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Hopkinton Endodontics - Judy McIntyre, DMD, MS

Endodontics Hopkinton MA

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Hopkinton Endodontics

Judy McIntyre, DMD, MS
225 Wood Street #1
Hopkinton, MA 01748
508-686-7668

Hours

M: 8am — 4pm
Tu: 8am — 5pm
W: by appointment
Th: 8am — 5pm
F: 8am — 3pm
Sat: by appointment
Sun: closed

Instagram

drjudyendo

🤔 Ever have those patients that you see as for

🤔
Ever have those patients that you see as for emergency treatment and then they disappear?
🤷‍♀️
Thankfully, it's rare, and our in-office systems prevent this as much as possible, so we continued to reach out to this #patient who had been feeling "much better" after their emergency appointment but consistently cancelled or rescheduled their completion #rootcanal appt
📞 ☎️
In January, pt reported their #tooth hurt to hot/cold and ached, and biting gave radiating pain over the weekend. Further, when they laid down, the pressure would wake them up (we hear this OFTEN - classic #endodontic symptom)
🤕😵
Thankfully, the pt finally responded and returned.
🙏
This was a pretty calcified tooth, and am pleased with the result.
🙌
When the pt was dismissed they were a bit incredulous as to how easy the 2nd visit was. They were ecstatic!!!
However, this is often how #endodontic treatment goes!!!!!
🤗
A "toothache" can act like a bruise, so when you touch an existing bruise, it hurts!!!! Same thing with #teeth
🦷
It truly is best to be proactive (rather than reactive) with toothaches and tooth discomfort.
📢
The longer one waits with discomfort, the harder it can be to 1) achieve profound anesthesia and 2) negotiate any complications that may arise and 3) when a tooth progresses to being necrotic, the prognosis of a #rootcanal slightly decreases!
🥼
So, don't wait, #rootcanaltreatment is SO MUCH EASIER and is most often #painfree
😷
Medicated and temporized in January and completed with BC liner and BC sealer and used @kavokerr #zenflex files
🥳
#weareendodontists
#saveteeth
#sytm2021
#i❤savingteeth
#healthyteethdonthurt
🐇🐰

It's Wednesday and I'm inspired by @endogenie s po

It's Wednesday and I'm inspired by @endogenie s post yesterday of #fingerfatigue as this case definitely tired out my 👋
But this post is also about cracks⚡
😬
A year later into this pandemic, everyone's stressed out!
🙋‍♀️🙋‍♂️
And teeth are suffering!!!!
🥴
😔
#patient referred by spouse [and RD too 😜] - that's love!
💕
HOT tooth and pt was in a lot of pain
🔥 🤕
But, quickly I could visualize a crack
😵
Transillumination confirmed the crack
😣
We discussed options and poor prognosis extensively but the pt 1) wanted pain relief and 2) wanted desperately to save the #tooth
🙏
#pulpvitalitytests results:
Dx: LR6 Ir/reversible pulpitis with symptomatic apical periodontitis; recurrent decay
Dx: LR7 Necrotic pulp with symptomatic apical periodontitis; recurrent decay/calcification HOT!!!!!!!!!!!! - most symptomatic over #30 (pt agreed)
😷
In these cases, I work on the most symptomatic one first as referred pain is likely and I always wish to rule that out
🤗
Found: 3 canals; D crack extended into D orifice - pt informed again
🙏
We still decided to proceed and hope for the best
🤞
Closed with @brasselerusa BC Blue liner and bioceramic putty in the D canal, CPs and @coltene_us #duotemp
💙
Prognosis: Poor d/t distal crack, preop symptoms, necrosis and lack of tooth structure remaining - informed pt may not last 5 years
Pt still wanted to continue and proceed and knows ext next if symptoms return
🙏🤞
#letthehealingbegin
#truelove #iykyk
#saveteeth
#endodontics
#endodontist
#rootcanaltreatment

🥳🥳
Double #mb2sday and on the same patient
🙌🙌
Everyone loves a good recall - 1.5 years later
💕
Dx was UR6 necrotic with symptomatic apical periodontitis and was medicated; UR6 RCT completed in 2019
😷
#patient returned today with pain in their ULQ
😳
Crown was placed many years ago.
👑
Scan taken & UL6 scheduled next week for #endodontics
☢
Dx: UL6 Necrotic with symptomatic apical periodontitis
🤕
Check out those long roots!!! The mucositis!!! And, the bony exostosis on the palate/tuberosity area DP to UL7
🌮🌮
#saveteeth
#endoworks
#rootcanaltreatment
#healthyteethdonthurt
#painfreedentistry
#cbct
#3dimaging
@kavokerr

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