Apex Endodontics P.C

The SHORT Case Of The Day! Tooth #2 ~ WESTSIDE! Patient was referred from his dentist. He was in pain. The diagnosis was a previous root canal with acute apical periodontitis. Endodontic retreatment was performed in 2 visits using calcium hydroxide. Patient returned in 2 weeks asymptomatic and the root canal case was completed. The canal anatomy was very unusual. The frequency of reports on two palatal roots with two canals on a mx 2nd molor is low. Peikoff et al. reported a... 1.4% incidence of four separate roots. You are getting a peak at a rare sighting! Also the roots were saying "WestSide" in my Ice Cube voice! #DrRicoShort #dentistry #endodontics #rootcanalspecialist #rootcanaltreatment #TwoPalatalRoots Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

A New Study In JOE on CBCT & Detecting Fractures A fracture width >120 m has been reported to be better visualized by CBCT imaging which is approximately the size of a 15 handfile. From this systematic review and meta-analysis, it can be concluded that the available evidence is weak with regard to the diagnostic ability of CBCT imaging to identify VRFs in root-filled teeth compared with direct visualization. I wrote an article on the same issue in 2018 for Dentistry Today. Dr Rico D. Short #CBCT #VerticalRootFracture #Dentistry #DrRicoShort #DentistryToday #JOE

Thanks Walmart for picking up my latest masterpiece In The Eye Of A Storm Still Not Famous Enough Dr Rico D. Short... https://www.walmart.com//In-the-Eye-of-a-Storm-4/688073444

A New Study In JOE COMING OUT ON MINIMUM INVASIVE ENDODONTICSMOSTLY FAD AND FICTITIOUS. I’ve always known this to be truebut here you go Dr Rico D. Short #MIE #Dentistry #Endodontics #MinimumInvasiveEndodontics #AccessCavityPreparation

New Study Coming In JOE Minimum Invasive Endodontics - Apical Size30 A Must With Curved Anatomy! Studies show shaping must be at least a size 30 at the apex to get the irrigation to the apex while using a 30 gauge open sided irrigation syringe tip. Dr Rico D. Short #MIE #Endodontics #Dentistry #Irrigation #DrRicoShort

New study shows Bioceramic Sealers perform better histologically than resin based sealers such as AHplus. I use Bioceramic Sealer 90% of the time! My Top 3: 1. NeoFlow by Avalon Biomed 2. Bioceramic Sealer by EdgeEndo 3. EndoSequence Bioceramic Sealer by Brasseler USA... Dr Rico D. Short See more

The SHORT Case Of The Day! Tooth #3 ~ Extract? or Retrx? Patient came in pain on tooth #3 from a previous root canal by her dentist. She did not want an extraction and implant. Her dentist had challenges on this case so I agreed to help the patient keep the tooth. A LFOV CBCT was taken on tooth #3. The findings were as followed: *The MB and DB canals were missed. **Gutta percha was placed lateral to the MB and DB canal creating two perforations. ... ***The palatal canal was short. A retreatment was performed in one visit. I removed all the gutta percha. Located the original MB and DB canals. Cleaned and Shaped all the canals. Obturated the canals with gutta percha and bioceramic sealer. The perforations were sealed with MTA. Patient reported to be asymptomatic after treatment. A 6 month recall shows nice healing and the patient still asymptomatic. We all will have cases that will not turn out like we like. However, it's nice to give the tooth another chance before extraction. Retreatment is the best option. #WorthSaving #Retreatment #CBCT #Bioceramics #DrRicoShort #Endodontist #RootCanalSpecialist Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #19 ~ Retrx with CBCT Patient came in with pain on the lower left side. There was a previous root canal on tooth 19 performed 10 years ago. There was a PAP on the distal root. A CBCT was performed which revealed pathology on both roots. Endodontic retreatment was performed in one visit using bioceramic sealer and gutta percha. Patient reported to be asymtomatic a few days later. She will be recalled in 6 months to evaluate healing. Tips...: There was a void due to cotton pellet left behind in the pulp space. This becomes a nitus for reinfection due to the leaky crown...which caused bacterial recontamination. In addition, look out for the "figure 8" shaped distal root. If you only clean out one portion...like on this case it will fail in the future. #Endodontics #Retreatment #RootCanal #DrRicoShort Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

