Root Canal Therapy: Improvements Over the Years

Root Canal Therapy: Improvements Over the Years I learned about root canal therapy in dental school and many years ago.  Early in my career I practiced dentistry in the Army and honed my endodontic skills.  In recent years I have referred root canal cases to an endodontist (root canal specialist) I personally needed a root canal a couple of months ago, and I want to report on the changes and...

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FRACTURE IN A TOOTH: A CASE STUDY

Fracture in a tooth: a case study   A patient in her 40s showed up in my office last summer. One of her complaints is that she could not chew on her lower right molar (#30), and the discomfort was persistent. I recommended that she see a root canal specialist, which she finally did almost a year later. The fracture was visible on a photo of the biting surface, and this extended to the...

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PROBLEMS WITH GRINDING AND HEAVY BITES

Problems with Grinding and Heavy Bites   People with stressful jobs frequently show signs of tooth grinding. Upon dental examination, these patients may have jaw muscle pain, a sore joint (the TMJ of temporomandibular joint), worn teeth, cracked teeth, very sensitive teeth, gum recession, mobile teeth. Wow! One of the simplest solutions is to have the patient wear a bite guard. Usually...

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Tooth Loss: Alternative Medicine Considerations

Tooth Loss: Alternative Medicine Considerations   I recently had a new patient, a female in her mid-50’s, who presented with deep decay on her first molar. After removing the decay the pulp area was exposed, and the space showed a pulp exposure that did not bleed. This usually indicates that the pulp is at least partially dead or totally necrotic. This patient is aware of alternative...

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Treatment Planning and Compromised Health

Treatment Planning Dental Patients with Compromised Health   A 70 year old female came in a week ago.   She has had good dental care for many years up until only the last couple of years. When she came to see me, her crown had fallen off her first premolar (the tooth just behind the canine). After inspecting the crown, I saw a much bigger problem because the tooth structure was...

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INTERESTING DENTAL CASE WITH MILD TRAUMA

Interesting Dental Case with Mild Trauma   A patient of long standing came in last week with some concerns.  The work delivered to this patient over the years includes a 6-unit dental bridge in the upper anterior, a dental implant with crown on the upper left, and several fillings throughout the mouth. When he appeared he was concerned that there was a problem with the dental implant on...

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