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Searching: healthy gum
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Message Board
Views: 285 | Replies: 9
diagnosed clinically with irreversible pulpitis may still contain healthy pulp tissue deeper in the chamber. That is one reason partial or full pulpotomy can sometimes work in cases that previously went straight to root canal therapy. At the same time, that diagnostic uncertainty means case selection
May 12, 2026
Endodontics
Message Board
Views: 784 | Replies: 29
experience. Everything looks very healthy. What makes you say it's not internal? ECIR, leave alone. I have a question though...does ECIR effect bone at all? Internal start/originates from the pulpal tissue, external starts/originates from the PDL tissues. When you look at how fuzzy and streaky the defect
February 19, 2026
Endodontics
Message Board
Views: 306 | Replies: 17
you mentioned something about insurance covering the RCT anyways, that doesnt mean you should do it. What if the endo fails, then you will be on the hook for it. It is also simple to remove some gum and some bone even if needed, on the palatal to increase ferrule. the tooth will be much stronger
May 03, 2024
Endodontics
Message Board
Views: 156 | Replies: 3
Theres a case that Id like to seek for further opinions.44y/o Male Fit and Healthy cigarette smoker without active periodontal disease.Presented to clinic with concern of pus oozing from gum at upper front tooth, denies trauma, no pain at all...Intraorally found sinus tract at attached gingiva
November 28, 2022
Endodontics
Message Board
Views: 317 | Replies: 24
was selling one or more a month. To say I believe in cone beam technology would be an understatement, I freakin love it. Were I to un-retire I would jump right back in to CBCT. Not likely but ya never know, when you love what you do it's not work. Our average healthy patient may never and IMO should
March 25, 2026
Endodontics
Message Board
Views: 23 | Replies: 0
, remineralization strategies, dry mouth management, diet counseling, and tighter recall intervals. Look hard for silent disease. A tooth that might have coasted for three more years in a healthy patient may become a train wreck faster in a patient with salivary dysfunction and treatment fatigue. And when
April 13, 2026
Endodontics
Message Board
Views: 182 | Replies: 3
again without any tooth pain. Well provide the necessary instructions to ensure your recovery is fast and healthy. In general, you can expect the following benefits from treatment: Preserved natural tooth Resolved toothache Restored tooth function Improved smile aesthetics Root Canal in Mission Viejo
September 01, 2024
Endodontics
Message Board
Views: 72 | Replies: 1
For a cold test, e.g. with Endo Ice, how long does cold linger with a FGC if it's a healthy pulp? I feel the cold may stay longer in gold crowns than in a natural tooth??? Also, does zirconia, being a metal, act similarly to a FGC with a cold test? Probably too many variables to give a specific
August 02, 2021
Endodontics
Message Board
Views: 136 | Replies: 2
#28, Is that a crack, or am I smoking crack? Just normal anatomy? Normal probing depths, but a leukoplakia looking lesion buccal to 28, not a fistula. Her CC was gums are sore around 29,28? No. that is a deep split of the canals, unrelated to the gingival lesion (lichen planus?). i had
February 22, 2024
Endodontics
Message Board
Views: 6802 | Replies: 202
at gingival level with all the crown.. After I See Dr.Terry post in DT about composite and he did many worn teeth to gum line and last for decade. I do not like to do post alot .I notice they weaken tooth structure.I saw my mom case and end up in extraction. If u live in Yemen, u just wish could die
June 30, 2018
Endodontics
Message Board
Views: 60 | Replies: 2
This case has me scratching my head: A 64 year-old healthy lady saw me recently for an evaluation. The RCT on the lower right molar was done over 15 years ago. The lady reports cold sensitivity that lingers for about a minute. The lingering is exceptionally mild. There is no tenderness
October 27, 2025
Endodontics
Message Board
Views: 7063 | Replies: 389
. This is exactly where you need Vitapex. It's the modern day version of Sargenti paste. Applying SLIGHT pressure through the thin tip will push Vitapex into the very areas it's needed. Whenever I RC a more healthy tooth, I get little to no overfill 'puff'. Again, it makes sense. It's harder to push
January 15, 2026
Endodontics
Message Board
Views: 266 | Replies: 4