Welcoming the "Endodontist to the Stars", Dr. Rico Short, to the 2020 World’s Top 100 Doctors in Dentistry. Top100Doc.com Dr. Rico Short’s credentials are secon...d to none. Dr. Rico D. Short is a board-certified endodontist, author, and speaker. In addition, he is an expert spokesperson on Endodontics for the American Dental Association (ADA), a professional organization representing approximately 161,000 U.S. dentists. He is also "The Root Canal Specialist To The Stars". Dr. Short has over 20 years of experience in dentistry and over 17 years in endodontics. He is a member of the Fellow International College of Dentist, a graduate of the ADA Institute of Diversity In Leadership Program, and an ADA Success Speaker. He is also an expert consultant in endodontics to the Georgia Board of Dentistry and an assistant clinical professor at The Dental College of Georgia in Augusta. Dr. Short is an independent national lecturer and is endorsed by the American Association of Endodontists speaker's bureau. Furthermore, he is an opinion leader on various dental products before and after they hit the market. Dr. Short has written numerous articles and published in several journals including Dentistry Today (He made the exclusive cover April 2013), Inside Dentistry, UpScale Magazine, Rolling Out Magazine, and the Journal of Endodontics. In addition, he has published over 1,000 articles on social media involving case studies in endodontics. They are called "The SHORT Case Of The Day" in which he has a robust worldwide following of over 100,000 dentists. Dr. Short has lectured at the American Dental Association several times and the National Dental Association annual meetings. He has lectured at local and large state meetings including the California Dental Association and others throughout the United States and the Caribbean. Dr. Short's work has been published in dental journals around the world with opportunities to speak in China and the Philippines. Dr. Short was named one of the Top 40 Dentist under 40 in America by Incisal Edge Magazine in 2013, Top 20 Alumni Under 40 by Augusta University, and has been named in Dentistry Today consistently as one of the top leaders in continuing education. Dr. Rico Short attended the Medical College of Georgia School of Dentistry (The Dental College of Georgia) to attain a Doctor of Dental Medicine Degree in 1999. In 2002 he earned his post doctorate degree in Endodontics from Nova Southeastern University. Dr. Short added the final notch to his belt and became a Diplomate of the American Board of Endodontics in 2009. His private practice, Apex Endodontics P.C, was opened in 2004 and is located in Smyrna Georgia just outside Atlanta. Dr. Short has received several prestigious awards and accolades throughout his career. He is very philanthropic in his community. Dr. Short has established an annual scholarship at The Dental College of Georgia in Augusta, formally known as The Medical College of Georgia School of Dentistry. He is an American Dental Association Success Speaker and a graduate of the Institute of Diversity and Leadership Program. With this knowledge, Dr. Short travels around the country speaking to senior dental students about the future of dentistry. In addition, he volunteers at various non-profit organizations and charity dental clinics. In October 2012, Dr. Short was selected as a panelist for the Affordable Care Act. He was invited to The White House to give his personal opinion about how The Affordable Care Act would affect both businesses and citizens of our country from a healthcare provider perspective. Dr. Short is also a motivational speaker and author. His previous book entitled "Getting to the Root of Your Problem: 365 Days of Inspirational Thinking" is considered one of the most thought provoking self published books to date. His new book In The Eye Of A Storm details his journey through a potentially career ending eye injury. He travels abroad teaching people to tap into their God given potential to make a positive difference in society. Dr. Short is married to Angela Short who is a dental hygienist. They have two children Jayla and Ava. #Top100Doc

The SHORT Case Of The Day! Tooth #14 ~ Very Cool Anatomy! Patient came in pain on tooth 14. It had a large decay into the pulp. Endodontic treatment was performed in one visit. The anatomy was very interesting. The DB root wrapped around the Palatal root like a snake to a pole which represents the emblem of dentistry. Asclepius was one of the earlier gods associated with health. Asclepius was primarily known for his healing abilities, and his symbol was a staff entwined wi...th a snake. Believed to have taken the form of a serpent, the story goes that Asclepius healed the Greek people that were suffering from a Roman plague. They saw the shedding of its skin as a rejuvenation, a healing. Interestingly enough, the serpent has a healing representation in the Old Testament too! Moses made a brass serpent, put it on a pole, and if a serpent had bitten any man, when he beheld the serpent of brass, he lived. (Numbers 21:9) #DrRicoShort #endodontics #RootCanal #RootCanalAnatomy #Endodontist #RootCanalSpecialist #Asclepius Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

