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dzuy

February 17, 2020 By dzuy

Seattle King County Dental Clinic

Dr. Nguyen, Dr. Moran, Claudia and Kristina volunteered this year at the 2020 – Seattle King County Dental Clinic on February 14 and 15 for a great cause. Working in the Medic Team International Mobile Dental Clinic with assistance from Nayibe Tamboer, we were able to provide specialized endodontic care to many patients in need.

Filed Under: Uncategorized

May 10, 2018 By dzuy

Maxillary Sinusitis of Endodontic Origin (MSEO)

The American Association of Endodontics has just released a position paper on Maxillary Sinusitis of Endodontic Origin (MSEO).  These are findings that have always been observed related to endodontic pathosis.  With the more common use of CBCT, the periapical osteoperiostitis and periapical mucositis are more frequently observed.  The clinician now has the resource and proper terminology to describe these findings and appropriately treat them.  Our ENT and MD colleagues will need to be informed of this disease process as it relates to sinusitis.  I will post commonly seen examples in the next few weeks.  Dzuy

American Association of Endodontics MSEO Position Statement:  http://www.seattle-endo.com/referring-doctors/resources-treatment-guidelines/

Examples of periapical osteoperiostitis:

Tooth #2. Pulpal diagnosis of necrotic and associated periapical radiolucency and periapical osteoperiostitis.
Tooth #2. Pulpal diagnosis of necrotic and associated periapical radiolucency and periapical osteoperiostitis.
Tooth #14. A previously treated tooth with a diffuse radiolucency into the sinus.
Tooth #14. A previously treated tooth with a diffuse radiolucency into the sinus.
CBCT shows the periapical periostitis and associated mucositis into the sinus. Proper treatment of the endodontic pathosis will resolve the sinus pathosis.
CBCT shows the periapical periostitis and associated mucositis into the sinus. Proper treatment of the endodontic pathosis will resolve the sinus pathosis.
Coronal section of tooth #14.
Coronal section of tooth #14.

Filed Under: Uncategorized

April 10, 2018 By dzuy

Case of the Week 5

To successfully treat endodontic infections, the clinician needs to accurately assess etiology, diagnosis and prognosis.  One of the challenges the endodontist will face is the “perio-endo” lesion.  In order to accurately access prognosis, the clinician needs to determine if the peri-radicular infection is related to periodontitis, endodontics, or both.  The most important tool in assessing this is the probing depth and pattern related to the lesion.  With an accurate assessment, treatment of these lesions can return teeth to normal function.  The below x-rays are from initial, treatment, 4 month recall, and 1 year recall.

Filed Under: Uncategorized

March 31, 2018 By dzuy

Thank You Freiheit Architecture and DP Incorporated!

A picture of our team in the hallway.  Thank you very much to Lori Saleba, Dorrie Brennick, Vasily “Billy” Shadrin, and Brandon Anderson for making this happen!  Now the fun begins!

Filed Under: Uncategorized

March 29, 2018 By dzuy

Construction is almost done!

After many months of planning and work, we are almost done with construction!  We plan to move in on April 2, 2018 and getting prepared to see patients in downtown Seattle!

Filed Under: Uncategorized

February 12, 2018 By dzuy

Case of the Week 3

Variations in root anatomy are common and knowledge of these variations is the key to successful endodontic therapy as the ability to identify, find, and treat these root canals may prevent future problems.

Filed Under: Uncategorized

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720 Olive Way, Suite 860
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(206) 521-3636
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