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Showing posts from 2017

Merry Christmas!

Happy Thanksgiving!

The goodwill of those we serve is the foundation of our practice, it is a pleasure to say 'Thank you!' and to wish you all a very Happy Thanksgiving!
From: Dr. Choby & Staff

Happy Halloween!

Happy Halloween!    From Dr. Choby & Staff.

Happy Summer!

Root Canals Save Teeth!

Root Canal Awareness Week: May 7-13, 2017

Happy Easter!

Happy Passover!

Treatment Planning: Retention of the Natural Dentition and the Replacement of Missing Teeth

Check out this article from the AAE published in Spring 2015.  *Please note, this article was reproduced with permission from the American Association of Endodontists.
Treatment Planning: Retention of the Natural Dentition and the Replacement of Missing Teeth
In July 2014, the American Association of Endodontists, in collaboration with the American College of Prosthodontists and the American Academy of Periodontology, hosted a two-day Joint Symposium titled Teeth for a Lifetime: InterdisciplinaryEvidence for Clinical Success. Approximately 375 general dentists and specialists assembled in Chicago to focus on preserving the natural dentition. The educational program included evidence-based presentations on advanced regenerative techniques, improvements in technology, minimally invasive restorative methods and best practices for interdisciplinary treatment planning. Dr. Alan Gluskin, chair of the 2014 Joint Symposium Planning Committee, concluded that the current evidence directs clinician…

Why choose an Endodontist?

Check out our website:

Many have wondered "why choose an Endodontist for my root canal treatment?" Below are a few reasons why:
REASON 1: EXPERIENCE On average, Endodontists perform nearly 25 root canal treatments a week, while general dentists perform less than two. REASON 2: EFFICIENCYBecause they limit their practice solely to endodontic treatment, endodontists are efficient and precise. This equates to positive experiences and faster healing. REASON 3: AVAILABILITYMost endodontists offer tremendous flexibility in accommodating emergency cases, so delays in treatment are kept to a minimum and patients can be relieved of dental pain quickly. REASON 4: ADVANCED TECHNOLOGYMany endodontists use state-of-the-art technology such as operating microscopes, digital imaging, ultrasonic instrumentation and fiber optics, to treat their patients quickly and comfortably. In our office, we even have a CBCT scanner to help us with our most difficult cases. Today, getting root c…

Happy St. Patrick's Day!

Happy Valentine's Day!

Step by Step Root Canal Procedure

Here's a step-by-step guide to an Endodontic (root canal) procedure. The length of treatment depends on the severity and complexity of the tooth. Give us a call if you have any questions. 
1. The endodontist examines and x-rays the tooth, then administers local anesthetic. After the tooth is numb, the endodontist places a small protective sheet called a “dental dam” over the area to isolate the tooth and keep it clean and free of saliva during the procedure.   

2. The endodontist makes an opening in the crown of the tooth. Very small instruments are used to clean the pulp, nerves, from the pulp chamber and root canals and to shape the space for filling.   3. In our office we add an extra step in which we use the Waterlase MD laser system in two different settings. The first setting is the cleaning stage; water is introduced into the canals, producing a mini "carwash" so any left over debris is suctioned out. The second setting is the disinfection/drying out stage; this sett…

If Your Teeth Could Talk...More Information

If Your Teeth Could Talk...Following up with more information from a blog post on December 30, 2016 of an article by The Wall Street Journal published on December 27, 2011 written by Melinda Beck.

An oral history: A dental exam can reveal some telltale signs of broader health problems.

Front: Don't be fooled by very white teeth. Many oral health problems may be lurking unseen. Tops of back molars: Worn, flattened surfaces indicate stress-related clenching and grinding. Back of uppers: Area where stomach acid had worn away enamel could indicate bulimia.

Red, puffy and inflamed gums are common during pregnancy. Tiny red hemorrhages with spontaneous bleeding may indicate leukemia. Periodontal disease, in which gums pull away from the teeth, can signal diabetes, cardiovascular problems and respiratory diseases.

Inside cheeks and lower gums
Diffuse brown patches are a sign of Addison's disease, a hormonal disorder. Ulcerated lesions could mean cancer had metastasized.

Inside th…

CBCT Scan: Perforation of bicuspid

This patient presented with pain and discomfort on the buccal aspect of tooth 28.  She had root canal treatment on this tooth about one year ago and it was always uncomfortable to the touch. Vitality tests including palpation, percussion, biting down tests were performed. A radiograph was taken but the diagnosis was unclear.    
A cone beam Ct data set of the mandible was acquired and reconstructed. The resultant axial, coronal, and sagittal reconstructions were examined. The findings show an object protruding from the buccal aspect of this tooth.Treatment consisted of removal of the object followed by conventional root canal therapy followed by a repair using MTA. Normally MTA would discolor a tooth if it combines with blood from tissue outside of the tooth.  In this case, there is a metal crown in place so discoloration is not an issue.

Also note, it is easy for the operator to lose orientation when accessing the canal of a mandibular bicuspid. Note the angle the root compared to the …


Our office would like to wish you all a Happy New Year! May 2017 shower you with health, wealth, happiness and whatever you desire.