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Hopkinton Endodontics - Judy McIntyre, DMD, MS

Endodontics Hopkinton MA

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508-686-7668
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A Big Win for Patient Care: ‘Yes on Question 2 for Dental Care’ Overwhelmingly Passes!

November 16, 2022 by Dr. Judy McIntyre

Massachusetts voters have passed ballot Question 2 with “Yes” at 71.3% of the vote, making the state the first in the country to introduce a uniform rule for a “medical loss ratio” for dental insurance.

This historic passing means that more patient dollars will go to patient care, and it could serve as an impetus to bring widespread change throughout the country.

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Category iconroot canal treatment

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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

Instagram

drjudyendo

All the feels 🥰💕🤗 . #patientcare #teamwor All the feels 🥰💕🤗
.
#patientcare
#teamwork 
#patientreviews 
#painfreedentistry 
#rootcanaltreatment 
#rootcanal
Loved having @alexlapierre in the office yesterday Loved having @alexlapierre in the office yesterday during her #farewelltour before her move to the opposite coast!!!!
🥰
Wishing you the best!  Thank you for stopping by!!!
💕
#formeradmin
#teamwork
#caorbust
🌞
🤔🤔 Are you seeing a lot of cracked teeth? I 🤔🤔
Are you seeing a lot of cracked teeth?
I am!
😵😵‍💫😵😵‍💫
Please join me for a FREE WEBINAR (1 CE) on CRACKED TEETH and how CBCT can be helpful in these cases. 
☢️
🗓👉 Oct 5th 
(if you can't make it, sign up and we'll send you the recording!)
🤓
🦷
Please feel free to share with team members and/or anyone who needs the CE :) 
🙌
Instagram post 18026505076617820 Instagram post 18026505076617820
🎉🎉🎉🎉 Today, we had the pleasure of s 🎉🎉🎉🎉 
Today, we had the pleasure of seeing one of our BEST pediatric patients! 
He had his "listening ears" on and ready as soon as he walked into our office. 
It truly warms our hearts to save a child's tooth, and meanwhile also have some fun and giggle! 
Thanks for all your hard work in our office - happy healing! 
🥰
We love saving teeth!!!!
🙌🙌
🦷
Posted w parental consent✔️
🦷
🎉 Thankful for our dental summer intern - her s 🎉
Thankful for our dental summer intern - her second summer working here with us as needed. 
She's off to hygiene school later this week!
...we all start somewhere 

#alwayslearning
#futurerdh #hygienist #dentalstudents #gapyear

Fun Fact - my first job in a dental office was in college! 
I worked in an orthodontic office; they eventually trained me as an OTJ #DA
Through college and #dentalschool I worked as an ortho DA!

Wishing you all the best!
🦷🦷🦷🦷🦷🦷
Happy 1 year Anniversary, Karsyn! 🎉 Thankful fo Happy 1 year Anniversary, Karsyn!
🎉
Thankful for her fun, kind spirit that puts patients at ease!
🥰
#teamwork
Leaving a review of our office not only helps our Leaving a review of our office not only helps our team continue to treat our patients with the highest level of care, but it also helps other patients find an endodontic office that suits their needs best! 
☺🦷 
.... and reassures them that they are being sent to a place that cares!
🥰🤗🥰

#teamwork 
#saveteeth
Tricky case, happy with the outcome Medicated in b Tricky case, happy with the outcome
Medicated in between
Enjoy the gorgeous day out!!!!
Purulence LR7, left open, then medicated LR6 medic Purulence LR7, left open, then medicated
LR6 medicated
Both sent many #cfiles to the graveyard
Cheers to the weekend and to healing
🍻 
#fingerfatigue
Another week of saving teeth! 💕 Another week of saving teeth!
💕
2 years ago, I was approached by an applicant for 2 years ago, I was approached by an applicant for my main office administrative position.  

She had worked in an optometry office and was totally green to dentistry.  And, she was honest... she was leaving back to her beloved home state of OH "soon".  

Investing in any candidate always has risks, but one with a known end was a bit scary-er. "Soon" even could've been 1 year, she shared.  Yet, I liked her honesty and her dedication from the get-go.  

One year turned into two 🥰💕....

Over two years, Danielle learned ALL aspects of dentistry administration including radiology and insurance claims, and actually, in the process has come to love dental insurance (and, I'd like to think endo too).  She's never confused Xrays that come in, always assigning them properly and correctly orienting them.  She's helped me on my presentations😆, learned all my quirks (so many), and been patient with me the *entire* time🤭.  She's a great balance to me, and always kind to patients.  

Her dedication and loyalty have been more than appreciated, and she will be greatly missed.  

She's a smart cookie, and I can't wait to see how things pan out for her in OH, where her heart lies!  

Thank you, D💓💓💓
💕 We love #savingteeth 🙌 #teamwork 🦷 💕
We love #savingteeth 
🙌
#teamwork 
🦷
About Horizontal Root Fractures ⚡️ This swimme About Horizontal Root Fractures
⚡️
This swimmer hit their face (!!!) on a diving board at a high speed.  
😳
Thankfully, I saw them within 24 hrs - d/t astute #pediatricdentist RD
🙌
My DIAGNOSES that day after their injury: 
#7 Ir/reversible pulpitis with symptomatic/acute apical periodontitis; s/p trauma with horizontal root fracture in the mid-coronal third as well as an oblique crown/root fracture, pulp blushing - uncomplicated crown fracture 
#8 Ir/reversible pulpitis with symptomatic/acute apical periodontitis; s/p trauma with 2mm extrusion and pal alveolar bony fractures, sl mobile 
#9 Ir/reversible pulpitis with symptomatic/acute apical periodontitis; s/p trauma with complicated crown fracture in the mid-coronal third as well as an oblique crown/root fracture (Fx inv enamel/dentin/pulp

I was also curious about #10 and mentioned to the pt/family that it might eventually need endo as well. There were also MANY lip and other head/neck lacerations and a plastic surgery consult was also later obtained. 

