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Showing posts from January, 2017

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.