#Walmart just picked up my latest book In The Eye Of A Storm Get Your Copy Today!! Rico D. Short https://www.walmart.com//In-The-Eye-Of-A-Storm-/688073444

All Endodontists aka root canal specialists are NOT the same. Choose wisely. When you choose Apex Endodontics P.C the office of Dr Rico D. Short you are choosing the BEST! Watch this short patient testimonial. #DrRicoShort #rootcanaltreatment #Endodontist #dentist

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The SHORT Case Of The Day! Teeth #4 & #5 ~ CBCT Diagnosis & Trx Planning Patient came in with pain on the upper right. She said she had root canal treatment on both teeth a few years ago but the teeth never felt right. The 2D PAX shows pathology on tooth #5 but it appears to be sealed to the apex and tooth #4 filled short. I decided to perform a 3D CBCT in the area. It showed tooth #5 had a missed palatal canal with a post perforation on the buccal root in the apical 1/3. T...ooth #4 had a thickened PDL. Both teeth were percussion sensitive. Recommended a retreatment on both teeth with perforation repair with Bioceramics on tooth #5. Patient rescheduled for retreatment. Without the 3D CBCT I would not be able to see everything going on and would not know how to properly treat this case with a high success rate. *Key ~ This is why I don't recommend placing a post in the buccal root. It's usually more curved than the palatal and can cause a perforation. #WorthSaving #RootCanal #CBCT #DrRicoShort #Retreatment #TreatmentPlanning #Dentistry Dr. Rico D. Short Board Certified Endodontist / Author / Speaker / Professor Apex Endodontics P.C / Atlanta

New Study From JOE shows 70% ethanol enhanced calcium hydroxide removal from the apical root third compared with 2.5% sodium hypochlorite or 17% EDTA-T. I’ve been doing this for over 12 years. It’s nice to see the research now. Dr. Rico D. Short

The SHORT Case Of The Day For 2021! Tooth #19 - Relax or Extract? Is It Cracked? Happy New Year! Patient came in with extreme pain and swelling associated with tooth #19. It had a previous root canal over 5 years ago with leaky crown. The furcation was blown out. Do you think it's cracked? Would you extract? I decided to retreat this case in 2 visits using calcium hydroxide as an intracanal medicament. The CaOh came out through the sinus tract. Patient returned asympt...omatic after 2 weeks. The case was finished using warm vertical condensation and ZOE sealer. A 6 month recall shows nice healing in the furcation. There was no crack. #RelaxDontExtract #WorthSaving #DrRicoShort #Retreatment #Endodontics #RootCanal Dr.Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #30 ~ Anatomy Patient came in pain on tooth #30 due to large and deep decay. Endodontic treatment was performed in one visit. Sometimes roots split and sometimes they join or do both...like this case! #worthsaving #DrRicoShort #Endodontics #rootcanalspecialist #rootcanal ... Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

Have you ever started something and did not know how it was going to end? Let me encourage you that God has given you the grace to finish well! Listen to Dr. Rico Short‘s inspirational word for today. #GraceLife #SpeakLife #MagnificentMonday #InTheEyeOfAStorm #NewBook #GettingToTheRootOfYourProblem #365DaysOfInspirationalThinking #Amazon #DrRicoShort 11/2/20 https://youtu.be/8ktDjtmhQso

SELECTIVE CARIES EXCAVATION: THE GREAT DECEPTION!

The SHORT Case Of The Day! Tooth #3 - Managing The Open Apex This was a 6 year old referred to my office with pain on tooth #3. The diagnosis was acute irreversible pulpitis and an incomplete or immature apex. What do you do? How you manage the patient? How do you manage the tooth? I recommend Apexogenesis on cases like these using nitrous oxide to relax the child and local anesthesia. Apexogensis was performed using ProRoot MTA Dentsply Sirona Endodontics on this case. I w...ould not use MTA on a front tooth due to staining from the bismuth oxide. I recommend Biodentine by Septodont North America or Bioceramic Putty by Brasseler USA or EdgeEndo or Avalon Biomed Inc. I published a step by step method of my technique of Apexogenesis. It landed me on the cover of DentistryToday http://www.dentistrytoday.com//8864-update-on-apexogenesis Patient returned for a 6 month follow up and was asymptomatic. After 3 years the roots closed and matured. This is the typical time frame. Don’t perform full endodontic therapy on these cases unless patient becomes symptomatic or there is an obvious PA lesion. Xray1~ Pre-Op (Gross Decay) Xray2~ MTA with Cavit Xray3~ 6 month follow up Xray4~ 3 year follow up (Apex Closed) #RelaxDontExtract #WorthSaving #Apexogenesis Dr Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

