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Hopkinton Endodontics - Judy McIntyre, DMD, MS

Endodontics Hopkinton MA

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Meet Dr. McIntyre

Judy McIntyre, DMD, MS

Judy McIntyre grew up in sunny Los Angeles, CA, and she wanted to become a dentist ever since she was a little girl.

dr-judy-mcintyre

After high school, she attended Boston College, where she graduated Cum Laude majoring in English and Chemistry.

Dr. Judy McIntyre then attended the Harvard School of Dental Medicine, where she graduated Magna Cum Laude with her DMD degree. During her years at Harvard, she performed research on dental unit waterline biofilms, in conjunction with a UCLA dental school professor; this research won many awards. After graduation, Dr. McIntyre obtained a coveted endodontics residency position at the University of North Carolina at Chapel Hill. Alongside renowned researchers in the field of endodontics, traumatology and pediatric dentistry, her thesis and research regarding traumatic dental injuries (her true passion and great interest) was published in numerous professional journals.

Dr. McIntyre worked in private practice in the south before returning to Massachusetts in 2009 and eventually opening this office in 2016. Having completed the Massachusetts Dental Society Leadership Institute, she is currently completing the ADA Diversity in Leadership Institute. She resides locally with her family and rescue dog. She enjoys spending time with her family and friends when she’s not in the office.

She is passionate about sharing her love for dentistry, trauma and endodontics and is well published.  A list of her publications can be found below.  

HSDM
unc
bc

Publications

McIntyre J.  Redefining ‘Success’ with Regenerative Endo.  Dentaltown.  August 2019

McIntyre J.  Transplantation.  Dentaltown.  Dec 2018

McIntyre JD.  Surgical extrusion and endodontic treatment following dental trauma.  Endodontic Practice US2018; Vol 11 (2): 33-38.

McIntyre JD.  Surgical extrusion and endodontic treatment following dental trauma.  Endodontic Practice UK2016; Vol 9 (3): 7-13. https://www.endopracticeus.com/ce-articles/surgical-extrusion-and-endodontic-treatment-following-dental-trauma/

McIntyre JD.  Autotransplantation: A Success Story.  The Paper Point E-Newsletter; 2009.  http://www.aae.org/residents/newsandevents/paperpoint_1009.htm#5

McIntyre JD, Lee JY, Trope M, Vann Jr. WF.  Permanent Tooth Replantation following Avulsion: Using a Decision Tree to Achieve the Best Outcome.  J Pediatr Dent2009; 31(2): 137-144.

McIntyre JD, Vann Jr. WF.  The Cvek Pulpotomy: A Brief Review of the Literature and Presentation of Two Complex Cases.  J Pediatr Dent 2009; 31(2): 117-122.

Mathu-Muju K, McIntyre JD, Lee JY, Tyndall DA, Roberts MW.  Multidisciplinary Trauma Management: A Case Report.  Dent Traumatol 2009; 25: e5–e11 (online only).

Molina JR, McIntyre JD, Lee JY, Trope M, Vann Jr. WF.  Root Fractures in Children and Adolescents: Diagnostic Considerations.  Dent Traumatol 2008; 24 (5): 503-509.

McIntyre JD, Lee JY, Trope M, Vann Jr. WF.  Effectiveness of Dental Trauma Education for Elementary School Staff.  Dent Traumatol 2008; 24 (2): 146-150.

McIntyre JD, Lee JY, Trope M, Vann Jr. WF. Elementary School Staff Knowledge about Dental Injuries. Dent Traumatol 2008; 24 (3): 289–298.

McIntyre JD, Lee JY, Trope M, Vann Jr. WF.  Management of avulsed
permanent incisors: A comprehensive update.  Pediatr Dent2007; 29(1): 56-63.

Lin J, Leong P, McIntyre J.  “Apex Locators: Clinical Use and Care.”  Endodontic Therapy 2002; 2 (2).

