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Case Studies
Sodium Hypochlorite Accident
11th November 2019 Dr Karen Wong shares a case of a 70 year old patient that suddenly felt a sharp burning pain in the lower jaw during sodium hypochlorite irrigation. more info >>Save or extract? Let the patient decide!
19th July 2019 Dr Karen Wong shares a case of a patient who was adamant to keep her natural tooth despite a questionable long-term prognosis. more info >>Be alert to the possibility of multiple causes of swelling...
29th May 2019 Dr Matthew Gentner explores the 'root cause' of pain and swelling following an earlier extraction. more info >>The critical importance of adequate pre-operative imaging
25th March 2019 by Dr Bayardo Martell. How to avert disaster... more info >>Disto-lingual complexities revealed by CBCT
11th March 2019 by Dr William Bowles. A case of an unusual root structure discovered with CBCT. more info >>Internal Resorption or External Resorption?
17th December 2018 by Dr Ross Applegarth. An unusual case that may have you second guessing. more info >>2018 Endodontic Case Studies Quiz | Question 1
23rd November 2018 Dr Ross Applegarth discusses whether Milton Anti-Bacterial Solution is suitable as an endodontic irrigant. more info >>2018 Endodontic Case Studies Quiz | Question 2
23rd November 2018 Dr William Bowles invites your diagnosis of a 29 year old patient presenting with a palatal fistula. more info >>2018 Endodontic Case Study Quiz | Question 3
23rd November 2018 Dr John McNamara explores the likely outcome of a tooth with a horizontal root fracture. more info >>2018 Endodontic Case Study Quiz | Question 4
23rd November 2018 Dr Bayardo Martell asks for your opinion in relation to a 17yo patient referred for management of 21 and 22 following severe acute apical abscess. more info >>2018 Endodontic Case Study Quiz | Question 5
23rd November 2018 Dr Karen Wong asks how you would treat this 9yo with an injury to the upper left central incisor. more info >>2018 Endodontic Case Study Quiz | Question 6
23rd November 2018 Dr Matthew Gentner explores the options for an 18yo male who presented with pain and swelling around a molar. more info >>The importance of regular vitality testing for proper diagnosis
17th August 2018 by Dr Bayardo Martell. The importance of regular vitality testing for proper diagnosis, dramatically exemplified by this interesting case. more info >>What is the prognosis for retreatment of tooth 36?
16th July 2018 by Dr Margot Anderson. In this case we look at the factors that influence the likelihood that a periapical lesion will heal following endodontic treatment (or retreatment). more info >>CBCT is now becoming an indispensable part of endodontic diagnosis and treatment planning
18th June 2018 by Dr Ross Applegarth. In the same way the operating microscope, rotary NITI, and MTA have transformed endodontic procedures in the last two decades, CBCT is now becoming an indispensible part of... more info >>45-50 year old apical surgery
25th May 2018 by Dr Timothy Smith. This case depicts an unusual 45-50 year old past apical surgery technique, in that the amalgam retrofilling had been placed well cervically and there had been incomplete... more info >>Tooth fragment reattachment
23rd May 2018 by Dr Timothy Smith. We need to resist the urge to get files into traumatically exposed pulps no matter what! more info >>This 13 year review will surprise you!
11th May 2018 by Dr Timothy Smith. Every now and then we do get to see our patients some time down the track when they return for another matter: and that gives us the chance to have a look at what has gone on... more info >>Complete canal obliteration
3rd May 2018 by Dr Bayardo Martell. This 36 with irreversible pulpitis is in need of root canal therapy due to a deep internal crack. Based on the provided image what would be your main concern on planning... more info >>There are symptoms and there are symptoms!
23rd April 2018 by Dr William Bowles. Who do you believe: the patient or the text books? more info >>Patience and time are great healers
18th April 2018 by Dr Ward Rutley. An asymptomatic 47yo female was referred for retreatment of her 16. The presenting complaint was a chronic draining sinus adjacent to her 16. The 16 had a prior RCF (separated... more info >>Unusual presentation of tooth resorption
10th April 2018 by Dr Bayardo Martell. And just when I thought I have seen them all….this is indeed one of the most intriguing cases of tooth resorption I have encountered. more info >>Can you make a definitive diagnosis purely on radiographic appearance?
7th March 2018 by Dr Margot Anderson. Valuable insights from a case of a 69 year old female who sought an opinion regarding a symptomatic tooth 46. She had lost a number of molar teeth over the years through... more info >>Bypassed instrument
27th February 2018 by Dr Timothy Smith. This is a case I have just seen: a previously root filled 36 with a chronic apical abscess draining just below the buccal gingival sulcus and a large periapical radiolucency. A... more info >>Be alert to the possibility of a cracked tooth - it's not always obvious!
14th November 2017 by Dr Timothy Smith. Cracked teeth can often be difficult to manage. There is a classification that runs from crazing in the enamel, cracked cusps, a cracked tooth, a split tooth and then to vertical... more info >>Don't forget about referred pain!
14th September 2017 by Dr William Bowles. A 69 year old male was referred for diagnosis and management after episodes of spontaneous pain in the second quadrant. The lone standing 27 tooth was extensively restored... more info >>Christmas Cartwheels Cause Avulsion & Horizontal Root Fracture
13th September 2017 by Dr John McNamara. Elly was an active 8 year old girl who liked to perform cartwheels. While doing so on Christmas Day she was struck in the mouth by another girl’s foot - also cart-wheeling... more info >>Upper molars: Expect the unexpected!
31st May 2017 by Dr Margot Anderson. As Endodontists, upper first molars are probably the most common tooth type which is referred to us for management…for good reason! Upper 6s can be highly variable in their... more info >>Cvek pulpotomy following a complicated enamel-dentine fracture
28th April 2017 by Dr Karen Wong. A 10-year-old girl presented with a complicated enamel-dentine fracture on her upper left central incisor. Cvek pulpotomy was performed using Bioceramic Root Repair Material prior... more info >>Retreatment of lower molar with cast post core and crown
14th March 2017 by Dr John McNamara. A 73 year old retired physician presented with persistent but mild tenderness on chewing on the lower left, and occasional submandibular soreness. His dentist enquired about... more info >>Conservative endodontic re-treatment
1st February 2017 by Dr William Bowles. Treatment planning can be difficult in re-treatment cases where considerable ‘hard-ware’ exists over the root canal system... more info >>Trauma Management
14th September 2015 by Dr Matthew Gentner. This case is of a 17 year old male who experienced trauma 7 years previously. The maxillary central incisor teeth were avulsed and replanted after one hour dry storage. Quite... more info >>A case involving Actinomycosis
5th June 2012 By Dr William Bowles Category: Surgery The root canal system was filled using MTA/GP/AH26. Apical surgery was performed to remove a 15x9x9 mm specimen. Histology/Pathology report came back with the... more info >>A challenging diagnosis
1st February 2012 By Dr Ross Applegarth Category: Additional Canals This patient was referred for management of a suspected combined endodontic-periodontal lesion involving the tooth 42. The patient reported a history... more info >>
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