The Endodontic Practice: Dr. Gaurav Vasudeva in Applecross, Western Australia | Endodontist

The Endodontic Practice: Dr. Gaurav Vasudeva

Locality: Applecross, Western Australia

Address: 811 Canning Highway 6153 Applecross, WA, Australia

Website: http://endopractice.com.au/

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• Medical and health
• Dentist & dental surgery
• Endodontist

25.01.2022 One of my fav procedure: Apicos. Traditionally labeled as The last resort or something to be done only where orthgrade treatment is not possible. I have a different take on it. Micro surgical retro root canals are not only treatment of choice at times but also saves unpredictable outcomes. This is true for treatments such as this where there is a fantastic custom post and core and crowns in good condition. We much rather treat the disease than try and remove sound restor...ations even though they are not the most esthetic. This is also a single visit procedure opposed to months of caoh2 dressings in multiple visits. Nothing is wrong or right. The decision is based on patient centered care and shared decision making. I would usually keep my submarginal flap more conservative but treating two teeth together both with reasonable root resorption with lesion extending distally especially for #11 made me go a bit wider than usual. I’ve gone back to silk sutures 4-0 here but would prefer 5-0. 24hours check today and patients is comfortable with no pain and minimal discomfort. External inflammatory root resorption with non healing granulation tissue. Pathology sent to lab, not always needed but I like to know the histology of the pathology assoc if possible. (Permission to publish as always) #endodontics #endodontist #rootcanalspecialist #apicoectomy #retrogradefilling #bioceramic #apicalmicrosurgery #dentistry #dentistlife #dental #toothinfections #rootresorption The Endodontic Practice Perth [email protected]

24.01.2022 Distal crack 37 leading to SAP. Luckily not deep. Super long roots with 27.5 WL in mesials, S shaped. All restorations removed, crack explored and sealed, distal wall buildup. I used single cones, BC sealer here with partial WV condensation and back fill 2-3 mm with flowable composite followed by packable. 2 visits, asymptomatic and ready for a bonded onlay. . .... #endodontics #endodontist #longroots #endodontia #rootcanalspecialist #dentist #dental #crackedtooth #rootcanal See more

23.01.2022 Symptomatic lower left 2nd molar with AP. Conservative/minimally invasive endo, both access and prep. The idea and rationale of the new age endodontics as I like to call it is minimal intervention and invasion of the root canal system preserving the dentine and keeping the tooth and root anatomy as close to the original. Are we ready to restore such teeth with more conservative overlays?... Mesials 20 04, distal 25 04. Two visits. Eddy sonic activation of irritants. Sealer Endosequence BC high flow with WVC. Patient plans to replace the 1st molar with an implant. Would you place a crown of this 2nd molar? Perhaps a conservative onlay? Or nothing? Original post from my IG. https://www.instagram.com/p/CFhKxhUpeHO/ Case series updated biweekly . . #endodontics #endodontist #endodoncia #minimallyinvasiveendodontics #rootcanalspecialist #rootcanal #dentistry #dentist #conservativeaccess

21.01.2022 SIP 16 with a large beautiful amalgam. I always expects cracks when there is no caries associated. Before access is made, best to deconstruct. We found not one but two cuspal cracks (horizontal), can be seen in the image with the yellow arrow. The disto-palatal cusp had to be removed, actually came off almost by itself. Such cuspal cracks/fractures occur due to many years of cuspal flexure of unsupported cusps. Here, you want a restoration that bonds and flexes with the too...th/cusps. Obviously all this is more theoretical but there is some level of evidence available. This wasn’t an mb2 day (very rare). Obturated and core built with one of my favourate composites by voco admira fusion extra. The ormocer technology claims lowest polymerization shrinkage but who knows. It has a great feel in my hands though. Back to my RD for a bonded crown The Endodontic Practice Perth. We have only one focus #savingteeth #endodontics #endodontist #rootcanalspecialist #rootcanals #cuspalflexure #cuspalcrack #cuspalfracture #crackedteeth #perthdentist #dental #dentistry #dentistlife #endoforlife #dentist

