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Pictures of Dentistry and Dental Procedures

The thousands of pictures on have been created for educational purposes
by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

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periapical abscess, root canal infection, pathology pain

Click on the small photos below to enlarge.
Image Photo Description
periapical abscess tooth teeth root canal infection, endodontic lesion, periapical pathology PAP Pictures of Apicoectomy Surgery on tooth #9. 1) Pre-op x-ray. 2) Photo shows isolation of the apical area. 3) Exposure of the root apex. 4) Placement of MTA (mineral trioxide aggregate). 5) Placement of Bioplant HTR (hard tissue replacement). 6) 6-0 Vicryl sutures. 7) Post-op x-ray.
periapical abscess, root canal infection, endodontic lesion, tooth teeth  radiolucency PARL Endodontic - root canal - retreatment of tooth #29 and treatment of #28. The five-unit dental bridge had cement leakage and the teeth abutments decayed after only 1 and 1/2 years. The patient said that #29 was always sensitive after the original root canal was performed by her then general dentist. Retreatment of #29 by an endodontist - root canal specialist - revealed a second, previously undiagnosed and untreated second canal. A post space was created in this second canal after obturation.
periapical abscess tooth root canal infection teeth  endodontic root resection  endo-perio combined Technique for root resection from under a porcelain fused to metal bridge. 1) Labial view of an abutment with an endo-perio lesion. 2) & 3) Initial preparation into porcelain with a diamond bur. 4) Labial view showing preparation. The metal portion of the bridge is prepared with a steel bur. 5) Palatal view showing preparation. 6) Labial view showing the tooth root under the porcelain (gutta percha is visible in the tooth root). 7) Tooth root being extracted. The occlusal height of this root must first be reduced to allow it to exit. 8) The extracted tooth root.
tooth root resection, hemisection, dental extraction, periapical abscess, root canal infection Tooth root resection from under a porcelain fused to metal dental bridge. 1) X-ray shows the distal abutment with an endo-perio lesion. 2) Labial photo of the same tooth. 3) Radiograph following resection (the metal chad in the area of the extracted abutment was later removed). 4) Labial view following extraction. This area could be filled in with bonding after healing. The occlusion on the distal cantilever was reduced. It opposed a lower full arch bridge so that supra-eruption was not a concern. Treatment options include: i) sectioning and removal of the distal cantilever, ii) implants, or iii) reevaluate over time with the patient informed to reduce function in this area.
periapical abscess teeth, root canal infection, dentistry technique, crowns,  occlusal rest seat Two teeth dental bridge with an occlusal rest seat onto the rest preparation in the mesial of the second molar crown. This eliminates the need for removing the second molar dental crown. The premolar tooth did receive root canal therapy following healing of the extraction site.
periapical abscess, root canal infection, endodontic, periapical pathology PAP, radiolucency PARL Emergency pain in the lower right quadrant teeth. 1) X-ray shows big cavities in the second premolar and first molar and smaller cavities in both the second and third molars. 2) There was also a large periapical radiolucency around the apex of the second premolar. 3) Photo of the second premolar and first molar. 4) Radiograph of the second premolar and first molar following root canal therapy. The patient felt better immediately following this. Note: these teeth were treated following a careful differential diagnosis. It would not be surprising, if in another patient, the pain came from a tooth with a less apparently severe problem.
periapical abscess, root canal infection tooth caps, crowns bridge, periapical pathology teeth Cervical decay and root canal infection around a lower right first premolar tooth. 1) A large radiolucency is seen in the x-ray. Note the distal abutment is the distal root of a first molar following hemisection. 2) Following root canal therapy. The cervical decay can now be seen more easily. 3) The working model in this picture shows the preparation of the mesial part of the distal two-unit bridge. This preparation will allow rigid connection to the new anterior bridge being made. 4) The new bridge section in place on the working model. 5) & 6) Two pictures of the new bridge showing the distal attachment. 7) An intraoral photo which mirrors the working model view seen in 3). 8) The final result. This patient was content to see the gold occlusal rest. Otherwise, it could have been hidden under porcelain.
periapical abscess, root canal infection Radiograph, Endodontic x-rays xrays, fistula draining teeth Locating the source of a draining fistula with the use of gutta percha and a post-op x-ray of the subsequent apicoectomy. Surgery pictures. Gutta percha can be gently placed into a draining fistula without anesthesia.
periapical abscess, endodontic lesion,  periapical pathology PAP, radiolucency  PARL, hopeless tooth A hopeless tooth. 1) X-ray shows an upper first molar with gutta percha extruded into a large radiolucent area. 2) Palatal photo of the extracted tooth shows the extent of the gutta percha extrusion. The extra fragment shown is also gutta percha. [jm-o]


 Information about these dental photos

     In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile.  For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side.

     Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand.  This is particularly important because a majority of our visitors are from countries where English is not their primary language.  Maxilla or maxillary refer to the upper jaw.  Mandible or mandibular refer to the lower jaw.

     There are many other similar word combinations used throughout this website because our pages are read by patients and dentists.  A few of the most common are discussed here.  Tooth decay, tooth cavity and dental caries all mean the same thing.  Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate.  Oral rehabilitation and dental reconstruction mean smile makeover.  The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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