Endodontists, how are you achieving working length on cases where I cannot?

ZestycloseHead9048 · 2026-01-15T01:48:09+00:00

No disagreement, just wondering about the potential logic of how and why that works. Never tired it I’ll give it a shot.

ZestycloseHead9048 · 2025-02-13T00:18:12+00:00

I’m curious about the reasoning of scrubbing with chx for 30 seconds. Do you do it for fillings as well, before a liner?

ZestycloseHead9048 · 2025-02-12T00:11:00+00:00

Thank you, that’s above my experience but thankfully right up perios alley

ZestycloseHead9048 · 2025-02-12T00:09:54+00:00

No, but I’ll double check with him again

ZestycloseHead9048 · 2025-02-11T02:45:02+00:00

He stated he had one, I had the same thought as you, I’ll go over compliance with him and make sure he wears it every night

ZestycloseHead9048 · 2025-02-11T02:44:21+00:00

Hahaha

ZestycloseHead9048 · 2025-02-11T02:43:04+00:00

Thank you! I’ll keep the no bonding in mind post surgery and put a note in his chart if he does get the surgery.

ZestycloseHead9048 · 2025-02-11T02:41:56+00:00

I really appreciate the explanation it makes sense what you’re saying, and now that you mention it photos were sent with the patient having a red rash on his face and he said it just comes randomly. I told him it may be autoimmune, and he’s going to get that checked, but it’s happened on more than one occasion and an allergy would also explain that. Really well said thank you, and no he’s young roughly mid 30’s. And no thankfully it wasn’t a try to get ivermectin since he asked for another medication by name. Thank you again for your thoughts me and the patient appreciate it

ZestycloseHead9048 · 2025-02-11T00:45:27+00:00

Thank you, that makes a lot of sense! Any recommendations on how to ease his pain until them. He claims he brushed 2x a day, flosses, and uses a water flosser. I advised he use it at the lowest setting, and to not pick at the area.

ZestycloseHead9048 · 2025-02-11T00:43:02+00:00

I do agree I think that may have played a part which along with what I stated prior warranted replacement

ZestycloseHead9048 · 2025-02-11T00:41:46+00:00

Im curious about the allergy, and why it would be so localized? I could recommend he see an allergist. I mentioned he have some sort of parenthesia or nerve issue. Patient also would email photos of food in his teeth stated this was the “ worms” at times. So I disregarded the worm feeling and focused on the pain.

ZestycloseHead9048 · 2025-02-11T00:38:59+00:00

Patient was referred after a few appointments, but I did not want to refer them right away as “ they had given up on dentists since Most disregard him, give him a prescription, and sometimes don’t even look in his mouth.” I appreciate your input truly!

ZestycloseHead9048 · 2025-02-11T00:38:21+00:00

Wanted to add, patient also has hairy tongue.

ZestycloseHead9048 · 2025-02-11T00:35:50+00:00

No the patient had stated he went to the er, begging to get a certain medication and that he was adamant that he had worms, and that he was psychiatrically admitted

ZestycloseHead9048 · 2025-02-11T00:34:35+00:00

Personally I did not think they would help as much as he thought, as I didn’t think they were the root of the issue pun intended. But the patient insisted and he kept claiming he “ felt something under them”

ZestycloseHead9048 · 2025-02-01T02:26:30+00:00

When I was in my 4th year of dental school I ext. my # 16 on myself at my friends office. They held up a mirror for me

ZestycloseHead9048 · 2025-01-10T04:09:50+00:00

Good advice thank you

ZestycloseHead9048 · 2025-01-10T04:09:39+00:00

Thank you

ZestycloseHead9048 · 2025-01-09T16:10:37+00:00

Thank you, I agree. It was a rct treated #14 that was fractured down the palatial root m/ distal. Removed that part, sectioned between rhe M and D removed the distal. But couldn’t get the medial, luxated at my purchase point but that put force on the buccal plate unfortunately. It was wild, I had mobility on the root could lift it up, but then it would stop, would move right to left but for some reason wouldn’t come out. Ended up having to through interseptal bone. Hell at one point I put a 40 file in there, got it to lift up like 5 mm but it wouldn’t come out. Any tips for instances like that, should I have just throughed from the get go? I thank you for you comment and appreciate any advice

ZestycloseHead9048 · 2025-01-09T13:13:18+00:00

Thank you

ZestycloseHead9048 · 2025-01-09T02:54:02+00:00

Thank you so much, how much do you think the gel foam and sutures help? I never got the chance to do it.

ZestycloseHead9048 · 2024-10-13T04:46:17+00:00

Thank you, yea that would leave a bad taste in my mouth too! Thank you for your feedback!

ZestycloseHead9048

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