Jung Endodontics

Amalgam of the day 49 yom. SIP. Recently had two teeth extracted two months ago; both treated by an endodontist but he never got the teeth restored. Temporary filling fell out and teeth were non-restorable. RCTs were done over 10 years ago. Patient has since vowed to take care of his teeth. I told him that what happened with the other teeth won't happen with this tooth.... DL cusp fractured off due to caries. MM joined MB. Matrix-in-a-matrix to get a nice rounded lingual contour. I placed a TorVM into the sulcus on the D-DL-L. Amalgam placed sans rubber dam. Left the saliva ejector on the right side, 2 cotton rolls under the left side of the tongue, green surgical suction used to grab loose amalgam and keep the pushy tongue out of the way. He has some mild claustrophobia/gag reflex to boot...wouldn't tolerate the bite block. Assistant in the scope to hand me the amalgam carrier in the exact position so I could immediately place the amalgam without touching the tongue.

1-Year Follow-up. Image Guided Treatment: Selective Retreatment 66 yom Initiated retreatment due to severe symptoms.... Asymptomatic and functional today.

Restorative Endodontics. A sampling of recent cases. This week @virajendo gave a nice presentation on Restorative Endodontics to the residents at University of Toronto. With restorative endodontics, we endodontists have the best chance to truly save teeth. At a minimum endodontists need to learn from our restorative colleagues and listen to what they expect and need from the endodontist. #startsomewhere

1-Year Follow-up. Dual Entry. 60yo. Asymptomatic and (now) functional.

5-Year Follow-up Necrotic. 1-visit. Asymptomatic and functional.

6-Month Follow-up: ThermaFil Retreatment 56 yom The positioning of the patient was off for the scan but the radiolucent finding was visible on the mesial aspect of the mesial root.... I was unable to remove the carrier from the distal as it was wedged in tightly. I took a gamble and 1-stepped treatment. Today the tooth is asymptomatic and functional...and no sinus tract. Got lucky on this one.

7-Year Follow-up 40 yof (currently). She was in for another tooth...#3(16) this time. Finances were an issue so it was going to be a while until she would get a crown. She also had other pressing dental issues (extraction) to deal with so I placed an amalgam restoration. I got lazy and left a thin layer of composite on the mesial thinking she'd get a crown shortly after the extraction. One year later I regretted being lazy.... Today, still no crown as two kids got in the way. Something tells me the crown(s) is/are gonna have to wait.

7-Year Follow-up 47 yof (currently). Initial RCT done in 2005. She was referred to another endodontist but found me on the internet. n-stepped this case due to a persistent sinus tract. ... At the 4-yr follow-up in 2017 we scheduled the next follow-up for 2019 which she/we missed. She returned this week with her son who needed an evaluation. His dentist (different one) referred him to another endodontist but his mom insisted that her son see me. #loyalty

Image Guided Treatment. IGT allows for Minimally Invasive Endodontics. 69 yof. SIP following LiDi crown placed in Feb20. Pain ever since. She was delaying treatment due to CV19.

4-Year Follow-up. Currently 80 yo. Asymptomatic and functional. I removed some of the calculus but I didn't quite get it all.

This long but a worthwhile listen

TMD. Limited mouth opening. Referring dentist placed a nice composite several weeks prior but irreversible pulpitis ensued. Referring dentist performed a pulpectomy with a nice access which saved me some trouble. The patient’s symptoms had significantly reduced by the time I saw her. Frequent breaks to let her rest her jaw. I instruct patients to close their mouth until they feel the metal clamp (but don’t bite down). MB canals join. Straight-forward occlusal composite.

Bioclear composites. 62 yom. Referred for prophylactic RCT in preparation for a crown. He was hesitant to get another RCT because his last one was on #10 several years back and that didn't last too long. We had a long discussion about treatment options. In the end, the patient was ecstatic. Proportions are off but he doesn't care. (The existing restorations are radiolucent composite)

82yof. Tough tooth. Lovely lady who sat patiently through 3 long visits. We grinded through this one. New crown to be made ASAP with deep margin elevation. #whateverittakes

https://m.youtube.com/watch?feature=youtu.be&v=8UvFhIFzaac

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I numeri non mentono. Statistica di base (che sfortunatamente è ignota ai nostri finti esperti) per farvi comprendere il problema dei tamponi. Ogni indagine in ...medicina ha i cosiddetti falsi positivi e falsi negativi, cioè in una certa percentuale individua come malate persone che non sono malate, oppure individua come sane persone che invece sono malate. Questa accuratezza dei test, definita con i termini di sensibilità e specificità, dipende molto dalla prevalenza della malattia nella popolazione, cioè quanto presente è la malattia nella popolazione. Una malattia rara espone a maggiori problemi di diagnosi errate rispetto ad una malattia frequente. Sappiamo che il contagio da Covid ha una prevalenza nella popolazione intorno al 2%. Con questa prevalenza fare i tamponi agli asintomatici non solo è inutile, è anche altamente pericoloso. P.S. Ho assegnato valori di sensibilità e specificità molto alti...in realtà non arrivano a tale accuratezza. Quindi la situazione reale è ancora peggiore. Oltre al problema che la PCR amplifica materiale genetico e molto dipende dalla quantità di amplificazione.

One is a filling. The other is not.