54 yo male. Healthy (I think?) Removed 13/14 due to resorption a couplle years ago. Took new CBCT- He now has 10 new resorption defects and will loose all but one of them. Have you ever seen anything like that? What's up? So this would fall into the category of multiple resorptive lesions
November 13, 2025
Endodontics
Message Board
Views: 416 | Replies: 27
a crown I don't need an x-ray to tell me it is cracked. Lollll Tom there is a crown on that tooth.do you teach radiology and anesthesia in ur ce???? Thats not a crown MATE!This is a crownWhat you have is some onlay BS lol mate that is called an emax crown and its full coverage to the gum line.may I
April 18, 2025
Endodontics
Message Board
Views: 578 | Replies: 8
percussion sensitivity when testing 19-21 but there was a good amount of food trapped between 19 and 20 and gums were a bit irritated so I cemented the crown with temp bond and hoped that it was a gingival issue. Told if it doesn't improve we'll have to refer to endo. Fast forward to today 11/3 and patient
September 03, 2025
Endodontics
Message Board
Views: 67 | Replies: 2
is at the gum not pulpal level. You'd need a CBCT to assess the extent and origin if the patient is motivated to evaluate prognosis and treatment options. Otherwise, I'd keep an eye on it. Many cases like this are slow moving and go years relatively unchanged. The downside to this approach is more structure loss and poorer prognosis keeping the tooth. Marshall
January 10, 2024
Endodontics
Message Board
Views: 44 | Replies: 1
to Tooth Infections Studies confirm that a significant percentage of maxillary sinus infections stem from dental origins, a condition known as Maxillary Sinusitis of Dental Origin (MSDO). A UT Health San Antonio report states thatover 40%of maxillary sinusitis cases are due to dental infections or gum
July 15, 2025
Endodontics
Message Board
Views: 90 | Replies: 1
I have a presentation tomorrow. The patient seems to be a periodontitis stage III patient. I am not the best when it comes endo examination, Id appreciate it if you can help me interpret each test in the following table. Vital, healthy teeth. Brush in gentle circles and floss,
February 15, 2025
Endodontics
Message Board
Views: 238 | Replies: 9
not have fibromyalgia, or any other type of chronic pain condition. I Thank everyone for their ideas! Is she a chronic gum chewer? I dont know the answer to that, but I will call her tomorrow and ask her. I know if I chew a lot of gum, my teeth will get sore. Thanks for your question.
May 19, 2021
Endodontics
Message Board
Views: 250 | Replies: 8
: 1. Bridge: Pt will pay more; 2 healthy teeth adjacent will be damanged 2. Partial: Its removable and few likes it 3. Implant: High cost Consequence of ext if no replacement: Collaps of tooth behind it; Insufficient chewing; bad cosmetics Retreat: Win-win Ext: Win (dentist)-Lose patient Please
July 09, 2025
Endodontics
Message Board
Views: 220 | Replies: 3
I did this endo 11 years ago. Did a nice 3/4 gold crown on top. Today the patient came in complaining of something sticking out of his gum next to this tooth. I plucked out the remnants of the MB root, about 6mm long. Lost a little bone in this area, but I doubt I will do anything more
January 11, 2022
Endodontics
Message Board
Views: 107 | Replies: 2
Video too large to attach but here is a link to an endo we did today on a 13 with a lesion. Nothing remarkable about this one other than a history of some pretty significant periodoontal bone loss on the tooth....you can see when the cord goes in that pocket depths aren't too crazy and the gum
June 23, 2023
Endodontics
Message Board
Views: 692 | Replies: 12
Do you think its a perf? I was removing an existing post broken at the gum line trying to drill it out. I thought I drilled it out completely and placed a new fiber post. There was no blood. Then I took the x-ray and saw that I didnt remove the existing post completely and it went sideways. On one
November 07, 2022
Endodontics
Message Board
Views: 462 | Replies: 21
teeth responded to ice. I did adjust the occlusion, but am stumped by this one. I would rather not open for access and find a normal healthy nerve in the tooth. Oh, and here is the PA of the tooth 1 "endo" enhanced, 1 un enhanced. What do you guys think? where do you land on this one? Upper 1st bi's
September 25, 2025
Endodontics
Message Board
Views: 34 | Replies: 1
Had a patient in for a filling that was deeper than expected today. Decay was into the pulp despite being asymptomatic. Given his relatively young age and the fact that the buccal 2/3 of his molar was already gone to the gum line, he opted for extraction and implant placement rather than RCT/post
