Dr. Rico D. Short

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Posts posted by Dr. Rico D. Short


  1. Edge Evolve ~ To The Sinus?

    Final X-Ray:

    Case Summary:

    I have the unique opportunity to try many files that come on the market. One of the previous files I used was the Protaper Gold and Vortex Blue. I thought they are very good files and still is but Edge Endo has put out a file that I think is better. Clinically to me, it's more flexible, stronger, and a fraction of the cost. It's called Edge Evolve. The EdgeEvolve™ Heat Treated is available in tip sizes 17, 20, 25, 30, 35, 40 and Taper sizes 04, 06, 08, 10 for each tip size with a maximum flute diameter of 1.0 mm for each file. This is one case that I performed on tooth #15 using .04 taper in one visit. One thing I don't really like is that the file seems to "click" while working very similar to the Brassler Sequence files. My favorite file so far is still the EdgeEndo X7.

    Dr. Rico D. Short
    Diplomate, American Board of Endodontics
    www.ApexEndodontics.net

    Files & Products Used:

    Edge Evolve 04 taper

    Additional X-Rays & Extras:

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  2. Pushing It To The Edge ~ Edge Evolve Case!

    Final X-Ray:

    Case Summary:

    This patient has an abscess associated with tooth #12. The diagnosis was a necrotic pulp with acute apical abscess. He was in pain. He decided to put an aspirin on the swelling last night. No No No!!!! Aspirin is an acid containing product. He now has a chemical burn on his gingiva and an abscessed tooth!

    1 visit RCT

    I anesthetized with 1 carp 2% Xylo 1:100k and 1 carp Polocaine, RDI, Access with a 1958 bur, locate 3 canals under the microscope, used 6% NaOCl (full strength).
    This was a very tough calcified case. I used several size 6,8, and 10 handfiles...maybe 20!
    Working length was established with apex locator. I don't usually take file or conefit shots unless I'm not absolutely sure where I am.
    Canals were cleaned and shaped with Edge Endo Evolve 25mm/04...they were ok but I prefer the Edge Endo X7 25mm/04. They are more efficient and don't make a clicking noise...just my personal preference.
    Canals were sealed with gutta percha and Kerr EWT with Warm Vertical Condensation.


    Files & Products Used:

    Edge Endo Evolve 25mm/04

    Additional X-Rays & Extras:

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    Dr. Rico D. Short

    Diplomate, American Board of Endodontics

    "Getting To The ROOT Of Your Problem"

    678-503-0790

    http://www.ApexEndodontics.net

    Dr. Rico Short be speaking in May at the North Carolina Dental Society in Myrtle Beach!


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  3. Retreatment With Large PAP

    Final X-Ray:

    Case Summary:

    This was a case that had a large area of infection. A previous root canal was performed with Thermofil. I decided to retreat this tooth #15. I disassembled the previous endodontic treatment and placed calcium hydroxide for 2 weeks. He return and I had to repair a transportion with MTA (Dentsply) from the previous treatment and an MB2 was located. This is a 1 year recall and the patient is asymptomatic showing very nice healing. The barium which is an opacifier in the CaOh is still present in some areas. Root Canals Work!
    #RockStars

    Files & Products Used:

    Profiles Series 29 04 taper
    Heat
    Chloroform
    MTA (Dentsply)
    CaOh2 from Ultradent
    Full Strength NaOCL

    Additional X-Rays & Extras:

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    1 YEAR RECALL

     


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  4. A "Long-Shot"

    Final X-Ray:

    Case Summary:

    Hello great world of "Tooth-Savers"! Have not posted in a while. This case was fairly challenging due to the curves in the MB and long palatal canal. Edge Endo gives you the "edge" on some of these tough ones! It is very important to establish a glide path with handfiles before using rotary. This minimizes instrument separation.

    Files & Products Used:

    Edge Endo 25mm/04 taper
    Full Strength NaOCl
    Kerr EWT Sealer
    K-files by hand

    Additional X-Rays & Extras:

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  5. High "5" Max 1st Molar!!