Have you ever been in a situation and you could not see your way out? I know I have. This time last year I could not see due to a severe injury on the verge of losing everything but God came through! Watch this encouraging video by Dr. Rico Short from his new book In The Eye Of A Storm: 45 Days Of Turbulence & Peace. Available on Amazon! #DrRicoShort #InTheEyeOfAStorm #NewBook... https://youtu.be/owND5-AEle8

The SHORT Case Of The Day! Tooth #19 - Furcation Defect..Case Hogged Out... I hate that expression!...Just Extract? A Musical Experience Patient came in with pain associated with tooth #19. It had a previous root canal that was failing. The furcation bone was breaking down as well as around the roots. He did not want to extract the tooth and get an implant. His general dentist decided to send him to me for an evaluation and possible retreatment. Many dentist woul...d have just extracted the tooth based on how it looked on the xray. I understand. But let’s try to fix it first! The retreatment was performed in 2 visits with caoh. He returned asymptomatic and the case was completed with Kerr EWT sealer and warm vertical condensation. I know this case will drive the MIE disciples nuts...it’s too big....it’s too aggressive...blah blah blah....lol. Patient returned for a 2 year recall with nice healing at the apex and the furcation. Notice no puff....No lateral canal into the furcation...but amazing healing. No one knows how long this will last. Patient is happy and so are these kids I talked to about a career in dentistry. #WorthSaving #RelaxDontExtract Dr. Rico Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta #endodontics #rootcanal #dentistry #drricoshort

The SHORT Case Of The Day! Tooth #28 - Bifurcation Anatomy Patient presented with pain associated with tooth #28. The diagnosis was a necrotic pulp with acute apical periodonitits. You can observe from the radiograph the pulp chamber is wide open then midroot is disappears or some say calcify. Well it's not really calcified. Calcification occurs coronally - apically. The main canal actually splits into smaller canals making it "tighter" which requires high magnfication ...and illumination. Typically on these cases they are bucal and lingual canals. Sometimes there could be a MB, DB, and L canal. This was a Vertucci Type III canal configuration. Endodontic treatment was performed with a conservative access in one visit using Edge Endo X7/04, WVC, with Kerr EWT sealer. Dr Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case of The Day! Tooth #19 - Vertical Root Fracture or Strip Perforation? Extract and Implant? Patient came in with pain and swelling associated with a previous root canal on tooth #19. The dentist thought the root was cracked and understandably so due to the "J" shaped lesion on the mesial root. He recommended an extraction and implant. Patient wanted to try to save her tooth with a retreatment. (I would have taken a CBCT but did not have one at the time). Upon acc...ess with the surgical microscope, there was no vertical root fracture or crack however there was a strip perforation in the mesial root. The previous filling material was removed. I used CaOH as the interim medication. Patient returned in 2 weeks asymptomatic. Pro Root MTA was used to repair perforation in the mesial root with gutta percha in the distal. There was also a resorptive defect in the apical area of the mesial root. Notice the mesial canal was not filled to the radiographic apex. It happens to the best of us. A 6 month recall was performed showing nice radiographic healing. #RelaxDontExtract #WorthSaving Dr. Rico Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #13 ~ Internal Root Resorption Repair Patient came with soreness and swelling on tooth #13. The diagnosis was a necrotic pulp with internal resorption in the apical 1/3 that created a defect and large PAP. This case was performed in 2 visits using calcium hydroxide. Patient returned asymptomatic with no swelling. No antibiotics were prescribed. The case was completed using Bioceramic Gutta Percha Cone, Bioceramic Sealer, and Bioceramic Putty... by Brasseler USA. This created a solid 3D seal in the defect area. She will return in 6 months to evaluate radiographic healing. She is now ready for a build up and crown. #DrRicoShort #WorthSaving #Bioceramics #InternalResorption #Endodontics #rootcanalspecialist Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C/ Atlanta

