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Worth Saving

In today's world, we know that social media plays a vital role in patients' decision making. Patients tend to do research before they make an appointment. In our office, 30% of our patients say they find us through their research online. 30% is a huge spike from previous years. 

The American Association of Enodontists (AAE) started a campaign called "Worth Saving". This campaign was created to rise awareness to people that their natural teeth are worth saving. Through their social media and advertising, the AAE has been able to spread awareness of Endodontics and the reason to keeping your own teeth.

In the few months since the start of the campaign, the AAE has seen a growth in total patient social media users. In the first half of 2019, on their Facebook page, they've seen a 4.99% growth in the number of people that liked the page. A 8.99% growth with their Twitter followers. Finally, a 65% growth from free advertising from Google. 

The numbers for Facebook …
Recent posts

New prescription mandate!!

Did you know that the Commonwealth of Virginia amended a bill, early this year, in which it mandates that all prescriptions containing opioids be electronically transmitted? This amendment becomes effective July 1, 2020.
The code of Virginia §54.1-3408.02 reads:
“A. Consistent with federal law and in accordance with regulations promulgated by the Board, prescriptions may be transmitted to a pharmacy by electronic transmission or by facsimile machine and shall be treated as valid original prescriptions
B. Any prescription for a controlled substance that contains opioids shall be issued as an electronic prescription.”
This information was brought to our attention in a dental meeting in Texas. Virginia is joining several other states in the fight against drug overdose. For the complete regulation visit:

Use your dental benefits!

The end of the year is upon us which means your dental benefits are about to expire. Most dental plans, but not all, expire on December 31st.

If you have some dental work that needs to get done, do it! Save yourself some money by using your dental benefits. Don't wait until your tooth hurts: a small ache can result in a bigger course of treatment. 

While we're on the subject of benefits, for those that have FSA: use it! Those benefits also expire. So don't forget to use it or you lose it. Take full advantage of your dental benefits today by visiting your dentist.

Why we love our CT!

Happy Halloween! 

We truly love our CT! Without it, we couldn't diagnosis a lot of our complex cases. Check out our recent complex case below. 

Recently, a 31 year old called our office complaining of swelling. The swelling was located near tooth #19. She had this tooth Endodontically treated recently. Since then, she's been experiencing this swelling and discomfort.The 2-D image showed that there was a post in the tooth. Based on past experiences with other patients, it was decided a CT scan was the best course of action.

The CT scan showed an area of low density on the mesial aspect of the distal root in the furcation. The low density parallels the post then extends apically. The CT shows the shape of the distal root as being a figure 8 shape. On the 2-D image, it is seen as being round, when in fact it was not. The dentin was thin in the furcation.

There was a fracture line at the apical end of the post. The was loss of buccal bone that coordinates with the swelling on the b…

Was retreat possible?

A 54 year old patient contacted our office regarding tooth #20. She was told that a retreat would solve the problem she was having. This tooth was treated 2-5 years prior to her visit with us. A fistula had recently developed so her dentist gave her an antibiotic. This fistula was causing the patient pressure and discomfort.

After examining the 2-D image received by her general dentist, it was unclear was to what was going on. It was ultimately decided at a CT scan would provide us an answer.

The CT scan showed that there was a post that was placed from the crown to the apex of the tooth. Upon closer observation, there were fracture lines at the apex. There was also bone loss on the cortical plate that was consistent with a fistula. 
There were two options as to what to do. Option 1: an exploratory was possible along with an apicoectomy. However, the post was of a size that the strength on the dentinal wall was compromised. This would result in a limited long-term prognosis. Option 2: an…

Can it be saved?

A 28 year old male was seen in our office with swelling in the buccal of tooth #19. This swelling was causing him pressure and discomfort. He was taking antibiotics that temporary eased his discomfort. Tooth #19 was Endodontically treated a year ago by another dentist. It was unclear as to what was causing his swelling. A CT scan was acquired to determine the issue.

The CT scan showed an area of low density in the furcation. This low density was absent an year ago when compared to the 2-D x-ray provided by his dentist. It was also unclear if the root resorption was evident at the time. The scan showed resorption on the distal of the mesial roots. It was also found on the mesial aspect of the distal root. This suggested that the cause of the resorption initiated from the furcation.

We recommended the patient get a biopsy. We determined that the tooth may not be salvageable due to the pathology and resorption. A follow-up with the patient is pending.

Tooth #19: Can it be saved?

A few months ago, a 63 year old male presented himself at our office with swelling on the buccal of tooth #19. The swelling was causing him pressure and pain. Tooth #19 was Endodontically treated years prior to his visit at a different office. The patient recently had his crown redone.

It was highly suspected that there might be a fracture by both his general dentist and our office. The best course of action was to take a CT scan.

It was observed that there was an area of low density at the apex of the distal root. The CT also showed three areas high density, posts. These posts appeared at the coronal aspect of the tooth. There was a suggestion of a lesion in the furcation, a possible fracture. It was determined that long-term prognosis was poor. An implant was recommended.

We followed up with the patient and he had the tooth removed. This relived him of his discomfort. He's in the works of having an implant placed.