20.01.2022 Interesting and deceptive! Emergency access opening with my RD as patient was in severe pain. Even though all the canals seem patent, the mesials had excessive calcification right from the orifice to the apex. A slow and tedious struggle negotiating with no 6-8 k files. Besides the mesials were necrotic and both distals were vital and bled excessively. Typical SIP/SAP showing different stages of disease and pathophysiology in mesial and distal canals. Completed over two v...isits 20-25 04. Final restoration with flowable and packable composites. . . #endodontics #endodontist #endodontia #rootcanalspecialist #rootcanals #endo #worthsaving #saveyourtooth #australiandentist #dentistaustralia #dental #dentalcaries #endodonticsforgeneralhealth #fullserviceendo See more

20.01.2022 As the world gears up for the holiday season, we are pushing though to get our project completed in time. Setting up a dental practice from scratch is never easy especially when you have concrete internal walls. Done with the demo and after some crazy IT cabling, we are pushing on to the next stage hoping to get the fit-outs done just before Christmas. Coming soon: The Endodontic Practice, Perth. #endodontics #endodontist #rootcanalspecialist #dentistry #dental #savingyourteeth #perthdentist #australiandentist #adawa

19.01.2022 Lifecycle of a carious tooth. #36. The initial bitewing and PA is from a year ago. Tooth diagnosed with SIP/SAP and initial endo/pulp extirpation with their dentist. The pain disappeared/life got busy and hence didn’t follow-up. 2nd visit 7 months ago, re pulp extirpation with a different dentist. Advised possible crack and ortho band placed. Finally, temp restoration chipped off and the band wasn’t fitting well. Ortho band removed, all previous temp restorations removed, n...o crack found under the scope. Full service endo with composite core, 2 visits. 25 04, WVC. Not a perfect margin as I would have liked to see on PA/BW but I couldn’t find any catch or loss of marginal integrity clinically. Hopefully can be polished off during the bonded onlay prep by my RD. Composites used- flowable/ Giomers and Packable SDI. How many people take PA/BW following proximal restorations? Do you like placing ortho bands? . . #endodontics #endodontist #rootcanalspecialist #rootcanaltreatment #rootcanal #endodontia #fullserviceendo #endoresto See more

18.01.2022 Restorative driven endodontics. All teeth/roots can be endodontically treated but not all teeth can be coronally restored. While we plan root canals, it is more important to plan the the restoration and the restorative material first. This planning itself will guide us though our endodontic treatment. Mandibular premolars or I should say all premolars can have high variation in their root canal system. This one split mid root. I though about a fiber post but then I would ...have to prepare the coronal root a bit more hence a composite post/deep restoration 4-5mm in to the canal was good enough. Mandibular Premolars undergo excessive high cuspal flexure depending on the type of occlusion therefore a metal post is a no go for me atleast when it comes to premolars. . . . #endodontics #restoendo #posts #endodontist #dentist #rootcanaltreatment #rootcanalspecialist #fiberpost #premolar #endodontia #perthdentist See more

17.01.2022 C shape. What makes endo the most interesting procedure in dentistry is their root canal System/anatomy. Every tooth is different with its own unique anatomy. This one true c shape with fins and no additional separate canals. Open and shut case restored with resin. #endodontics #endodontist #rootcanalspecialist #cshapedcanal #dentistry #dentist @The Endodontic Practice Perth

16.01.2022 Not uncommon for lateral canals causing the bulk of infection. #21 with a draining sinus closer to attached gingiva. A large lateral canal can sometimes be visualized on a CBCT but not always. The lucency associated laterally confirms the presence of a lateral canal. Can be appreciated easily post obturation. Not to miss the apical delta and some textures added deliberately to give some character to the the resin Happy Easter #endodontics #endodontist #endodoncia #rootcanalspecialist #rootcanalanatomy #lateralcanal #dentistry #dental #lateralrootlesion fixed @ The Endodontic Practice Perth

12.01.2022 Full tooth rehabilitation #fullserviceendodontics Over extended obturation with a leaky restoration and crown. I still prefer the the convention method of removing overextended GPs by engaging the H file. No fancy gadgets or instruments needed here. Interim caoh2 placed for 4 weeks. 2nd visit obturation with post and core. A rough Crown prep for my RD to improve on and take that crown impression. ... Let’s not give up on such teeth too soon. Clinical stages: Remove crown, Removed defective restoration, Retreatment over 2 visits 2 glass fiber posts and core ready for a hat! #endodontics #endodontist #rootcanalspecialist #fullserviceendo #restorativeendodontics #dental #dentist #dentistry #rootcanal #postandcore #endodontia