August 24, 2023
Endodontics
Message Board
Views: 380 | Replies: 4
, but he cannot get a consultation soon enough Thanks in advance If you dont see any periapical lesion, often gingival irritation spreads into the periodontal space in the approximal regions casing throbbing pain and chewing sensitivity during temporization. If you get bleeding gums, probably thats
May 22, 2021
Endodontics
Message Board
Views: 226 | Replies: 6
Patient presented with puss filled pimple on direct lingual of 24. Never seen this type of thing in this location. Perio is healthy, and no pockets greater than 3. There is significant recession, however. Slight mobility on 24, and an even lesser amount on neighboring incisors. Could
August 31, 2021
Endodontics
Message Board
Views: 125 | Replies: 2
Saw a 13yo new patient today, on his pan noted the large apical lesion on distal root of 36, and it appears to push away the follicle of the erupting/impacted 37. Clinically, 37 has not pierced the gums and there is a large tissue tag (see clinical photo) as well as purulent exudate on the distal
July 23, 2023
Endodontics
Message Board
Views: 220 | Replies: 7
Few months ago regular exam - gums around this tooth are sore - points to 11. No tooth pain. Mobility but it's a canine so lots of lateral forces on the tooth. Deep cleaned the tooth - Month later follow up maybe more bone loss around 11. Compared nerve appearance on 11 to 6 noted no visible
September 20, 2023
Endodontics
Message Board
Views: 80 | Replies: 3
Hi, I have an adult patient on whom I will be doing #8 endodontic treatment in the near future. The tooth is necrotic but is structurally sound (no large caries/fracture). He has a healthy periodontal status, but he's currently in the middle of orthodontic treatment. Before the endo appt
May 07, 2025
Endodontics
Message Board
Views: 287 | Replies: 5
I had a patient, healthy late 30s male, I completed a RCT on #30. Gave IAN with Septo, which I always do. RCT was successfully filled, no complications. Pt next day swells up whole right side of face. Gave two rounds of antibiotics. Pt ended up in ER because pt was still swollen, but not as bad
September 23, 2024
Endodontics
Message Board
Views: 876 | Replies: 26
... It has to be extra anatomy. Sometimes you will not find it. Sometimes it can be related to thin gums, ie a gum graft mat help it, but it is a shot in the dark. 3a. apicetomy by endo? 1. I think the crown margin is fine. Not spectacuarly amazing, but quite fine. There has been no change
December 17, 2023
Endodontics
Message Board
Views: 92 | Replies: 2
at #7. Pt have similar situation on left side but H is healthy no PARL. How about RCT on #C (questionable prognosis) ??Thank you so muchThank Any symptoms? Why keep it? Extract and implant. You'll have more heartache trying to perform herodontics on a primary tooth than putting an implant in there.
March 13, 2024
Endodontics
Message Board
Views: 587 | Replies: 15
or cotton roll, dip in peroxide (just plain old 3% works fine), put the cotton/h202 on the gums and let it sit a few minutes->will be dry It also is great to remove blood stains before they set I've only ever used Hemodent, Which is Aluminum Chloride. What are the pros and cons for each type
October 24, 2024
Endodontics
Message Board
Views: 250 | Replies: 7
an innervated PRDL, and you need to place a rubber dam, so the gums will be sensitive. Then, as Peter mentioned, you might push air beyond the apex, you might also push cement. There are too many possibilities of hurting the patient, and you having to walk on eggs is not the best way to get a job well
June 12, 2023
Endodontics
Message Board
Views: 173 | Replies: 4
just pull it out. Interpretation of diagnostic data is subjective but a biopsy is definitive. On that note, a healthy octogenarian presented for a second opinion regarding an asymptomatic midline exophytic mass in the attached gingiva. It extended from the buccal to the palatal aspect
April 07, 2021
Endodontics
Message Board
Views: 1247 | Replies: 56
If you can't get a single hole RD on a tooth how is that tooth even restorable? I don't do a lot of endo but I have done plenty since 09. I'm yet to find a tooth I couldn't put a single hole dam on. Clamp the gums with a 14A and do diamond gingivectomies...No Problemo. It works on every molar
November 20, 2022
Endodontics
Message Board
Views: 947 | Replies: 35
diverseappendix, urinary bladder, gall bladder, kidney, liver, prostate, andwas countered by tonsillectomies and tooth extractions, including of endodontically treated teeth and even of apparently healthy teeth, newly popular approachessometimes leaving individuals toothlessto treat or prevent diverse diseases