The SHORT Case Of The Day! Tooth #19 ~ Root Canal Anatomy Nice 4 piece. BC/SC SIP/SAP. MB, ML, DB, DL all with SPOE's. Did you know only 36% of lower first molars have four root canals with separate portals of exits? #worthsaving #rootcanals #DrRicoShort... Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C

The SHORT Case Of The Day! Tooth #2 ~ Very Narrow Canals A Musical Experience Patient came in pain on tooth #2 due to deep decay to the pulp. Notice on the pre-op PAX the very narrow canals. When you have these cases it's important not to "force" files. I like to open up passively with small handfiles size 6,8, 10. Use an orifice opener then a glide path file close to length. Establish working length then use heat treated NiTi files in crown down fashion with .04 taper. ...Minimum size at the apex is .25 is the best so irrigants can reach according to studies by Chow. This case was obturated with bioceramic sealer vs warm vertical condensation because I could not get the heat within 5-7mm of the apex. #WorthSaving #RootCanals Dr. Rico D. Short Board Certified Endodontist / Author / Speaker / Professor Apex Endodontics P.C / Atlanta #endodontics #dentistry #dentalimplants #oralhealth #doctor #teeth #smile #dentaleducation #rootcanal #endodontist #rootcanaltreatment #rootcanalspecialist #drricoshort

The SHORT Case Of The Day! Tooth #15 ~ Off The Wall On this day in 1979, MJ's first solo album "Off The Wall" was certified Platinum! This case tooth #15 was "off the wall" due to the long and curved roots! This case was done in one visit using heat treated Niti files and bioceramic sealer. Hee-Hee-Oooo! #Endodontics #RootCanal #DrRicoShort #LongRoots #OffTheWall... Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #30 ~ The Long Way Patient came in with pain to cold on tooth 30. The diagnosis was acute irreversible pulpitis. The roots were very long almost 30mm, tricky anatomy, and patient had limited opening. Endodontic treatment was performed in one visit. I used heat treated NiTi rotoary files EdgeEndo X7 and was able to pre-curve them to get to length after I shaved down the crown to reduce my working length to 28 mm. 31mm handfiles were also used ...in this case and it was obturated with Bioceramic Sealer by Brasseler USA. #RootCanal #DrRicoShort #Endodontics #LongRoots #dentistry Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #30 ~ The Long Way - Music Video Patient came in with pain to cold on tooth 30. The diagnosis was acute irreversible pulpitis. The roots were very long almost 30mm, tricky anatomy, and patient had limited opening. Endodontic treatment was performed in one visit. #RootCanal #DrRicoShort #Endodontics #LongRoots #dentistry... Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! A Musical Experience Tooth #30 ~ Retreatment With CBCT Dx Patient came in pain on tooth #30 with PAP (periapical pathology). It had a previous root canal performed 5 years ago. The endodontic treatment appears to be satisfactory on the 2D PAX. I took a 3D LFOV CBCT on tooth #30. It revealed a missed DL canal, a short fill on the ML root and PAP associated with both the mesial and distal root. KEY: Notice how asymmetrical the distal canal f...ill is as it relates to the mesial canals fills on the axial view of the CBCT. This usually indicates a missed canal. A retreatment was performed in 2 visits using calcium hydroxide. Patient returned asymptomatic and case was completed. She returned to her general dentist for the final restoration. She will be recalled in 6 months to evaluate healing. #worthsaving #rootcanal #RootCanalTreatment #DrRicoShort #CBCT Dr. Rico D. Short Board Certified Endodontist / Author / Speaker / Professor Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #30 ~ Retreatment With CBCT Dx Patient came in pain on tooth #30 with PAP (periapical pathology). It had a previous root canal performed 5 years ago. The endodontic treatment appears to be satisfactory on the 2D PAX. I took a 3D LFOV CBCT on tooth #30. It revealed a missed DL canal, a short fill on the ML root and PAP associated with both the mesial and distal root. KEY: Notice how asymmetrical the distal canal fill is as it relates to the ...mesial canals fills on the axial view of the CBCT. This usually indicates a missed canal. A retreatment was performed in 2 visits using calcium hydroxide. Patient returned asymptomatic and case was completed. She returned to her general dentist for the final restoration. She will be recalled in 6 months to evaluate healing. #worthsaving #rootcanal #RootCanalTreatment #DrRicoShort #CBCT Dr. Rico D. Short Board Certified Endodontist / Author / Speaker / Professor Apex Endodontics P.C / Atlanta

