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![Apicoectomy - root canal surgery.](https://static.wixstatic.com/media/7dd293_539bcd6b77b742f2b94fc1222b046ede~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_539bcd6b77b742f2b94fc1222b046ede~mv2.webp)
Dr Changjie Guo
Dec 5, 2021
Apicoectomy - root canal surgery.
Like all dental procedures, root canal treatment may fail and the tooth becomes infected again. In most cases, root canal re-treatment is...
![](https://i.ytimg.com/vi/aGasy6ewt-c/maxresdefault.jpg)
![Work hard to save the natural tooth.](https://i.ytimg.com/vi/aGasy6ewt-c/maxresdefault.jpg)
Dr Changjie Guo
Nov 28, 2021
Work hard to save the natural tooth.
Dental implants and implant-supported restorations are an excellent treatment in dentistry, and getting more and more popular. However,...
![](https://static.wixstatic.com/media/7dd293_f5da8f25f122407a8cdb4831b780c5cf~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_f5da8f25f122407a8cdb4831b780c5cf~mv2.webp)
![Root canal re-treatment - fix failed root canal treatment.](https://static.wixstatic.com/media/7dd293_f5da8f25f122407a8cdb4831b780c5cf~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_f5da8f25f122407a8cdb4831b780c5cf~mv2.webp)
Dr Changjie Guo
Jun 4, 2021
Root canal re-treatment - fix failed root canal treatment.
Failure happens in all aspects of dentistry including root canal treatment. There are many factors can contribute to failure of root...
![](https://static.wixstatic.com/media/7dd293_8248936ef8e04d2f971ca2070b8db71f~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_8248936ef8e04d2f971ca2070b8db71f~mv2.webp)
![A different approach to root canal treatment.](https://static.wixstatic.com/media/7dd293_8248936ef8e04d2f971ca2070b8db71f~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_8248936ef8e04d2f971ca2070b8db71f~mv2.webp)
Dr Changjie Guo
Jul 4, 2020
A different approach to root canal treatment.
Root canal treatment is the only way to save the tooth when the nerve gets infected inside the root canal. For front teeth, root canals...
![](https://static.wixstatic.com/media/7dd293_31acc925751f42b28736003ca974de73~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_31acc925751f42b28736003ca974de73~mv2.webp)
![How complicated is root canal system?](https://static.wixstatic.com/media/7dd293_31acc925751f42b28736003ca974de73~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_31acc925751f42b28736003ca974de73~mv2.webp)
Dr Changjie Guo
May 10, 2020
How complicated is root canal system?
We all know root canal treatment is a lengthy and not cheap procedure, but shouldn't be a painful procedure. Root canals can be narrow...
![](https://static.wixstatic.com/media/7dd293_3aa2dbdf591c439392504937d3e6d7f6~mv2_d_1883_1277_s_2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_3aa2dbdf591c439392504937d3e6d7f6~mv2_d_1883_1277_s_2.webp)
![Treatment of calcified root canals.](https://static.wixstatic.com/media/7dd293_3aa2dbdf591c439392504937d3e6d7f6~mv2_d_1883_1277_s_2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_3aa2dbdf591c439392504937d3e6d7f6~mv2_d_1883_1277_s_2.webp)
Dr Changjie Guo
Jan 5, 2020
Treatment of calcified root canals.
Calcified root canals happen when calcium gets deposited in the root canals and the canal space shrinks. This can pose a challenge if a...
![](https://static.wixstatic.com/media/7dd293_afc531dc481841a1af37be9299d33c36~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_afc531dc481841a1af37be9299d33c36~mv2.webp)
![How deep is the crack?](https://static.wixstatic.com/media/7dd293_afc531dc481841a1af37be9299d33c36~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_afc531dc481841a1af37be9299d33c36~mv2.webp)
Dr Changjie Guo
Dec 15, 2019
How deep is the crack?
A cracked tooth can result from chewing on hard foods, grinding your teeth at night, injury and can even occur naturally as you age. The...
