• Skip to primary navigation
  • Skip to main content
  • Skip to footer
cropped-hopkinton-endo-logo-opt2

Hopkinton Endodontics - Judy McIntyre, DMD, MS

Endodontics Hopkinton MA

  • Meet Dr. McIntyre
  • Office Tour
  • Reviews
508-686-7668
SE HABLA ESPAÑOL
  • Home
  • About
    • COVID-19 Updates
    • Boston Endodontist
    • Meet Dr. McIntyre
    • Meet the Team
    • Office Tour
  • Procedures
    • Root Canal Therapy
    • Endodontic Retreatment
    • Endodontic Surgery
    • Cracked Teeth
    • Traumatic Dental Injuries
    • For the Anxious Patients
  • Patient Information
    • New Patient Forms
    • Why Choose an “Endodontist”?
    • Fees & Financial Policy
    • Dental Insurance
    • Instructions
      • First Visit
      • Before Endodontic Treatment
      • During Treatment
      • After Completion of Endodontic Treatment
      • Home Care Instructions
    • About Your Tooth
    • Technology
  • FAQ
  • Referring Doctors
    • Refer Your Patient
    • Colleagues for Excellence Newsletter
    • Endodontic Case Assessment
    • Treatment Planning Options
    • Regenerative Procedures
    • Links of Interest
  • Blog
  • Contact

“It hurts to HOT!!!!!!”

January 13, 2023 by Dr. Judy McIntyre

The rare HOT chief complaint.
Happens maybe twice a year in my practice.
Early on, I boiled/microwaved hot water.
I got smarter, and then did that but used a syringe to “test” each tooth.

I got smarter, and worked my way backwards to forwards – especially important on the lower molars/premolars due to the shared information back to the brain relayed along the IAN.
But, the water still would get everywhere.
And, it takes several mins to get VERY hot water
And, there’s still some potential confounding if the water hits more than 1 tooth.

Hence, the Warm GP test, which, IMHO, I feel is BEST, quick and really reliable. And, so far, duplicates the pt’s CC – EACH and EVERY time!

On down time, my #dentalassistant will make a few GP balls by heating up and “welding” GP into a ball. Once heated and warmed, roll into a ball on a glass slab until it’s to your liking 🙂

When a pt comes in with a CC of HEAT sensitivity, it is usually across several teeth and most of the time it’s a bit tricky to isolate.
I start with my usual #pulpvitalitytests and then, last, I do the hot test – see video.

With a CC of hot, most of the time, the heat is going to onset a bit delayed, so please be patient and wait for it. And, it will usually linger, and the pt will be in a bit of discomfort; warn them. But, this definitively will reproduce their CC.

#protips
have an extra set of eyes (your DA, etc) and also a cotton roll to ensure the pt’s soft tissue won’t feel too much heat or get burned

https://www.instagram.com/reel/Cmb47MCt-u4/
https://www.instagram.com/reel/CmPyVIVps8n/ Part 1
https://www.instagram.com/reel/CmP2oZQJ1kN/ Part 2

Category iconroot canal treatment

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

Instagram

Follow on Instagram

The information on this website is for general information purposes only. Nothing on this site should be taken as medical advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute, a doctor-patient relationship.

Copyright © 2023 Hopkinton Endodontics. All rights reserved. HIPAA Notice Return to top