The SHORT Case Of The Day! Tooth #14 ~ Retrx After Amalgam Apicoectomy with CBCT Patient came in pain on tooth 14. He had a previous root canal with a previous apico with amalgam retrofills and a large screw post in the palatal root. I perfomed a LFOV CBCT on this case. He did not want an extraction/implant. I decided to retreat this case. Upon access, I removed the post with ultrasonics cleaned/shaped the palatal canal to length, located the MB2 cleaned and shaped it, c...leaned and shaped the MB and DB up to the amalgam retrofill. I used Bioceramic Sealer and gutta percha to perform this case in one visit. Patient returned a few months later with a new crown, asymptomatic on the tooth, with osseous healing taking place. #WorthSaving #RetreatmentApico #Endodontics #RootCanal #Retreatment #DrRicoShort #CBCT Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C / Atlanta

I do believe in conservation of dentin wherever possible but not over complicating endodontics. Especially if the tooth will be receiving a crown. It’s NOT who has the smallest hole wins! Just another evidence based reason why I’m not an Minimum Invasive Disciple In Endodontics. I’m just trying to get the truth out there but some can’t handle the truth. #DrRicoShort Board Certified Endodontist

The SHORT Case Of The Day! Teeth #3 and #4 ~ Deep Decay & Cool Anatomy Patient came in pain on teeth #3 and #4. Yes tooth #2 will need endo and so do a few others. But these were the ones hurting her at the time. She did not want to have the teeth extracted and implants so she decided to have root canals performed on both teeth. There was a lot of decay in both teeth evident on the PA and BW. In addition, the anatomy on both teeth were tricky...long and curved roots. Endodo...ntic treatment was performed with heat treated NiTi files and Bioceramic Sealer in one visit. Notice the anatomy at the apical 1/3 of tooth #4. Pretty cool! #worthsaving #RootCanalLove #RelaxDontExtract Dr. Rico D. Short Board Certified Endodontist / Author / Speaker Apex Endodontics P.C/ Atlanta

One of MY fundamental rules... Focus on what you can control ( Inside canals-Bacteria...Do root canal treatment...) Leave what you can't control ( Out side canals....lesion and excess gutta percha-Body will deal with them)...Be confident..you can do it

Have you ever struggled in a particular area? Have you ever had a weakness that seemed like you can’t overcome? Well I have good news for you! God‘s grace only flows in our weak areas! Check this out. #DrRicoShort #InTheEyeOfAStorm #NewBook #Amazon https://youtu.be/pIqVmfKTDF0

A new study from the JOE once again does not support a ninja, ultra conservative, or truss access. A custom access cavity design is recommended for each tooth according to its static and dynamic occlusal relations. My SHORT KEYS: *Just take the smallest amount of tooth structure needed to locate all the canals and instrument properly. **No need to over enlarge with .06 taper anymore (.04 is good) and keep apical preps below a size 40 if it’s already tight at the apex. ***...Also if a crown is placed none of this really matters. #AccessCavity #TrussAccess #NinjaAccess #MinimumInvasiveEndodontics #DrRicoShort See more

The SHORT Dental Tip of The Day! Did you know plain 3% mepivacaine (Carbocaine) solutions are just as effective as 2% xylocaine for an inferior alveolar nerve block? A cartridge of either mepivacaine or prilocaine will work the same as 2% lidocaine with epinephrine for pulpal anesthesia of at least 50-55 minutes. Clinically, this is an important finding because when medical conditions or drug therapies suggest... caution in administering epinephrine-containing solutions, plain solutions can be used as an alternative for the inferior alveolar nerve block. This is important for patients who are pregnant and who have had serious heart issues such as a recenct heart attack. The maximum dose for an adult over 150 lbs is 7 carpules and for children around 66 lbs is 3 1/2 carpules. Dr. Rico D. Short Diplomate, American Board of Endodontics Apex Endodontics P.C / Atlanta