Endo Addict

🚨 NEW VIDEO ALERT!

BPE | BEWE | Bitewing X-ray
All explained in a simple & clinical way

💡 Don’t miss it!

Dental Diagnosis : Part 6 : screening investigations Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

🦷 Beneath the Obvious, a Different Truth

This case walked in asking for a simple bridge replacement.

But it was never just about a bridge.

📌 Chief Complaint

The patient lost his old bridge on #17 and #15 six months ago and wanted new restoration.
Recently, he started experiencing pain in #14 with hot and cold fluids.

Medical history? Free.

🔎 Clinical Findings

#17 and #15: Severely decayed, only roots remaining
#14: Large distal recurrent caries under class II amalgam
Missing #16, #45, #46
Adequate attached gingiva

Radiographically:

#17 and #15 had very long roots
Short previous endodontic fillings
No coronal seal for long time
Surprisingly… no signs of apical periodontitis
Normal bone levels

At first glance, it looked hopeless.

But the roots were long.
The bone was stable.
The story was not over.

🔹 Phase 1 – Surgical Crown Lengthening ( #17 & #15)

Full thickness flap.
Precise bone reduction.
2 mm ferrule achieved.
Careful recontouring and soft tissue repositioning.
Foundation before restoration.

🔹 Phase 2 – Non-Surgical Retreatment

Both #15 and #17 were non surgically retreated:
Old gutta-percha removal
Working length confirmed with apex locator
Rotary + hand instrumentation
5% NaOCl + EDTA with ultrasonic activation
Obturation using hydraulic / continuous wave techniques using Bioceramic sealer
Fiber posts + composite cores

🔹 The Unexpected Turn – #14

During RCT on #14, a file separated in the apical third of the palatal canal.

“Well… that escalated.”

Instead of panic:

Bypass achieved

WL re-established

Proper cleaning and shaping completed

Obturation with hydraulic condensation + bioceramic sealer

Crisis managed. Tooth saved.

🔹 Final Phase

Retreatment of #17 completed.
Three fiber posts placed.
4-unit full zirconia bridge fabricated.

From roots with no crown structure…
To stable, functional rehabilitation.

🧠 Lesson from This Case

What appeared hopeless…
Was only structurally compromised.

Sometimes the obvious diagnosis says “extract.”
But the deeper evaluation whispers, “restore.”

🦷 Endodontics is not about what you see first.
It’s about what you discover after you look deeper.

Every great treatment starts with one thing…
🔍 A precise and complete diagnosis

I’m happy to share Part 5 of the Diagnosis Series, where we dive deep into:
🦷 Extraoral Examination
🦷 Intraoral Examination

This lecture is designed to simplify complex clinical assessment into a clear, practical, step-by-step approach you can apply directly in daily practice. From facial analysis and lymph node assessment to detailed intraoral evaluation — this session helps you see what others might miss.

Because in dentistry… the details make the difference.

🎥 Watch. Learn. Apply. Elevate your clinical thinking.

https://youtu.be/DTxt29v95gQ?si=wiaMLU7xh0IAn68p

Dental Diagnosis : Part 5. Extra and Intra-oral Examination Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.

🦷 Diagnosis Series – Part 4 is OUT NOW! 🎥🔥

Diagnosis doesn’t start in the mouth — it starts with the history.

In Part 4 of the Diagnosis Series, we dive deep into:
🔹 Family History – genetic & shared lifestyle risks
🔹 Social History – habits, behaviors, and real-life factors affecting oral health
🔹 Dental History – the foundation of safe diagnosis and treatment planning

This episode explains why history-taking is not a formality, but a powerful diagnostic tool that shapes risk assessment, clinical decisions, and patient outcomes.

If you’re a dentist, student, or preparing for exams, this lecture will change the way you look at diagnosis.

▶️ Watch now
👍 Like
🔁 Share with your colleagues
💬 Comment with questions or topics you want next

More parts are coming… stay tuned! 🚀

Dental Diagnosis : Part 4 : Family, Social and dental history Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.