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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Interesting Case: Severe Tooth Pain from Biting on a Nail

Interesting Case: Severe Tooth Pain from Biting on a Nail   Recently one of my patients, a 40 year old female, was eating at a restaurant and bit down on a nail that was in her food!   The result was severe tooth pain. The tooth in question was an upper second molar. Complicating the matter was a wisdom tooth behind this tooth that had  “supra-erupted significantly (this means that...

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Did the dentist get all the decay out of my tooth?

Did the dentist get all the decay out of my tooth?   On occasion a new patient will arrive to my office with decay around or under a filling that was done years earlier.  They will need a new filling or a crown.  The usual question is: ‘Did the last dentist leave some decay in the tooth?’   It can be tricky for the dentist to get all of the decay out of a tooth....

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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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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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RESTORATIVE CASE WITH SEVERE DENTAL EROSION OF THE TWO FRONT INCISORS

Restorative Case With Severe Dental Erosion of the Two Front Incisors There are different causes for losing tooth structure. One cause is from very acidic solutions that can dissolve away enamel. Many times this manifests on the tooth surface, which will show the biting surfaces flattening out and appearing darker as the lighter enamel vanishes exposing the darker colors of the dentin...

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