![](https://static.wixstatic.com/media/7dd293_c087f3a3a1ae48d88c2bbb5568c26a3a~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_c087f3a3a1ae48d88c2bbb5568c26a3a~mv2.webp)
![Internal tooth resorption - root canal treatment with 5 canals.](https://static.wixstatic.com/media/7dd293_c087f3a3a1ae48d88c2bbb5568c26a3a~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_c087f3a3a1ae48d88c2bbb5568c26a3a~mv2.webp)
Dr Changjie Guo
Aug 27, 2019
Internal tooth resorption - root canal treatment with 5 canals.
Tooth resorption refers specifically to the inflammation and loss of dentin (inner tissue) or cementum (outer material) to absorption....
![](https://static.wixstatic.com/media/7dd293_9a2be49413744d7aa0a7897ed3b5cddc~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_9a2be49413744d7aa0a7897ed3b5cddc~mv2.webp)
![Do I really need a crown after a root canal?](https://static.wixstatic.com/media/7dd293_9a2be49413744d7aa0a7897ed3b5cddc~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_9a2be49413744d7aa0a7897ed3b5cddc~mv2.webp)
Dr Changjie Guo
Mar 28, 2019
Do I really need a crown after a root canal?
Crowns are one of the more common restorations that people need on their teeth. But it is a completely fair to ask “Do I really need a...
![](https://static.wixstatic.com/media/7dd293_64608a61de8f4efabb0e7755150131fd~mv2_d_2000_2000_s_2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_64608a61de8f4efabb0e7755150131fd~mv2_d_2000_2000_s_2.webp)
![RCT - No crown - Tooth split - Extraction.](https://static.wixstatic.com/media/7dd293_64608a61de8f4efabb0e7755150131fd~mv2_d_2000_2000_s_2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_64608a61de8f4efabb0e7755150131fd~mv2_d_2000_2000_s_2.webp)
Dr Changjie Guo
Oct 15, 2018
RCT - No crown - Tooth split - Extraction.
Sometimes teeth need root canal treatment because of deep decay, crack or chip in the tooth, and trauma etc. In most cases, the dentist...
![](https://static.wixstatic.com/media/7dd293_7efae4895ee04299bc454cfa4fbcbc57~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_7efae4895ee04299bc454cfa4fbcbc57~mv2.webp)
![Save the tooth!](https://static.wixstatic.com/media/7dd293_7efae4895ee04299bc454cfa4fbcbc57~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_7efae4895ee04299bc454cfa4fbcbc57~mv2.webp)
Dr Changjie Guo
Jul 7, 2018
Save the tooth!
What happens when only tooth root stump left? Is extraction the only option? This case will show you what can be done to save the tooth....
![](https://static.wixstatic.com/media/7dd293_6933f6999fa94282bbc3b7aecefbefdd~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_6933f6999fa94282bbc3b7aecefbefdd~mv2.webp)
![External Root Resorption.](https://static.wixstatic.com/media/7dd293_6933f6999fa94282bbc3b7aecefbefdd~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_6933f6999fa94282bbc3b7aecefbefdd~mv2.webp)
Dr Changjie Guo
May 25, 2018
External Root Resorption.
Root resorption is not a common dental condition but it can lead to tooth extraction. There are two main types of resorption that may...
![](https://static.wixstatic.com/media/7dd293_fa059a9d4be94e5593e05ddfcd05e506~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_fa059a9d4be94e5593e05ddfcd05e506~mv2.webp)
![Challenge of root canal treatment](https://static.wixstatic.com/media/7dd293_fa059a9d4be94e5593e05ddfcd05e506~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_fa059a9d4be94e5593e05ddfcd05e506~mv2.webp)
Dr Changjie Guo
Apr 20, 2018
Challenge of root canal treatment
Root canal anatomy variations present a constant challenge in successful diagnosis and endodontic treatment, especially the multirooted...
![](https://static.wixstatic.com/media/7dd293_ec4b51e20e0c4f0480c295352620822d~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_ec4b51e20e0c4f0480c295352620822d~mv2.webp)
![Don't give it a crack!](https://static.wixstatic.com/media/7dd293_ec4b51e20e0c4f0480c295352620822d~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_ec4b51e20e0c4f0480c295352620822d~mv2.webp)
Dr Changjie Guo
Dec 22, 2017
Don't give it a crack!