July 25, 2017
Endodontics
Message Board
Views: 208 | Replies: 14
motors and batteries don't need air for combustion, they do need air for both heating and cooling. I used my Cybertruck reservation for 1000 off on my Model 3. Glad I did, I'm a gregarious guy, I'm not THAT gregarious. Already had some "lil bastard" kick a big rock in to my M3P leaving a healthy
September 25, 2025
Endodontics
Message Board
Views: 249 | Replies: 9
bridge? Cantilever crowning 27? I think no treatment trumps all at 16+years and counting. What has the patient suffered with no tx that all the other options would have? Excavation and endo? I guarantee tooth would have broken at gum line prior to 16 years. Here is the pan from 07 sorry about the poor quality
July 06, 2023
Endodontics
Message Board
Views: 207 | Replies: 9
endo on 30 and RCT on 29. Do a percussion test on both teeth as well. If no percussion pain on all teeth on this quadrant and no cold pain/lingering and or sharp cold pain on teeth in this quadrant, then I would say pain can be from the gum pocketing. If no pain on 29, then filling I would do
July 03, 2021
Endodontics
Message Board
Views: 564 | Replies: 16
or did a filling to strengthen between appointments. Endo did a build up with some type of post and core, which is at the gum line. 4) Pt shows up to my appointment, already questioning if this thing is restorable, thinks endo did something shady. 5) IMO tooth has a questionable to poor prognosis. Pt
April 02, 2025
Endodontics
Message Board
Views: 386 | Replies: 9
, and the upper tooth that it should be chewing on, is decayed to the gum line. The patient is then not using these two teeth. So remove them and remove the unmaintainable areas. Later on if the patient misses them, go for implants. But say that to the patient from the get go, and let them know
December 31, 2022
Endodontics
Message Board
Views: 313 | Replies: 9
40y.o male with hx of heart diseaseCc: gums feel sore but no painCold: WNLPercussion: WNLPalp: WNLProbings: WNLEverything checked out normal according to pts response to these tests. So why is there a lesion at the MB root?? Does it need endo? What other tests could have been done? What steps
April 19, 2021
Endodontics
Message Board
Views: 193 | Replies: 9
drugs do little to increase case success, and stink up the office. Ya, but I kinda miss Eugenol. I guess I could buy some Blackjack gum for a trip down memory lane. Yep, that is what I was looking for, I changed to another office and was having a Brain fa##!!! Formo also causes massive bleeding later
October 05, 2022
Endodontics
Message Board
Views: 288 | Replies: 8
vital? What is the occlusion on the tooth like? Does patient wear a nightguard? Does patient chew gum all day long? Thank you so much. You mean right here, correct? very rare to see a fracture on an x-ray, more likely you have circled overlapping buccal/palatal roots. Tooth fracture can
April 21, 2021
Endodontics
Message Board
Views: 249 | Replies: 3
17 yr old healthy pt presented with palatal swelling. No pain. Pt had ortho, which was completed about 2-3 yrs ago. I did an exam for #9-13: no mobility, no caries, no deep probing depths, no sensitivity to pressure/percussion Cold test on #9-13 resulted in reversible pulpitis for all teeth except
November 27, 2021
Endodontics
Message Board
Views: 392 | Replies: 21
pulpotomy makes sense for a tooth like this, most of the tissue is healthy and can recover and let the root mature. Manageable outpatient case, go pulpotomy.However, for this particular patient they are high caries risk and poor compliance. Arent you going to do stainless steel crowns instead
July 03, 2023
Endodontics
Message Board
Views: 278 | Replies: 2
really difficult time drchanke, Ratnagiri, India I think you just answered your own question. Proper diagnosis is key. There is nothing wrong with deep decay. If you concluded that the nerve is healthy, you can pulpcap and thats it.I do close to a thousand endos a year, but Im still saving a lots of pulps. Thats what doctors do.Laz
March 09, 2021
Endodontics
Message Board
Views: 233 | Replies: 4
Patient says he got RCT done at the end of last year and is asymptomatic. Should it be retreated prior to restoring it or leave it alone since patient is asymptomatic? Thanks for any input. No. The PDL and bone look very healthy and if there arent any symptoms, I would let the patient know about
April 11, 2021
Endodontics
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