    Final X-Ray:

    Case Summary:

    This started out as a normal case. Usually there are 3 obvious canals with an MB2 later on approximately 90% of the time on the Maxillary 1st Molar. I located the MB2 and cleaned and shaped it. Then all of a sudden I saw a little bleeding using the microscope in between the MB and MB2. Well it turned out to be an MB3! There were 3 canals in this MB root which became a total of 5 canals. I was able to open the MB3 up using the S1 EdgeTaper Platinum 21mm. The rest of the canals were cleaned and shaped with the Edge Files X7 25mm. The canals were obturated with the warm vertical technique using Kerr EWT Sealer.

    Dr. Rico D. Short
    Diplomate, American Board of Endodontics
    www.ApexEndodontics.net
    678-503-0790
    #GraceLife

    Files & Products Used:

    Handfiles 6,8,10,15
    Just Two Apex Locator
    S1 Edge Taper Platinum 21mm
    Edge Files X7 25mm
    Warm Vertical Gutta Percha Technique
    Kerr EWT
    6% NaOCl
    17% EDTA
    RC Prep

    Additional X-Rays & Extras:

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    "Is That 5 canals?....*&*(*)*!

    white house.jpg


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  6. "Broken File At Apex"

    Final X-Ray:

    Case Summary:

    Case of the Day
    I had a patient to come in today who had a dentist try a root canal on an "easy tooth". In the middle of the procedure, he noted a file broke off and the patient was in discomfort. He sent the patient to me. I was able to remove the file even at the apex (tip of the root) complete his root canal and save his tooth! That's what we do as Endodontist - Save Teeth Painlessly! Ask your dentist about an Endodontist before your root canal procedure.
    I have an article on Endodontic Retreatment in Dentistry Today and Inside Dentistry if you would like to know more about my technique.

    http://www.dentistrytoday.com/endodontics/7776-is-endodontic-retreatment-passe-

    http://www.dentalaegis.com/id/2015/08/preserving-natural-dentition-in-endodontically-treated-teeth

    Dr. Rico Short
    Board Certified Endodontist
    Apex Endodontics P.C
    678-503-0790
    www.ApexEndodontics.net

    Files & Products Used:

    Ultrasonics SP-19 tip (Osada-Enac) to remove file
    Staging with modified Gates Glidden Drill Size 4
    Cleaned and Shaped with Edge Endo 25/04
    Kerr EWT Sealer

    Additional X-Rays & Extras:

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    Figure_5_Modified_Gates_Glidden_Drill.th


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  7. "Globular Maxillary Cyst?"

    Featured X-Ray:

    Case Summary:

    This case came in to my office in 2013. The patient was in pain and very swollen with a large periapical lesion. Pulp testing was performed and tooth 7 was necrotic and tooth 8 was vital even though the lesion enveloped both teeth. That is why pulp testing is critical! I told him that due to the size of the lesion it may not resolve with root canal therapy. It may need to have a surgery and sent to get a biopsy. He agreed to conservative root canal therapy. Patient was treated in 2 visits. Calcium Hydroxide was used for 3 weeks as the intracanal medicament. Patient returned for completion of root canal therapy. Today was a 2 year recall showing very nice healing.

    Dr. Rico D. Short
    Diplomate, American Board of Endodontics
    Apex Endodontics P.C
    www.ApexEndodontics.net
    678-503-0790

    Files & Products Used:

    Profiles series 29
    UltraCal CaOH
    6% NaOCl

    Additional X-Rays & Extras:

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    Pre-Op of tooth #7

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    Tooth #7 with CaOH placed

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    Endodontic Treatment Completed on tooth #7

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    2 year recall showing nice healing on tooth #7

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  8. 2 Three Canal Calcified Max Pre-Molars!

    Featured X-Ray:

    Case Summary:

    A general dentist started root canals on teeth 4 and 5. She said she kept hitting something hard and decided to stop treatment. She sent the patient to me. I looked at the radiograph and was able to tell this was going to be complicated. Both teeth were treated in on visit. Both teeth had 3 canals.

