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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-o

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

What's this??? 🙋‍♀️ Extra oral #bitewings What's this???
🙋‍♀️
Extra oral #bitewings
🙌
Most people don’t think of ExtraOral #bitewings as something that would be helpful in an #endodontic practice. 
Some patients however, such as gaggers,
young and/or autistic patients and others do not tolerate intraoral radiographs or have limitations or disabilities that make taking intraoral films, especially posterior periapicals, challenging or impossible.
This can lead to a result that is not diagnostic and/or does not capture essential information.
☢️
Extraoral bitewings, aka "E/O BWs", can be a great alternative.
🥳
“Extraoral bitewings” is a bit of a misnomer. 
Unlike a traditional bitewing, these images capture the apices of the teeth as well making them
a great option for patients that can’t tolerate posterior PAs. These E/O BWs were a perfect alternative for this 9 yo pediatric patient.

The film taken by the RD did not capture the apices and captured a lot of black space instead.

I had taken a #cbct prior to treatment and wanted to capture a post-op film of the #vitalpulptherapy treatment that was rendered

These images can be captured without having to put anything in the patient's mouth!

This is a valuable and underestimated tool to capture an image when cooperation would prevent/limit the diagnostic potential - for example in an attempted
#periapical film
Hopeful for the follow up in 6m
🤞🤗
Goal: although this pt was in pain, I was able to control the heme within after pulpal amputation 
In 6m, I hope to see continued root development/closure
This postoperative convo with pt/ family is extensive and includes to come back if symptoms develop before then!!
🙏
#alwayslearning
#thinkoutstidethebox
#pediatricdentistry
#oralradiology
#dentalradiology
#3dimaging
@dexisimaging
@ryanz3d
Decay!  ... and, a lot of it!   And, if you no Decay!  ... and, a lot of it!  
And, if you notice, on the preop there's also decay on the LR6 as well. 

Thankfully, this astute RD excavated all of the decay BEFORE referring.  
🥳
While it's not necessary, often decay removal is very much appreciated 🤗 from us endodontists because [I feel that] the restoring #dentists have a better assessment of what exactly one is comfortable saving, rather than either ping-ponging the pt and/or sending for another consult (perio for CL, for ex), etc.  

The GD and pt decided that LR7 was not restorable.  This pt also is missing the UR7 also so there is no opposing tooth.  And, yes, there is a ridiculous radix and curve on it as well - nice eye @grissomendo !

#cbct confirmed 3 canals and no PA pathology

Dx: SIP/SAP LR6 and completed in 2 visit
🥳 Great weekend again with the #mastertrack #de 🥳
Great weekend again with the #mastertrack #dentistry group
📚
This group welcomed their assignment graciously
Homework 1: to meet with their local #endodontist and discuss how to work better together and how to serve #patients better
🙌
Homework 2: review #dentaltrauma and #dentaler protocols with their #dentalteam to improve flow when emergency situations arise
🙌
Homework 3: present a #cbct case featuring something the practitioner has learned or managed differently 
🙌
Thrilled to share these great slides of wonderful meetings and great learning points 

#protips
#alwayslearning 
#3dimaging
#dentalce
#superdentists 
#saveteeth
This #patient was referred a while back for **elec This #patient was referred a while back for **elective** #endodontics on their LL6
It went well ☺️ & I was pleased with the long, skinny completion
#fingerfatigue
A year later, the pt had a🦷👑 prep and became quite symptomatic on their LR7
Dx: SIP/SAP, somewhat calcified
#cbct showed 3 mesial canals and the mesials were calcified
During the ER appt, I was able to clean MB, ML and D - the Ms to 15.05 and the D to 25.04 & I medicated 3 canals
The pt returned 3 days later in intense pain.  Although I didn't give
another block, I gave anesthesia: mental, infiltration & lingual
The pt felt just a little bit while I was instrumenting apically - enough to be unwelcomed to both the patient & the practitioner
🥴
It was vital, so what happened?
🤔
Was it that I didn't clean enough as in ISO size, or was it that I hadn't
cleaned out the MM canal?  Or, was it neither and just the pt's
inflammatory response?  Or, all of the above?
We're quick to blame ourselves, but I try to remember that in each of these cases, as my wise former DA used to say, "it's the tooth [you] brought."
What does this mean?
When a patient comes in pain, it is harder to achieve profound anesthesia.
📚 The lit is exhaustive on this: changes in pH of the anesthesia as
well as the inflammation rendering the anesthesia less effective
And, let's not forget that increased preop symptoms >> increased post-op symptoms
During this 2nd appt, I cleaned out the MM canal & remedicated all the canals.
The discomfort eventually went away & the pt returned for completion, but was clearly more anxious at this appt than they had been ever before.  They asked questions about the anesthesia & actually requested the block (which I do not normally give after I've already done pulpal debridement). The completion visit was uneventful and the patient
did not feel a thing, and I was pleased with the final fill
The pt again asked WHY each of their experiences were so different.  I tried to reexplain about inflammation rendering the anesthesia less effective; I'm not sure they appreciated my answer.
But, I'm satisfied with the final fill & placed #bcliner and #duotemp 
🤗
🥳 Happy #mb2sday everyone 🌞 Hope Daylight Sa 🥳
Happy #mb2sday everyone
🌞
Hope Daylight Savings has increased everyone's moods in a positive way!
🥰
Today's post is about BPBs - does anyone remember these from #endoresidency ?
🖤🤔🖤
Black-pigmented bacteria (aka BPB) can be found in the literature: 📚Baumgartner et al 1999, and Haapasalo 1993, among others and has been well-associated with pulpal necrosis.  
☻️☻️
But, it's not often that we see true blackness inside a 🦷, especially if the tooth is also not discolored.  This was such a case.  
Black in the palatal canal upon entry (most of the time a necrotic pulp chamber will be either empty, or yellowish: think a 🍝pasta linguine, or grey-ish) and was broach-able, as you can see in the picture.  
🙌
2+ weeks of #calciumhydroxide and the patient returned for completion - 4 canals confirmed on #cbct
☢️
@brasselerusa BCLiner - as always - on the pulpal floor as discussed last week on the @savingyourteeth
Forum 📢 CDT code D3911 thanks to @perryendo & @kennethwiltbank efforts
@coltene_us #duotemp for the temporary seal 
🌮
Who's ready for taco Tuesday tonight?
🙋‍♀️
Another #tooth saved!
💨
#fingerfatigue #sealerpuff #endoresidents #dentalstudents #alwayslearning #lovewhatyoudo #bostonendodontists #metrowestma #metrowestboston 
#westborough #southborough #hopkinton #ashland #millis #painfreedentistry #rootcanalssaveteeth #rootcanaltreatment #dentistry @bu.endodontics @tuftsendodontics @harvarddentalmed
Please join me and the Pennsylvania AGD for anothe Please join me and the Pennsylvania AGD for another #alwayslearning
CE evening sharing #cbct in #endodontics
📚 ☢️
🗓 Tuesday evening
March 1, 2022
⏱️ 7 - 9:00 p.m. Eastern
Also, I will answer your #cbct related to #endodontics Questions LIVE!
🥳🥳
https://conta.cc/3B8xpQq
To register👆
Load More... Follow on Instagram

