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Hopkinton Endodontics - Judy McIntyre, DMD, MS

Endodontics Hopkinton MA

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508-686-7668
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Technology

Our practice utilizes state-of-the-art, small volume cone-beam CT (computed tomography) technology that provides highly accurate, 3-D radiographic images for the diagnosis, planning and treatment of endodontic disease. This allows three-dimensional visualization of teeth, bone, sinuses and surrounding structures with minimal radiation to the patient, enabling a level of anatomical accuracy and patient care not possible with 2-D technologies (regular dental x-rays). With cone-beam CT, Dr. McIntyre is committed to providing innovative, high-quality, thorough patient care.

CBCT-Hopkinton_Endo-1

Digital Imaging (X-rays)

Hopkinton Endodontics carefully chooses which and when radiographs are taken. There are many guidelines that we follow. Radiographs (aka “X-rays”) allow Dr. McIntyre and her staff to see everything we cannot see with our own eyes. Radiographs enable us to detect cavities in between your teeth, determine bone level, and analyze the health of your bone. We can also examine the roots and nerves of teeth, diagnose infections and lesions, as well as assess damage when trauma occurs. Digital X-rays offer more precision since we view the image on a computer monitor, and use software tools to “play with” the image. These tools assist in seeing things more clearly compared to an old-fashioned (non digital) dental X-ray film. More importantly, digital X-rays results in 1/6th the radiation exposure to you. Also with digital imaging, the exposure time (waiting with the X-ray in your mouth) is about 90% less, compared to traditional radiographs. Lastly, digital imaging allows us to store patient images, and enables us to quickly and easily transfer them back to your dentist, other dental specialists and/or insurance companies to facilitate your dental treatment claim.

In our office, we use: http://www.dexis.com/sensor-anatomy this sensor, which most patients find extremely comfortable and quick! For more information: http://www.dexis.com/system

Surgical Microscopes

The introduction of the surgical microscope has revolutionized endodontics. We have invested in a high-quality Global surgical microscopes that provide unparalleled magnification and illumination for our endodontic and surgical procedures. The microscope in our office is: http://www.globalsurgical.com/dental-microscopes.html The benefits of trusting an endodontist that uses a surgical microscope are numerous. Please read more here at the bottom of this page: http://www.globalsurgical.com/microscope-benefits.html

dr-mcintyre-microscope

Piezo Ultrasonic

The use of the ultrasonic has also revolutionized endodontics and advanced our specialty techniques. Dr. McIntyre uses this ultrasonic machine: http://www.dentalproductshopper.com/proultra-piezo-ultrasonic with confidence. The Satelec P5 (Dentsply Tulsa Dental) is the piezoelectric ultrasonic unit of choice for performing endodontic treatment, retreatment, post-removal, troughing through the nooks and crannies of the root canal system to make sure that your tooth is entirely cleaned and disinfected. She also uses this machine when a canal system is extremely calcified; this machine aids getting into the canal space while removing the least amount of tooth structure.

Other state-of-the art products that allow Dr. McIntyre to offer the highest quality care with recent advancements in materials and technology include:

BC sealer: http://brasselerusadental.com/products/endosequence-bc-sealer/
Bio Root: http://www.septodontusa.com/products/bioroot-rcs
MTA: http://avalonbiomed.com/greymtaplus/
Biodentine: http://www.septodontusa.com/sites/default/files/Biodentine.pdf

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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

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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