    Technique.
    Pt was anesthetized with 2 Carp 2% Xylo 1/100 epi
    Rubber Dam Isolation
    Access under Microscope
    Used high speed round bur to locate canals
    Copious full strength NaOCl
    Handfiles 06, 08, 10 was used to create a glide path
    Pathfiles rotary were used to further open up canal
    Pro-Taper was used for coronal flaring
    Apex Locator was used to measure lengths
    Edge Endo Files 25/04 were used
    MB and DB finished with 25
    Palatal finished with 30

    Dr. Rico D. Short
    Diplomate, American Board of Endodontics
    Apex Endodontics P.C
    www.ApexEndodontics.net
    678-503-0790

    Files & Products Used:

    RC Prep
    EDTA
    Edge Endo Files
    Handfiles
    Pro-Taper
    Kerr EWT Sealer

    Additional X-Rays & Extras:

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  9. "A Huge Lesion with Gutta Percha Floating"

    Featured X-Ray:

    Case Summary:

    This was a case I treated about 6 months ago. Tooth 10 was necrotic with a large area of infection. I was concerned that it may be a cyst due to the size and circumscribed area. The patient had pain and swelling. Teeth 9 and 11 were vital. I explained to the patient that he will need endodontic treatment and if the tooth does not respond to treatment he will need and apicoectomy and biopsy of the area. Treatment was initiated. I anesthetized with 2 carp 2%Xylo 1:100k epi, rubber dam applied, access, gross drainage, cleaned and shaped with profiles series 29 and handfiles up to size 100. Calcium hydroxide paste was placed for 1 month. The patient was brought back and I used a standard size 100 gutta percha cone. Upon pulling it back a piece of it snapped off beyond the apex. I told the patient that we will monitor the case. I brought the patient back in 6 months. He said the tooth felt great. I saw radiographic healing and the gutta percha resorbing and bone healing pushing it to the apex!

    Files & Products Used:

    Handfiles
    Profile Series 29
    Gutta Percha Cones
    Calcium Hydroxide
    "Prayer" :-)

    Additional X-Rays & Extras:

    Calcium Hydroxide placedX1148901_1.thumb.JPG.9ccf647e9ed0ab4cb9f

    X1148901_2.thumb.JPG.72527d7ed1ccdc244ccRCT fill with gutta percha broke off

    X1148901_3.thumb.JPG.048bc303eca30678f0e6 month recall showing nice healing and resorbing gutta perchahttp://www.dentalaegis.com/id/2015/08/preserving-natural-dentition-in-endodontically-treated-teeth


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  10. "R-U Serious!"

    Featured X-Ray:

    Case Summary:

    This was a very challenging wisdom tooth case. The patient did not want to have it extracted. Upon looking at the canal anatomy I said to myself..."R-U Serious!". He really wanted to save this tooth and it was in occlusion with tooth 16. I used handfiles and the Edge Endo files .04 taper to get a very nice result. Be sure to check out my new article in Inside Dentistry August 2015 on "Preservation Natural Dentition In Endodontically Treated Teeth".
    www.ApexEndodontics.net
    Rico D. Short D.M.D
    Diplomate, ABE

    Files & Products Used:

    Edge Endo Files

    Additional X-Rays & Extras:

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  11. "4" Play ~ No CBCT!

    Featured X-Ray:

    Case Summary:

    This was an interesting case of Radix Entomolaris. The previous treatment was done by a general dentist. I had to retreat the case and found a second DB canal and did NOT need a cone beam CT to see it! A good endodontist will not need a CBCT as much as all the hype about it is. Let's do it right! Everyone don't need to be scanned with CBCT for a retreatment. Use the ALARA principle. ALARA is an acronym for As Low As Reasonably Achievable. This is a radiation safety principle for minimizing radiation doses and releases of radioactive materials by employing all reasonable methods.
    Dr. Rico D. Short
    Board Certified Endodontist
    Apex Endodontics P.C / Atlanta
    678-503-0790

    Files & Products Used:

    Vortex Blue

    Additional X-Rays & Extras:

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  12. The "Ricasso"

    Featured X-Ray:

    Case Summary:

    This was a very challenging case. A wisdom tooth (Tooth #1) with severe curvature and long roots. The Edge Files Rock!
    Apex Endodontics P.C
    Dr. Rico D. Short
    Diplomate, American Board of Endodontics
    678-503-0790
    www.ApexEndodontics.net

    Files & Products Used:

    Edge Files 04 taper 25mm
    Crown Down Technique
    Warm Vertical Condensation

    Additional X-Rays & Extras:

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  13. The Skinny

    Featured X-Ray:

    Case Summary:

    The canals were very narrow in the mesial roots. I have a lot of confidence in these files. They bend, unwind, but typically won't break!
    Look out for another article coming in Inside Dentistry!

