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Root Canal Treatment
3 Years to Figure It Out!
In this long-term, three-year case journey, Dr. Bill Nudera shares one of the most fascinating and educational cases of his career—an evolving diagnostic and therapeutic puzzle involving a persistent osseous defect in the maxillary right premolar region.
When a Premolar Plays Tricks: Managing a Rotated Root
Tooth #13 presented with symptomatic irreversible pulpitis but no periapical involvement. Despite appearing normal after a well-executed bridge restoration, CBCT revealed the premolar was significantly rotated, with roots canted in opposite directions. This hidden anatomy made access and canal location especially challenging.
Challenging Maxillary Canine Case
Dr. Bill Nudera tackles a challenging maxillary canine with decay extending below the gingival tissue and close to the alveolar bone. See how he combined surgical, restorative, and endodontic strategies—plus managed a postoperative bleeding complication—to save a tooth many would consider hopeless.
Mechanical Pulp Exposure
Dr. Nudera discusses the steps and protocols for vital pulp therapy, specifically apexogenesis on an 11y/o patient for a mandibular 2nd mola
Irreversible Pulpitis
Dr. Nudera discusses his protocol for ensuring patient comfort during root canal treatment on tooth #30 with symptomatic irreversible pulpit
#7 Abfraction: A Unique Access Approach
Teeth with abfraction lesions can present significant clinical challenges. See how Dr. Nudera maximized the integrity of the remaining...
RCT Radix Entomolaris
Non-surgical root canal treatment on a tooth with a classic entomolaris root configuration.
#14 with Apical Root Resorption
The treatment of a maxillary first molar with a questionable prognosis due to apical resorption. Advanced irrigation technology is highlight
Carious Pulpal Exposure Necrotic Pulp
View the clinical management of a necrotic mandibular first molar with a carious pulpal exposure and missing distal wall.
Root Canal Treatment
Retreatment
Chronic Abscess #9 Root Canal Unsuccessful at 4 Weeks
A challenging anterior case in which a necrotic tooth (#9) with a chronic apical abscess failed to resolve after an otherwise straightforward root canal treatment. When both sinus tracts remained unchanged at the 4-week follow-up, the case shifted from routine to complex, prompting a critical reassessment of next steps.
A 13-Year Follow-Up on an Iatrogenic Perforation Case
This is one of the most fascinating cases I’ve seen to date—a 13-year follow-up that reveals how treatment outcomes evolve over time. You won’t want to miss what happened with this case. Watch the full clinical tip to see the long-term results and what made this case so unique.
Terminal Abutment Selective Root Retreatment
An attempt to retain tooth #31— an abutment for and mandibular removable partial denture— using a selective root retreatment approach.
Tooth #13 or #14 Exploratory Retreatment
This exploratory retreatment goes to surgery. See Dr. Nudera's decision-making process as he tries to figure out what's going on in this str
Retreating My Own Case – 12 Years Later
Dr. Nudera follows a case he treated with persistent symptoms for 12 years, ultimately culminating in a retreatment.
Clearance for Joint Replacement?
A patient with asymptomatic findings needs clearance for upcoming joint replacement surgery. See how Dr. Nudera navigated his way through th
Retreatment
Trauma & Surgery
Trauma & Surgery
3 Years to Figure It Out!
In this long-term, three-year case journey, Dr. Bill Nudera shares one of the most fascinating and educational cases of his career—an evolving diagnostic and therapeutic puzzle involving a persistent osseous defect in the maxillary right premolar region.
Surgical Silver Point Removal
Management of a tooth with a history of prior silver point root canal treatment, prior apical surgery and symptomatic apical periodontitis.
Central Incisor vs. Baseball
Watch how Dr. Nudera takes a simple approach to stabilize this unscheduled emergency and get this young patient on the mend.
Central Incisor vs. Hardwood Floor
Dr. Nudera discusses the management of a sheer fracture extending on the palatal side on a 15 y/o patient related to trauma.
Diagnosis & Prognosis
Inside a Rare “Pulp in Flux” Case
I’ve learned that the diagnosis I make before treatment doesn’t always match what I find once I’m inside the tooth.
Long Standing Asymptomatic RCT
What does “success” mean to you? What does it mean for your patient? Dr. Nudera defines “success” in many different ways using case examples a
Understanding Prognosis
Dr. Nudera discusses the systematic approach he uses to determine the prognosis of a symptomatic mandibular second molar with a distal verti
Diagnosis
Technique
Challenging Maxillary Canine Case
Dr. Bill Nudera tackles a challenging maxillary canine with decay extending below the gingival tissue and close to the alveolar bone. See how he combined surgical, restorative, and endodontic strategies—plus managed a postoperative bleeding complication—to save a tooth many would consider hopeless.
Endodontic VRF Stabilization
This patient is in pain with an unfavorable prognosis, and the tooth is in the esthetic zone, requiring more time to plan for the...
Irreversible Pulpitis
Dr. Nudera discusses his protocol for ensuring patient comfort during root canal treatment on tooth #30 with symptomatic irreversible pulpit
Technique
Vital Pulp Therapy & Regenerative Endo
Mechanical Pulp Exposure
Dr. Nudera discusses the steps and protocols for vital pulp therapy, specifically apexogenesis on an 11y/o patient for a mandibular 2nd mola
Re-Grow Dead Roots
Dr. Nudera presents endodontic revascularization, a root canal procedure designed for young patients with underdeveloped roots diagnosed wit
Vital Pulp
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