One of the most rewarding case types, for a number of reasons.
This patient had failing RCTs on #15 and 16 four years after being treated by an Endodontist. She returned to that Endodontist, who removed the crown on 15 and made a large access in the crown on 16, and still was unable to find the canals. They put in a good effort to find the missed canal in 15, but were looking in the wrong place. Fortunately the roots are fused so no perforation was created. At this point the towel was thrown in and patient was advised to extract both teeth.
She was very upset at the idea of losing these teeth, even with one of them being a third molar. So she found me for a second opinion.
I treated these cases in multiple visits to make sure it they were working prior to finishing. Sometimes just a little more effort is all the difference. These are cases where anybody’s “best hour” isn’t good enough, these require time and effort.
Slide 1: Pre-op images. Note area of deep troughing in 15, and untreated DB canals in both teeth.
Slide 2: located troughed area, filled with MTA, placed composite over MTA, located missed DB canal.
Slide 3: previous (large) access in 16, located untreated DB canal. Removed all gutta percha in both teeth, located, shaped and all canals prior to placing
Slide 4: Visit 3. After a calcium hydroxide change at visit 2. Images were taken that confirmed healing (Images on right). The cases were obturated at this visit, only after healing was confirmed radiographically. This eliminates 🤞. Slide 5. One year recall on right shows excellent healing. This patient was extremely happy we took the time and effort to save her teeth, even her wisdom tooth.
Slide 6: a quote that Gary Carr sent me that I always think about
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This patient had failing RCTs on #15 and 16 four years after being treated by an Endodontist. She returned to that Endodontist, who removed the crown on 15 and made a large access in the crown on 16, and still was unable to find the canals. They put in a good effort to find the missed canal in 15, but were looking in the wrong place. Fortunately the roots are fused so no perforation was created. At this point the towel was thrown in and patient was advised to extract both teeth.
She was very upset at the idea of losing these teeth, even with one of them being a third molar. So she found me for a second opinion.
I treated these cases in multiple visits to make sure it they were working prior to finishing. Sometimes just a little more effort is all the difference. These are cases where anybody’s “best hour” isn’t good enough, these require time and effort.
Slide 1: Pre-op images. Note area of deep troughing in 15, and untreated DB canals in both teeth.
Slide 2: located troughed area, filled with MTA, placed composite over MTA, located missed DB canal.
Slide 3: previous (large) access in 16, located untreated DB canal. Removed all gutta percha in both teeth, located, shaped and all canals prior to placing
Slide 4: Visit 3. After a calcium hydroxide change at visit 2. Images were taken that confirmed healing (Images on right). The cases were obturated at this visit, only after healing was confirmed radiographically. This eliminates 🤞. Slide 5. One year recall on right shows excellent healing. This patient was extremely happy we took the time and effort to save her teeth, even her wisdom tooth.
Slide 6: a quote that Gary Carr sent me that I always think about
One of the most rewarding case types, for a number of reasons.
This patient had failing RCTs on #15 and 16 four years after being treated by an Endodontist. She returned to that Endodontist, who removed the crown on 15 and made a large access in the crown on 16, and still was unable to find the canals. They put in a good effort to find the missed canal in 15, but were looking in the wrong place. Fortunately the roots are fused so no perforation was created. At this point the towel was thrown in and patient was advised to extract both teeth.
She was very upset at the idea of losing these teeth, even with one of them being a third molar. So she found me for a second opinion.
I treated these cases in multiple visits to make sure it they were working prior to finishing. Sometimes just a little more effort is all the difference. These are cases where anybody’s “best hour” isn’t good enough, these require time and effort.
Slide 1: Pre-op images. Note area of deep troughing in 15, and untreated DB canals in both teeth.
Slide 2: located troughed area, filled with MTA, placed composite over MTA, located missed DB canal.
Slide 3: previous (large) access in 16, located untreated DB canal. Removed all gutta percha in both teeth, located, shaped and #endovac all canals prior to placing #calciumhydroxide
Slide 4: Visit 3. After a calcium hydroxide change at visit 2. Images were taken that confirmed healing (Images on right). The cases were obturated at this visit, only after healing was confirmed radiographically. This eliminates 🤞. Slide 5. One year recall on right shows excellent healing. This patient was extremely happy we took the time and effort to save her teeth, even her wisdom tooth.
Slide 6: a quote that Gary Carr sent me that I always think about.
#endodontics #endodontia #endodoncia #dentistry #dentalcases #rootcanal #rootcanaltreatment #rootcanalretreatment #missedcanal #nstep #endodonticrecall
Dear Dr. Boehne,
Thank you for treating a panicked old lady with kid gloves. It was greatly appreciated.
sincerely,
Judy, San Clemente
Dan, Thank you so much for taking such great care of me! I’m super grateful for your generosity and my tooth feels great!
Todd M. San Clemente
Thank you Dr. Boehne and the team. I was treated with professionalism and I was well informed during the entire process. A truly fantastic experience!
Chris L.Newport Beach
Dear Dr. Boehne and Chelsie, I can not begin to put into words how much I appreciate what you’ve done for me. God is good. I’m glad my tooth doesn’t have a hole in it anymore. haha I wanted to paint you guys this so you would know how much what you did meant to me; and also so you guys could say you Do have an ocean view from your operatory. You guys are great!
Thanks again
Dear Dr. Boehne,
Waking up to sudden severe nerve pain and being told you need a root canal is not typically the way one plans to begin their day! However, from the moment I stepped into your office I felt I was in good hands. Your receptionist and your dental assistant were kind and reassuring while I waited to be seen.
I am a nervous dental patient and was unsure about the details of the procedure, but you took the time to explain very clearly and specifically what I could expect. You we… Read more
Jodie C, San Clemente
Dear Dr. Boehne,
I want to thank you for the skilled and compassionate services you rendered to me with regard to my root canal. I was greatly impressed by your professional skills and your sensitivity to your patients’ concerns and fears. The kindness of all of your staff and the state-of-the-art equipment in your office, are also eloquent manifestations of your commitment to the best possible care of your patients. I am profoundly grateful that Dr. Franke sent me to you.
Sincerely Dwight A. Dana Point
Dear Dr. Dan and Ruthie;
I thank you, not only for your professional expertise and abilities, but also for the caring concern that you extended towards me. It turned what could have been a trying anxious time into a time of pleasant healing and nurturing. Thank you both.
With gratitude Sally F. Laguna Beach
Dr. Boehne & staff,
I just wanted to thank you so much for your time and effort to fix my tooth! I really appreciate how you took the time to explain everything to me and make sure that it healed. Everything looks and feels great!
Thanks again,