✅️ Most often HRFxs do NOT show up on PAs (this one did!)

The IADT recommends angled films so as to better detect horizontal root fractures post-dental trauma (if one cannot access a CBCT)
Even then, they can elude even the keenest of eyes.  
☢️
CBCT is highly recommended and is super helpful to detect HRFxs and their 

🦷 Purposes of sharing this case: 
CBCT is best imaging modality for thorough diagnosis of all #dentaltraumaticinjuries when they occur
👉 and NO, Horizontal Root Fractures DO NOT require RCT
🙏🤞 Very recent PVTing was cold wnl on #7/UR2!!!!!!!

HRFxs: 
- Often, 80% heal with splint alone
- Only ~20% need endo Tx
- the highest failure rate of these injuries is if the HRFx is in the cervical third of the tooth (like this injury)

Cont below 🤭
🇺🇸 May is Military Appreciation month. #did 🇺🇸 
May is Military Appreciation month. #didyouknow
🇺🇸 
There are multiple days in May that acknowledge those you serve in the military and for our government.  
🇺🇸 
Hopkinton Endodontics gratefully acknowledges our military and veterans and all service persons who offer us our daily freedoms.  
🇺🇸 
The father of our very own DA, Karsyn, served at Ft. Bragg with the 82nd Airborne and their family was recently able to go back and visit.  
🇺🇸 
Must have been fate as her dad's barracks were close to the dental clinic!  And, at their recent visit, she was able to share this picture. 
 🇺🇸 
On this Memorial Day, we are thankful and appreciate all current and past service persons and also remember all who died serving in the military.  
🇺🇸 
#freedomisnotfree
#thankful
👋 When a practitioner feels that a patient trul 👋
When a practitioner feels that a patient truly understands the testing and the information that you are asking of them in terms of *differences* in feeling across the teeth being tested, what do you do? 
🤷‍♀️
This case is from a great, smart RD who does a lot of their own endo - good endo. 👍 
I know they know testing and nuances and differences, and how to discern the pts' responses; I trust their testing.  Their testing was cold wnl on this canine🦷 "vital tooth"
(I was not there.  And, I did not do the testing.)

Obviously, the communication asking my opinion about the case was purely digital, so I didn't have clinical information, and I did not do the testing.  But, I'm often asked, as are many other endodontists, thoughts about a case over text/email/IG.  It's tricky to respond over all these media, and none should be concluded as definitive without the entire picture. 
🌟 
Nevertheless, my point in sharing is 1) a reminder that even necrotic 🧟‍♂️ 🧟‍♀️ tissue can conduct cold 🧟‍♂️ 🧟‍♀️ 
2) trace the PDL (see my responses back to RD)
and
☢️
3) take a CBCT! 
⚡️ 
4) bust out that EPT, when in doubt.... I'm sure this EPT reading would've been super helpful, esp if this RD didn't have access to CBCT 
🌟 
Keep the questions coming.
#protip 📢 Use your EAL as an adjunct to help in #protip 📢
Use your EAL as an adjunct to help inform you which #crackedteeth are more dire 
And, which ones should be saved🙌
Hard to believe, but sometimes, the scary-looking ones may not be as bad as we think they are
Let's put all the information together!
My teeth math, as I call it, is a full assessment of clinical + radiographic + symptoms = prognosis > save with #rootcanaltreatment or not (exo)
Clinical includes 📏 ppd + transillumination💡 + bite test
Radiographic includes BW/PA but must include #cbct > most determining factor for me 🙋‍♀️
Symptoms include recent and past history
And the EAL informs me MORE once I'm inside,  esp if pt is returning and now was a crack internally that may not have been fully appreciated before
Pt understanding of prognosis is 🔑
Another tooth saved! 🥳🙌🥳 The preop PA mi Another tooth saved!
🥳🙌🥳
The preop PA might not convey the extent of this destruction/infection, but we could suspect sinus involvement based on the sinus being cloudy, even on
the PA!
CBCT, however, showed the full extent of this infection/PARL!
🤢🤮
Medicated in 2 visits and 🥰9+ months later, the pt presented for a check up, which showed 
COMPLETE HEALING!!!!!!!!!!!
🥳
Yayyyyyyyyyyyyyyy
🙌
#rootcanals work!
#endodontists #saveteeth
#anothertoothsaved
PARL and sinusitis GONE!
A great trip to Newark for an #alwayslearning @dex A great trip to Newark for an #alwayslearning @dexisimaging event with colleagues Dr. Lisa Koenig & @drpareshshah 
🥳
Thank you Dexis team for the awesome CE and support!
🥰
Thanks to the 45 #dentists (1 #periodontist , 1 #pediatricdentist and 2 #endodontists ) for your kind attention and feedback.
🙌
Was thrilled to debut and share 6 #crackedteeth cases and hope to share future follow up 🙏🤞
✈️
Enjoyed some time down South!   And, there's not Enjoyed some time down South!  
And, there's nothing like Southern hospitality.... 
🥰
Thank you Dr. Grissom for taking the time out of your day to treat us.  

🙌🙌🙌 That sure is a big sign!!!

Here's to your new practice and many years of #savingteeth
🍻 
The area is lucky to have you and your team!
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