Cone beam computed tomography or CBCT has become increasingly important in treatment planning and diagnosis in dentistry.  During a CBCT scan, the scanner rotates around the patient’s head, obtaining up to nearly 600 distinct images.  The scanning software collects the data and reconstructs it, producing a 3D volumetric image.  The high resolution of the CBCT 3D image offers the possibility of exploring the complete root canal anatomy in 3-D.

Diagnostic information directly influences clinical decisions.  Accurate data leads to better treatment planning decisions and potentially more predictable outcomes.

Digital Radiographs are safer, faster and diagnostically more useful in endodontics than conventional film x-rays.  There is up to 90% reduction in radiation.  Patient comfort is greatly increased by eliminating processing (wait) time during their endodontic procedure.  The resulting digital images can be enlarged and enhanced, whigh greatly improves my diagnostic and communication capabilities

Using the most powerfull dental microscope, we are able to locate and treat anatomy that previously would have been neglected.  The illumination and magnification provided allows us to deliver That HIGHEST QUALITY CARE and the most predictable outcome for our patients

We usa a variety of different nickel titanium systems.  Each case is unique and by understanding the strengths and weaknesses of each rotary system, we are able to safely instrament the root system.  We also rely heavily on careful and deliberate hand instrumentation.  Hand instrumentation with prebent files is essential in order to clean and capture secondary anatomy and ensure thorough cleaning throughout the full length of the canal system.

Ultrasonic instrumentation provides improved access and visibility over engine driven burs ("the drill").  When used with a microscope, ultrasonic instruments are indispensable in negotiating calcified canals and locating abnormal root anatomy.  Less tooth is removed to gain proper access.  This more conservitive access is cridical to maintaining natural tooth structure and straingth.

Negative pressure irrigantion allows us to safely irrigate to the apical terminus (end of root).  Unlike positive pressure systems which use cannulas to deliver the irrigants in the canal, negative pressure systems draw fluid apically by way of evacuation.  The use of apical negative pressure irrrigation enables us to safely clean and disinfect the apical terminus with maximum control.

Apex locators are the most accurate way to read the canal terminus (end of root).  The number of radiographs is reduced to one in most cases.  Treatment time and radiation exposure are further reduced.  Furthermore, clinical confidence is increased with working in the apical region.  Modern apex locators are designed to provide an accurate reading regardless of the condition of the tooth.

Thermoplasticized root filling delivery systems rapidly fill even the most difficult root canal systems.  This technique ensures a complete three-dimentional seal.  This completly filling root shapes in which the old cone filling points cannot be closely adapted to.