What to expect from office visits with a general dentist near me: The backbone for a lifetime of oral health

Dr. Shoffet: Good afternoon everyone. Today is the first case of the wisdom tooth impaction extraction of 2024 hippie. So it’s an interesting case. Once I was describing the consent form for our lovely patient, I mentioned to her I could see a little tiny curvature at the end of that root and I mentioned that’s one of the risk if it gets separated we may leave it because of the anatomical proximity to the mandibular nerve. And here it is, we extracted the tooth and by looking at it very carefully, that tiny, itsy bitsy tip was separated exactly as I explained to the patient and I took an X-ray and I could see it yes. And sometimes believe it or not, if it is, could be a risk to our damaging our mandibular nerve we may leave it there, but carefully, very carefully I approached it with my great assistant and cooperation of our lovely patient and look, I could remove with a little root tip that was removed and I’m very happy we stitched her it’s all lovely. We extracted her upper tooth as well and today is double tooth extraction of the wisdom tooth. Our patient did lovely and I’m very happy.

Hello everyone. This is Dr. Roya Shoffet. I’d like to share this case that I had to treat recently for this patient. This patient presented with excruciating pain and swelling on her lower left molar, and she has neglected her teeth for a long period of time. And as you can see, the condition of this tooth is horrible and also we see a decay in the next door tooth, and I’d like to share it with you. So this is kind of a red flag for people who go without treatment for a long time. Obviously after X-ray, this is the radiographic image that you can see. She has severe infection between her roots, which explains to me that this is part of the reason that she has fractured root. She has decay on the next door tooth, adjacent tooth, and obviously this tooth is not saveable nor restorable. We need a extraction and requires surgery; we splitted the roots. As you can see, it came out in pieces. The root was fractured.

So the lesson from this case is this patient received a root canal at some point in her life, but she never followed up with the treatment. And as you can see, she had some temporary filling that fell off and she never attended to the final treatment. So as you can see, she is gonna lose, practically this tooth is gone. And also this one will require severe, you know, extensive treatment, possible root canal, gum surgery if we need to, and full coverage crown and the tooth was splitted so we needed to extract it. And after extraction, hopefully in a few months, we have applied bone graft to it. And after a few months, she’s ready to receive an implant. With our marvelous Miss Christina, she could get her financing and she could do the treatment. She was always worried, and by a few of these magical helps, she got her treatment done. I’m happy for her. And I just wanted you to get a lesson for those who are neglecting or postponing treatment.

Today’s case is an interesting one and, I would like to share it with you. This is how our lovely patient is presented today.

Clinically, we see a deeper grove at the palatal side of these two teeth: the two lateral incisors, and interestingly enough, if we take a look at the X-Ray, you can see an interesting situation.

A portion of the pulp may be traveling towards the tooth’s pits, which could create a problem in the future for the patient if left alone, as it could lead to some lesion at the end of the root.

Thankfully, there is no lesion at the end of the root currently, and the patient has no symptoms.

So we ended up prepping the tooth from the back, cleaning it up, putting on some medication, and doing some composite fillings.

And this is the final result.

Call us at Royal Dental practice for all your dental needs.