    Files & Products Used:

    EdgeFiles 25mm/04 taper

    Additional X-Rays & Extras:

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  14. Curvy1Kinobe

    Featured X-Ray:

    Case Summary:

    This was a very calcified maxillary first molar. I wanted to put the EdgeFiles to the test and boy it did not disappoint. I used glide path files to help get to length then used handfiles to size 15. Then, crowned down with the Edgefiles. MB and DB 25/04 and Palatal 40/04. These are one of the most aggressive yet safest files I've ever seen. Kudos Dr. Goodis...You have made us better Root Canal Rockstars! ~ Dr. Rico Short

    Files & Products Used:

    Glide Path Files
    EdgeFiles
    6% NaOCl
    Kerr EWT Sealer

    Additional X-Rays & Extras:

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  15. Captain Hook Waaayyy Up!

    Featured X-Ray:

    Case Summary:

    A general dentist tried to perform root canal treatment on tooth 13. They reported to keep getting stuck. They took a cone beam and saw the lingual canal had a hook that went towards the mesial then to the palatal. They sent the patient to me and she was still in pain especially to cold and biting. I diagnosis tooth 12 causing cold/biting pain and tooth 13 hurt constantly. I performed both treatments with the EdgeEndo files .04 taper. The EdgeEndo file scouted out and around the calcified lingual canal like a hot knife through butter. I was very impressed and was not concerned about file breakage. I used it for tooth 12 also. Both teeth had canal lengths of 25mm.

    Files & Products Used:

    EdgeEndo .04 taper
    Gates Glidden
    Handfiles
    Kerr EWT Sealer
    Warm Vertical Condensation

    Additional X-Rays & Extras:

    http://www.ApexEndodontics.net

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    The Root Canal Specialist To The Stars!

     


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  16. The Octopus!

    Featured X-Ray:

    Case Summary:

    Tooth 15 was very calcified and patient was in pain. I used my "old school" profile series 29/04 taper to make sure I didn't loose my "Swagg." This was a cool case because it had 5 canals. I would love to try the Edge Endo file on one of these cases. By the way I still use Gates crown down 4, 3, 2.

    Files & Products Used:

    Profiles Series 29/04
    Gates Glidden 4,3,2
    Warm Vertical Condensation

    Additional X-Rays & Extras:

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  17. Virgin1

    Featured X-Ray:

    Case Summary:

    This case was tooth 14 with very narrow and calcified canals. I decided to use the Edge Endo files vs my normal files of Vortex Blue on these cases. First Case with Edge Endo​!
    Calcified tooth 14. Very nice result. Strength, Flexibility, Efficiency, Confidence, and Reduced Cost! I will be incorporating these files in my root canal treatments. Thanks Dr. Charles Goodis!
    #RootCanalsRock
    Dr. Rico D. Short
    Diplomate, American Board of Endodontists

    Files & Products Used:

    Edge Endo X7

    Additional X-Rays & Extras:

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    • Like 1

  18. The Mysterious Partially Necrotic Pulp!

    Final X-Ray:

    Case Summary:

    Partially Necrotic cases can be very difficult to diagnosis even for many Endodontists. This was the case on tooth 2 in which the patient had a sinus tract on the palatal that could not be traced. Tooth 2 did not have any prior dental work. Tooth 2 and 3 responded within normal limits to thermal pulp testing. However, upon percussion, tooth 2 was slightly more percussion sensitive than tooth 3. Based on my previous experience with these cases, I decided to do endodontic treatment on tooth 2. The patient was told if area does not heal, I would refer her to an oral surgeon for a biopsy. The tooth was opened and the pulp was partially necrotic (the palatal root was completely necrotic). Medication was placed and the patient return in 2 weeks to complete endodontic treatment. Proper endodontic therapy caused the sinus tract to resolve. Tooth 2 had a microscopic crack which contributed to this issue.

    Dr. Rico D. Short
    Diplomate, American Board of Endodontics

    Files & Products Used:

    Profiles Series 29/04
    ProTaper
    Calcium Hydroxide Paste (Ultracal)
    Gutta Percha with Warm Veritcal
    Kerr EWT Sealer
    Cavit

    Additional X-Rays & Extras:

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