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
👋 Tricky scenario.... long time loyal patient t 👋
Tricky scenario.... long time loyal patient to a recently-retired dentist. 
🪥
New, conscientious #dentist did a comprehensive exam and referred this #patient to us for eval UR5
😷
Patient is completely asymptomatic everywhere
😊
URQ area "feels something" and it comes and goes, but "no discomfort or pain." 
🤔
HPI: pt stated these 2 teeth were being watched by the GD who retired at the start of covid 
🧐
Their new #dentist saw a "bubble" (and points to URQ)
😳
#cbct #3dimaging showed PALs on UR5, UR1, UL2, and UL6 (but cutoff)
🔬
Thankfully, we recently treated this patient's spouse so there was a foundation of trust.  
🙏
We hit pause and had a long discussion about latent/asymptomatic infections and also showed the patient the scan - see the volume rendering with the buccal bone loss, sinus tract 
🤗
These scenarios can be so tricky to navigate.... can't overwhelm with everything all at once, but can't neglect either and obligated to inform
😬
After the consultation, pt cited taking care of another family member for not wanting to book an appt.  We thought all bets were off and we lost this pt's trust
🙄
Casually mentioned however that the pt could medicate the #tooth and benefit from the medication time while taking care of familial obligations, and..... the pt made the appt
🙌
Today, we removed the post, based on the scan, with ease thankfully, and medicated
👍
Any thoughts on these scenarios?
🤗
Feel like these convos are so beneficial for everyone
❣
#timeforhealing
#letthehealingbegin 
#saveteeth 
#endodontics 
#rootcanal
#endoworks
Will post 🎥 of post removal as well as scan in my stories
🥰
🤕 Pt had been experiencing pain for several mon 🤕
Pt had been experiencing pain for several months, but avoided calling.  
😔
Works in dentistry but was very very anxious to call, come, and have a "root canal"
🙄
#rootcanaltreatment can be #painfree 
📢
#cbct #3dimaging scan taken 
☢
Built up M wall immediately after removing all decay - was subgingival - with @coltene_us  #duotemp
🙌
DIAGNOSIS: UL6 Irreversible pulpitis with acute apical periodontitis; symptomatic with excessive decay
.
4 canals found, 2 separate POEs, used BC sealer and placed @brasselerusa BC Blue liner 
🙌
PA and Scan noted UL4 widened PDL.
🤔
On a relatively young patient with a virgin tooth, what are the causes of wPDLs? 
#occlusion
🤷‍♀️
Do you note them on your comprehensive evaluation? 
🧐
Do you think this tooth needs occlusal adjustment?
🤔
#alwayslearning
#showmeyourlats 

Happy #mb2sday
🥳🥳🥳🌮🌮🌮🌮
This #patient was referred from an #oralsurgeon
😷
This referral source is quite unusual (reversed) and speaks volumes of the #omfs who values #teeth and trying to save this LR6 important one in this 12 yo child's mouth.  
💓
The patient is autistic and could not quite tolerate the sensor for #periapical radiographs, so we had planned to take a #cbct #3Dimaging scan at their consultation visit
🧐
Scan showed a surprising furcal resorptive defect
😳
When I initially scanned through, I measured approximately 0.2mms of root remaining - very little and the likelihood of a #stripperforation would have been very high
😵
Unfortunately, despite the poor prognosis, my treatment plan was to ATTEMPT to medicate (and hopefully not stripperf) and complete the case 2 months later after long-term calcium hydroxide medicament. 
🙏
Had I strip perforated, my plan was still to medicate, and repair the furcal/strip perforation with a biocompatible putty with the goal of having this child keep this tooth until around age 18.  As you can see, this pt is already missing their UL6 with UL7 M inclination already visible, and I wanted to TRY to prevent this from happening here in the LRQ.  
🙏
However, the pt's parents wanted #extraction instead 
⚔
From the pano, I initially suspected the furcal lucency was due to a possible lateral canal necrosis; what would have been your thoughts? 
🤷‍♀️
Upon review with #imaging specialist @ryanz3d whose thorough reorientation proved superior to mine #alwayslearning - the resorptive defect was already through and through 
😔
😔
Had I not had my @kavokerr #cbct scan, I would have assumed *I* strip perforated and felt incredibly guilty and concluded it was completely #iatrogenic
😭
DIAGNOSIS: #30 Irreversible pulpitis/ partial necrosis with asymptomatic apical periodontitis; decay and furcal EICRR and furcal perforation
😔
#protip for OPGs/PANOs ask your patient to put their tongue on the roof of their mouth to best capture maxillary apices 
🎯
Please see my stories for the full #cbct
🙌
#saveteeth #cantsavethemall #2dlies #3dtruths #endolife #rootcanaltreatment 
We're 3D, so.....
🤗
Load More... Follow on Instagram

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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
Load More... Follow on Instagram
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