Endodontic Treatment (Vital/ Non-Infected Teeth)
Dr. Soucie received his master’s thesis for his study of bacterial penetration of tooth structure. For vital teeth exhibiting irreversible inflammation of the pulp (Ex. Lingering to hot/ cold) can be treated in a single visit due to the presence of intact blood and lymph vessels, primary components of our immune response that fights infections.
Necrotic teeth no longer possess viable pulp tissue to remove bacteria and become infected. Medicine is placed inside the tooth and left for several weeks. This works in concert with your immune system, facilitating bone healing which is requisite for completion of your treatment at Evolution Endodontics.
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
Retreatment of failed root canals is due to bacteria presence, missed anatomy and incomplete removal of necrotic tissue. Therefore, the same microbiological protocol used on necrotic teeth is utilized to ensure increased treatment predictability and long term success.
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
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.
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
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