK TO EVERYONE ON THEIR BRACKETS

03/15/2026

Hate these challenges but we always are there to fix em!

#2 previously treated with a missed mb2, we all know how difficult and how annoying these fused mb and Palatal roots are. Way more often then you would expect and that’s why we Cbct every case. You don’t know what you don’t know.

Floor sealed with liner, laser activation in chamber and Cbct with . Have to hand it to them; their tech is bar none the best.

03/06/2026

Always a treat when your colleague refers you their friend. So you may as well make a video using microscope showing the locating of mb1,mb2,db1,db2 and the Palatal.

#15 Pulpal Necrosis, Symptomatic Apical Periodontitis
5 canals, distals joined, mesials did not and mb2 had a wicked little curve apically. Sealed with core build up.

Thanks for the trust doc ;)!

03/04/2026

#19 PN/SAP. Previously opened and partial pulpectomy to get patient out of pain and sent here immediately. 5 canals 5 separate portals of exit.

Mid mesial was nearly impossible to get down, but eventually got it. Stellar patient. Used laser, but still needed packs and packs of handfiles. Must remember the cavitation needs canal space to be open to get apically, and I was not taking larger rotaries in without WL and risking transportation.

SVRCT.

03/04/2026

Dr. and myself had a very “George” day with every difficulty coming at us possible. I had this deep split which was impossible to see, a 5 canal lower, he had a 6 and a 5 canal today. But we made it through. I’ll post some of the others later.

This was one I did not think would come out as it did.
#18 PN/SAP. 4 canals, 4 POE, three roots. Lateral on one of the mesial roots and on the distal root. Two visits. Floor sealed with liner. After I got into both distals (blond, 19 mm down so could tell by feel, I knew obturation was gonna be a mess).
Put both cones in distal root, 5mm short, Obturated mesials, reinstrumented distals started with one cone. Down packed, went back in with thin blogger to makesure I could get into other canal, reinstrumented, irrigated, another cone fit X-ray and then Obturated. Got lucky and patient was so amazing to us.

Maybe tomorrow will be Opposite Day. (Seinfeld fans know).