“Dr. Shaun Soucie and his staff are wonderful.” – Corinne G.

Procedures Performed

Endodontic Treatment (Vital/ Non-Infected Teeth)

Dr. Soucie received his master’s thesis for his study of bacterial penetration of tooth structure. For vital (Alive/ intact pulp tissue) teeth a single-visit approach is warranted. In necrotic teeth, a single-visit approach only serves to entrap bacteria in the tooth, and therefore requires additional steps

 

 

Endodontic Treatment

Microbiologic Treatment

Necrotic (Non-vital/ dead) teeth no longer possess viable pulp tissue and are infected. Bacteria has penetrated into the dentinal tubules. Interim medicament must be placed and left inside of the tooth for several weeks to eliminate bacteria from the dentin.
Left: Lateral, furcal and apical bone loss (11mm W x 13mm T x 8mm D) associated with bacterial infection and deemed non-restorable due to suspected fracture and poor periodontal prognosis
Right: Minimally invasive access to preserve tooth structure (Truss/ H-shaped access) with bone remineralization/ healing following microbiological protocol
Microbiologic Treatment

Endodontic Retreatment

Retreatment of failed root canals is do to residual bacteria, missed canals and incomplete removal of necrotic tissue in the tooth. Dr. Soucie will not complete treatment of tooth that is infected. Medicine is placed inside the tooth to eliminate the bacterial presence and allow bone healing prior to completion of the root canal.
Left: Missed canals retain resulted in periapical and lateral bone loss(18mm W x 22mm x 8mm D), spreading into the adjacent soft tissue
Right: Complete resolution of the lesion following microbiological protocol without need for apical surgery
Endodontic Retreatment

Extraction/Socket Conversion

CT scans reveal accurate bone loss, fracture and internal anatomy. Non-restorable teeth are surgically extracted, bone graft and membranes are placed to facilitate eventual implant placement when desired. A follow up CT is taken 4 months later to ensure proper healing for implant placement. CT scans are sent to the appropriate party for implant placement and restorative therapy.
Extraction/Socket Conversion

Dental Trauma

Replacement of displaced and avulsed (Knocked out) teeth and splinting of loose teeth. Root canal therapy and any required adjunctive therapy, such as the placement of posts and cores are performed. Crowns, when indicated, are performed by you general dentist or prosthodontist.
Top: Maxillary bone/ alveolus fracture and .8 cm displacement of central incisors following blunt trauma
Bottom: Results following CT imaging, repositioning of the bone, teeth and soft tissue, splinting, endodontic therapy
Dental Trauma

Resorption Therapy

Root resorption therapy is a viable treatment to eliminate the pathological process that results in the progressive loss of dentin and cementum by the action of osteoclasts. If left unnoticed or untreated, the resorptive lesion progresses and the affected teeth become non-salvagable and must be extracted
Left: Class III ECIR (Extra canal invasive resorption) of the root
Right: CT imaging following endodontic therapy, resorption therapy and placement of the definitive restoration

 

Resorption Therapy
spacer Endodontic Treatment spacer Microbiologic Treatment spacer Endodontic Retreatment spacer Extraction/Socket Conversion spacer Dental Trauma spacer Resorption Therapy

Core & Post/Core

A core is a type of dental restoration required to permanently restore an endodontically treated tooth when sufficient amounts of sound tooth structure remain to retain a conventional crown. A post and core is a type of dental restoration required when inadequate amounts of sound tooth tissue remain to retain a conventional crown. A post is cemented or bonded into a prepared root canal to retain a core restoration, enabling cementation and retention of the final crown. The post is analogous to rebar in concrete.
Left:  Over-sized access and instrumentation of canal, unnecessarily removing tooth structure responsible for the long term structural integrity of the tooth
Right:  Minimally invasive access, preserving tooth structure w/ post and core placement to reinforce the tooth following trauma

 

Core & Post/Core

Root Resection/Amputation

Root amputation is a viable treatment to retain a functional portion of the tooth. Root amputation (root resection) is the surgical removal of all the root and adherent soft tissues leaving the crown of the tooth intact and supported by remaining root(s).
Left: Extent of periodontal involvement precluded access to effectively remove active infection and bone grafting
Right: Results following endodontic therapy, definitive restoration and removal of the distobuccal root
Root Resection/Amputation

Apicoectomy

An apicoectomy is performed to eliminate the root end and associated infection, preserving the function of the tooth whilst avoiding extraction. This treatment is only considered when a root canal has failed and removal of restorative material, such as cast posts and crowns, would result in loss of the tooth.
Left: Cast post, core and crown restoration precluded orthograde retreatment with microbiological protocol due to the anticipated structural failure and loss of the tooth
Right: Root end resection and retrograde MTA filling is rarely performed in our office due to the inability to debride the affected canal space
Apicoectomy

Internal bleaching

Internal bleaching is a conservative means of managing discoloured teeth. The primary indication for internal bleaching is intrinsic (internal) discolouration , resulting from such things as trauma and bacteria. Contrary to external bleaching, internal bleaching is performed to brighten your teeth from the inside out. The objective of an internal bleaching lies in the removal of the tooth discoloration without sacrificing any hard tooth substance.
Top: Blunt trauma resulted in maxillary facial bone fracture, lateral luxation, horizontal enamel fractures and discoloration
Bottom: Result following endodontic therapy with microbiological protocol, internal bleaching and post/ core restoration
Internal Bleaching

