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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...

Dr Changjie Guo
Jul 4, 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...

Dr Changjie Guo
May 10, 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 tooth needs a root canal therapy because it can be difficult to get even the smallest of tools down them. The cause for calcification may vary, prolonged infection and trauma, the natural process of ageing, fillings or crowns over a long period of time are the common reasons for it. The incidence of calcified canals is highly correlated wi

Dr Changjie Guo
Jan 5, 2020


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 most common cause seen clinically is fillings so large they weaken the integrity of the tooth. Teeth can crack in several different ways: Craze lines. These are tiny cracks that affect only the outer enamel of the tooth. They are common in all adult teeth and cause no pain. Craze lines need no treatment. Fractured cusp. This kind of crack

Dr Changjie Guo
Dec 15, 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. Tooth resorption is classified internally and externally, depending on where the loss of tooth occurs. External resorption is much more common than internal resorption, and often easier to see than internal resorption because it commonly occurs on the outer surface of a tooth. Internal resorption affects the inside of a tooth. This is usuall

Dr Changjie Guo
Aug 27, 2019


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. To save the tooth, the procedures performed included root canal treatment , surgical crown lengthening , post and core buildup and a zirconia crown . That's lots of effort! But it's worthy! #Surgicalcrownlengthening #RootCanalTreatment #veneerscrownsandbridges

Dr Changjie Guo
Jul 7, 2018


Challenge of root canal treatment
Root canal anatomy variations present a constant challenge in successful diagnosis and endodontic treatment , especially the multirooted teeth. The most challenging root for endodontic treatment at the level of location, shaping, avoidance of iatrogenic events, and obturation is the fourth (MB2) canal of the upper first molars. Maxillary first molar is the most commonly treated tooth yet with the highest endodontic failure rate because of undetected canals, especially the mes

Dr Changjie Guo
Apr 20, 2018


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 syndrome which involves sharp pain when biting on it. When the crack travels deeper and touches the nerve inside the tooth, it will cause severe toothache, often it's too painful to sleep and ends up with dental emergency . In this case, the crack on the distal was too deep for the nerve to survive and a root canal treatment was unavoidabl

Dr Changjie Guo
Dec 23, 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, even strong pain killer doesn't help too much. It's also one of the most common reasons of dental emergencies . When it becomes chronic, dental abscess can be formed. Infection of dental nerve is normally caused by dental caries (decay), deep cracks, gum disease or trauma. The treatment option is either root canal treatment or extraction .

Dr Changjie Guo
Oct 15, 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 this one is extremely rare, like a hen's tooth. From the first picture, we can see the tooth had two dental abscesses. Obviously the tooth's nerve got infection, which can be seen on the x-ray clearly. Also we can see something abnormal on the x-ray - the tooth got an extra root! After successfully completing the root canal treatment , we

Dr Changjie Guo
Jun 4, 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 our records, we found one of his top left teeth got a decay 18 months ago but he didn't come back to have the filling done. Unfortunately today's x-ray showed the decay had progressed and touched the nerve. The only way to save the tooth was root canal treatment . Pulp extirpation (removal of the nerve) was performed as an endodontic emergen

Dr Changjie Guo
May 20, 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 done two years ago. On the x-ray, we can see a defective root canal treatment with underfilled root filling and periapical infection. The tooth was also loose after the bridge was cut off because of bone loss caused by persist infection. After discussing the options with the patient, we decided to re-do the root canal treatment , which in

Dr Changjie Guo
Apr 23, 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 contains large nerve trunks and blood vessels. Alos this is where toothache comes from. When decays or cracks involve nerves, severe toothache may happen, especially at night time, which often ends up with a dental emergency . If the tooth can be saved, your dentist will recommend root canal treatment . The first step of root canal treatment

Dr Changjie Guo
Feb 3, 2017
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