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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

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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

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