Crown Lengthening

During the dental crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. Perhaps your tooth is decayed, broken below the gum line, or has insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening adjusts the gum and bone level to expose more of the tooth so it can be restored. This indication is consistent with the localized crown lengthening procedure that would be completed in addition to your restorative and endodontic procedures.
Left: Extensive decay extending subgingivally, proximal to the bone, and into the dental pulp
Right: Result following caries removal, crown lengthening, endodontic therapy and core build-up
Crown Lengthening
spacer Core & Post/Core spacer Root Resection/Amputation spacer Apicoectomy spacer Internal Bleaching spacer Crown Lengthening

Our Philosophy

Micromechanical Approach

Relative to dentistry, biomechanics is the scientific study of the force exerted on your teeth by the muscles of mastication when you chew. The structural integrity and strength of your teeth is inversely proportional to the amount of tooth structure that is removed during various restorative dental procedures. Therefore, the more tooth structure you remove, the weaker the tooth becomes, leading to increased failure and need for artificial replacements. This is the driving force for the minimally invasive technique employed at Evolution Endodontics.
What to Expect
Micromechanical Approach

Minimally Invasive Technique

It’s your tooth so keep it! The objective of minimally invasive dentistry (microdentistry) is to conserve your healthy tooth structure. All of our procedures, from start to finish, are performed under microscopy with microinstrumentation. Preserving as much of your tooth structure as possible fosters much greater long term outcomes and natural tooth retention. If you have sufficiently healthy tooth structure a small filling may be placed and a crown may not be needed.
What to Expect
Minimally Invasive Technique

Microbiological Approach

Microbiology is the study of extremely small forms of life such as bacteria. Bacterial invasion of tooth structure (dentin) results in necrosis, infection, eventual loss of the tooth and a host of health complications if not treated properly. Dr. Soucie earned his master’s degree researching bacterial penetration and biofilm presence in dentin. Therefore, ALL infected teeth are dressed with medicament to eliminate the bacteria or alter the biofilm to enable your body to heal on its own prior to completion of your treatment. Your treatment protocol and execution is tailored to you and what will ensure the greatest long term prognosis.
What to Expect
Microbiological Approach

Health and Wellness Centered

Everyone is aware of the positive mental and physical effects of well-balanced nutrition. Maintaining your natural dentition is imperative in maintaining a healthy diet. Oral bacterial presence and infection has detrimental effects on your dentition (teeth), but more importantly on your overall health. Our therapeutic approach and treatment protocols address the microbiological and micromechanical aspects of endodontics that determine long term tooth retention, respecting their integral role in your overall health and wellness.
What to Expect
Health and Wellness Centered
spacer Micromechanical Approach spacer Minimally Invasive Technique spacer Microbiological Approach spacer Health and Wellness Centered

Our Technology

Zeiss Microscopy Carestream 8100 3D CBCT Canon DSLR Camera Kodak RVG-6200 Intraoral Imaging System Beats Studio3 Wireless Headphones TDO Endodontic Practice Management Software ProMark® Apex Locator Nomad Pro 2

ZEISS Microscopy

  • Microscopic GOLD standard in optics and function
  • Increased visualization for our team facilitates precise treatment planning and execution
  • Increased efficiency results in reduced treatment times
  • Reduced physical fatigue for our team enables our team to perform at the highest level
  • Reduced eye fatigue facilitates consistent visualization and execution of care

Carestream 8100 3D CBCT

  • Significantly lower radiation dose than the comparable CBCT systems
  • Radiation restricted to interest area via selectable fields of view and fast scanning
  • R educe d length of exposure for further safety.  
  • Ultra-high resolution images at 75μm for optimal imaging
  • Highly specific for endodontic evaluation
  • Facilitates evaluation of missed canals, tooth fractures, bone fractures, bone demineralization/ periapical pathology, lamina dura, bone pathology, spatial relationship to maxillary sinus and mandibular nerve
  • Facilitates optimal diagnosis and treatment execution

Canon DSLR Camera

  • A picture says 1,000 words
  • HD photos convey vital treatment information to your general dentist for treatment completion
  • HD video for patient and referring doctor education

Kodak RVG-6200 Intraoral Imaging System

Unrivaled high-resolution Images

  • Faster and more accurate diagnoses
  • Improved treatment planning
  • Better patient care

Safer for you

  • Less radiation than traditional film

Comfortable Positioning

  • Smaller sensors with rounded edges for your comfort

Improved Patient Care

  • Precise anatomical detail for precise results
    Immediately Processed
  • Reduced treatment time and shorter appointments

Environmentally Friendly

  • Digital radiographs eliminate chemicals used to process traditional x-rays
  • We only have one Earth and we are trying to do our part in caring for it

Beats Studio3 Wireless Headphones

Enjoy your own music and mute the sounds of your procedure with the best noise-cancelling headphones on the market.

TDO: Practice Management Software

  • On-line registration for patient convenience 
  • Immediate inter office communication with access to x-rays, clinical images andtreatment notes
  • On-line peer group of the world’s leading endodontist for education and evolution of our endodontic skills
  • Most widely used endodontic software in the world

ProMark® Apex Locator

  • Precise length determination
  • Ideal obturation length promotes faster healing and decreases post-operative inflammation
  • Reduces patient radiation exposure with fewer x-rays to determine canal length
  • Reduces patient treatment time

Nomad Pro 2

  • Reduction of patient radiation by 14% vs conventional systems​
  • ​Increased image clarity decreases need for additional exposures
  • Decreased chair time due to increased efficiency with portable X-ray system
  • ​Reduction in radiation scatter allows the operator to remain in the room​
See Our Instrument Advantages

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Top Dentists in 5280

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