Footer

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

What's this??? 🙋‍♀️ Extra oral #bitewings What's this???
🙋‍♀️
Extra oral #bitewings
🙌
Most people don’t think of ExtraOral #bitewings as something that would be helpful in an #endodontic practice. 
Some patients however, such as gaggers,
young and/or autistic patients and others do not tolerate intraoral radiographs or have limitations or disabilities that make taking intraoral films, especially posterior periapicals, challenging or impossible.
This can lead to a result that is not diagnostic and/or does not capture essential information.
☢️
Extraoral bitewings, aka "E/O BWs", can be a great alternative.
🥳
“Extraoral bitewings” is a bit of a misnomer. 
Unlike a traditional bitewing, these images capture the apices of the teeth as well making them
a great option for patients that can’t tolerate posterior PAs. These E/O BWs were a perfect alternative for this 9 yo pediatric patient.

The film taken by the RD did not capture the apices and captured a lot of black space instead.

I had taken a #cbct prior to treatment and wanted to capture a post-op film of the #vitalpulptherapy treatment that was rendered

These images can be captured without having to put anything in the patient's mouth!

This is a valuable and underestimated tool to capture an image when cooperation would prevent/limit the diagnostic potential - for example in an attempted
#periapical film
Hopeful for the follow up in 6m
🤞🤗
Goal: although this pt was in pain, I was able to control the heme within after pulpal amputation 
In 6m, I hope to see continued root development/closure
This postoperative convo with pt/ family is extensive and includes to come back if symptoms develop before then!!
🙏
#alwayslearning
#thinkoutstidethebox
#pediatricdentistry
#oralradiology
#dentalradiology
#3dimaging
@dexisimaging
@ryanz3d
Decay!  ... and, a lot of it!   And, if you no Decay!  ... and, a lot of it!  
And, if you notice, on the preop there's also decay on the LR6 as well. 

Thankfully, this astute RD excavated all of the decay BEFORE referring.  
🥳
While it's not necessary, often decay removal is very much appreciated 🤗 from us endodontists because [I feel that] the restoring #dentists have a better assessment of what exactly one is comfortable saving, rather than either ping-ponging the pt and/or sending for another consult (perio for CL, for ex), etc.  

The GD and pt decided that LR7 was not restorable.  This pt also is missing the UR7 also so there is no opposing tooth.  And, yes, there is a ridiculous radix and curve on it as well - nice eye @grissomendo !

#cbct confirmed 3 canals and no PA pathology

Dx: SIP/SAP LR6 and completed in 2 visit
🥳 Great weekend again with the #mastertrack #de 🥳
Great weekend again with the #mastertrack #dentistry group
📚
This group welcomed their assignment graciously
Homework 1: to meet with their local #endodontist and discuss how to work better together and how to serve #patients better
🙌
Homework 2: review #dentaltrauma and #dentaler protocols with their #dentalteam to improve flow when emergency situations arise
🙌
Homework 3: present a #cbct case featuring something the practitioner has learned or managed differently 
🙌
Thrilled to share these great slides of wonderful meetings and great learning points 

#protips
#alwayslearning 
#3dimaging
#dentalce
#superdentists 
#saveteeth
Load More... Follow on Instagram

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