Tooth enamel is the hardest part of the body but it still can crack, chip and break. When it has a small crack, it may cause crack tooth...
![](https://static.wixstatic.com/media/7dd293_25bdc2b9a63f4b1084698d1010dfae89~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_25bdc2b9a63f4b1084698d1010dfae89~mv2.webp)
![Healing of dental abscess and success of root canal treatment.](https://static.wixstatic.com/media/7dd293_25bdc2b9a63f4b1084698d1010dfae89~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_25bdc2b9a63f4b1084698d1010dfae89~mv2.webp)
Dr Changjie Guo
Oct 14, 2017
Healing of dental abscess and success of root canal treatment.
Acute dental nerve infection could be one of the most painful experience a dental patient has ever had. It can cause very severe pain,...
![](https://static.wixstatic.com/media/7dd293_2e4eb7fefba94d35884a9c0a08c1fc14~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_2e4eb7fefba94d35884a9c0a08c1fc14~mv2.webp)
![As rare as a hen's tooth!](https://static.wixstatic.com/media/7dd293_2e4eb7fefba94d35884a9c0a08c1fc14~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_2e4eb7fefba94d35884a9c0a08c1fc14~mv2.webp)
Dr Changjie Guo
Jun 4, 2017
As rare as a hen's tooth!
As a dentist, I see abnormal tooth structure or anatomy sometimes. Most of them are not often to be seen and very few are rare cases. But...
![](https://static.wixstatic.com/media/7dd293_64ff695533734c938b0753479bcb9bd5~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_64ff695533734c938b0753479bcb9bd5~mv2.webp)
![I'LL BE BACK! - Do Not Ignore Tooth Decay.](https://static.wixstatic.com/media/7dd293_64ff695533734c938b0753479bcb9bd5~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_64ff695533734c938b0753479bcb9bd5~mv2.webp)
Dr Changjie Guo
May 20, 2017
I'LL BE BACK! - Do Not Ignore Tooth Decay.
This patient came in for an emergency dental treatment with a very bad toothache. He couldn't sleep much because of the severe pain. On...
![](https://static.wixstatic.com/media/7dd293_4e09e8cdedd84f3e911d9adbe8b38f25~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_4e09e8cdedd84f3e911d9adbe8b38f25~mv2.webp)
![Root Canal Re-treatment](https://static.wixstatic.com/media/7dd293_4e09e8cdedd84f3e911d9adbe8b38f25~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_4e09e8cdedd84f3e911d9adbe8b38f25~mv2.webp)
Dr Changjie Guo
Apr 23, 2017
Root Canal Re-treatment
The patient came to our practice complaining of abscess on and off around one of her back teeth. She had root canal treatment and crown...
![](https://static.wixstatic.com/media/7dd293_e608e7e0501c4af986aa57af8b2fe368~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_e608e7e0501c4af986aa57af8b2fe368~mv2.webp)
![This is where toothache comes from.](https://static.wixstatic.com/media/7dd293_e608e7e0501c4af986aa57af8b2fe368~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_e608e7e0501c4af986aa57af8b2fe368~mv2.webp)
Dr Changjie Guo
Feb 2, 2017
This is where toothache comes from.
Teeth have nerves. That's why they can feel hot and cold, sensitivity and pain. The nerve inside a tooth is called dental pulp, which...
![](https://static.wixstatic.com/media/7dd293_58e59a8522624ebe9cae93311efa0bb1~mv2.jpg/v1/fill/w_250,h_250,fp_0.50_0.50,q_30,blur_30,enc_auto/7dd293_58e59a8522624ebe9cae93311efa0bb1~mv2.webp)
![All the hard work paid off - in a wrong way!](https://static.wixstatic.com/media/7dd293_58e59a8522624ebe9cae93311efa0bb1~mv2.jpg/v1/fill/w_287,h_216,fp_0.50_0.50,q_90,enc_auto/7dd293_58e59a8522624ebe9cae93311efa0bb1~mv2.webp)
Dr Changjie Guo
Nov 12, 2016
All the hard work paid off - in a wrong way!
Dental abrasion is the loss of tooth structure due to mechanical force by a foreign element. The most common source of this wearing is...
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