10.01.2022 Everyday endo! Heavily calcified pulp chamber in the molar. Always nice to see the sealer trickling down the accessory canal palatal root. #endodontics #endodontist #rootcanalspecialist #dentistry #dental #savingteeth @The Endodontic Practice Perth

08.01.2022 Saving a tooth opposed to loosing a tooth! That is all what basic dentistry is about. There are plenty of replacement options but would you rather loose a part of you for an artificial replacement? Endodontics is not fancy because the work isn’t visible, isn’t cosmetic or smile enhancing work rather it’s the foundation work. We all know what happens to structures with poor foundations. ... Tooth 17. Large and deep carious lesion with defective restoration, symptomatic, all 3 roots going their own way and on top of that a disto-buccal angulation of the tooth. I find such upper 2nd molars hardest to treat right from placing the rubberdam clamp to final restoration. Completed in 2 visits with final core composite. 90mins each appointment. Asymptomatic now, fully functional besides a happy patient who didn’t want to loose this tooth. I wish my RD the best of luck with the onlay/crown prep though #saveyourteeth #endodontics #endodontist #rootcanalspecialist #rootcanals #endodontia #restorativeendodontics #curvedcanals #dentistry #dental #dentalstudent #australiandentist #worthsaving

07.01.2022 We had a fantastic day volunteering and seeing some endo patients who needed it the most. #savingyourteeth

07.01.2022 Caries driven buccal access #45. Extensive buccal caries leading to pulp exposure and subsequent AP. The occlusal surface has no caries and I had no reason to drill through it. Steps undertaken: . Debried and remove all buccal caries. ... . Isolate . Access the chamber and the canal. . Made a small notch on the occlusal wall of the buccal cavity just on enamel to achieve near straight line access. . Prep and disinfect. . Caoh2 for 3-4 weeks . Disinfect again and obturate, partial WVC with flowable and packable composite on the buccal. Will this maintain the fracture resistance of this tooth? It probably will. Occlusion plays a big role in decision making especially when large buccal restorations are present. There is a high risk of increased cuspal flexure along the fulcrum hence some sort of coronal coverage will still benefit in long term. . . #endodontics #endodontist #cuspalflexure #buccalrestoration #cariesdrivenaccess #rootcanalspecialist #rootcanal #dentist #perthdentist #dentistry #dental #teeth #rootcanaltreatment #endodoncia See more

06.01.2022 Life cycle of carious teeth. #reactionarydentistry 2 years ago, 45 and 46 were diagnosed with extensive caries, 45 with pulpal involvement. 1 year ago, both 45 and 46 with pulpal involvement and 45 pulp extirpated as it got symptomatic. 6 months ago, 46 also got symptomatic and an initial endo was done. Symptoms disappeared but the bacteria continued to do what they do best. Eventually, symptoms reappeared. ... 2 visits, 20-25 04. Full service with composite core ready for a bonded onlay for both. A bonded onlay in such teeth can work well as the composite can be repaired distally for 46 in a few years if needed. 47 is missing and there will be some further bone loss distal to 46 in time. I don’t know if this theory of mine will work but planning for the future nevertheless. . . #endodontist #endodontics #rootcanal #endodontia #endo #fullserviceendo #endoresto #dentistry #dentist #dental #tooth #dentalcaries #caries #cariesprogression #saveyourtooth #preventionisbetterthancure See more

04.01.2022 https://instagram.com/p/CHNYAxIplQa/

02.01.2022 Keeping it tight! Curvy, 25mm long # 36 with a nice little 90 degree kink on the distal apical 3rd. SIP/SAP, leaking DO restoration. Retained the distal composite and only repaired to enable endo. 2 visits, 25 04. Sonic activation. ... New DO composite to finish of with flowable giomer and packable composite. . . #endodontist #endodontics #rootcanalspecialist #rootcanal #endodoncia #endodonti #rootcanaltreatment #dentist #dental #endolife #fullserviceendodontics #minimalinvasiveendodontics #perthdentist #sydneydentist #melbournedentist #australiandentist See more