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Author Archives: Dr. Angela Noguera

Decompression outcome

Decompression outcome

November 27, 2018 14 comments

This is a case I treated 1 year ago. It was a “thru and thru”, so I was really not sure how successful  treatment would be. I started with non-surgical endodontics, two visits with CaOH. Pt still returned about 6 weeks later with another buccal swelling. I completed the RCT then and started the decompression […]

Dr. Angela NogueraNovember 27, 2018 14 comments
Dr. Angela Noguera
ICR…crown or no crown?

ICR…crown or no crown?

August 8, 2018 0 comments

This was a pt I saw Dec 2015 with extensive coronal ICR. It really did not seem to go much below the CEJ, but the anatomical crown was pretty much hollow. Patient insisted she did not want to extract the tooth, so we did RCT. Followed Heithersay protocol with TCA. She is completely asymptomatic and […]

Dr. Angela NogueraAugust 8, 2018 0 comments
Dr. Angela Noguera
MIE/ Pt. management

MIE/ Pt. management

August 7, 2018 3 comments

Case from today.  Clearly her D decay guided the main access, Tooth on M was intact, so I went with a truss to preserve as much as possible. With anxious patients, I use Alprazolam and try to complete in one visit, whenever possible, to spare them more visits/anxiety. Her level of anxiety was such, that […]

Dr. Angela NogueraAugust 7, 2018 3 comments
Dr. Angela Noguera
Minimally Invasive

Minimally Invasive

August 1, 2018 0 comments

Pt developed acute pulpitis 1 months after the new crown was cemented. He arrived with  typical SIP/SAP.

Dr. Angela NogueraAugust 1, 2018 0 comments
Dr. Angela Noguera
Apexogenesis

Apexogenesis

July 27, 2018 10 comments

Very young 7 yo male.  Original injury Nov 2015. Tooth was restored/bonded and became symptomatic 6 mo later.  He saw another endodontist who open the tooth with much difficulty due to patient behavior and uncooperative way. I took over the case, premedicate the pt with valium and eventually removed the old grey MTA because he remained […]

Dr. Angela NogueraJuly 27, 2018 10 comments
Dr. Angela Noguera
Non-vital Bleaching

Non-vital Bleaching

July 27, 2018 4 comments

Tough very old discolored tooth. Previous RCT dome over 40 years ago. No pain, completely asymptomatic but just really bad color. Big shot attorney in DC. He was thrilled with the result.

Dr. Angela NogueraJuly 27, 2018 4 comments
Dr. Angela Noguera
Pt presented with persistent sinus tract on B

Pt presented with persistent sinus tract on B

July 27, 2018 27 comments

Pt presented with persistent sinus tract on B. RCT’s done by another endodontist in town. They were suggesting to start endo in #26 followed by apico if that did not work. That’s when she decided to go for another opinion. I retreated #23 and 24, CaOH for at least 6 weeks, with no luck. Sinus […]

Dr. Angela NogueraJuly 27, 2018 27 comments
Dr. Angela Noguera

Online Reviews in an endo practice

July 3, 2018 1 comment

Over the last 5 years, I have been working very hard on my online presence and achieving good results increasing my reviews and SEO in google.  I wanted to share this recent interview I gave “live” on FB to My Social Practice . I do not work with this company but Jack really wanted me […]

Dr. Angela NogueraJuly 3, 2018 1 comment
Dr. Angela Noguera
Fractured Bicuspid/MIE

Fractured Bicuspid/MIE

July 3, 2018 3 comments

I wanted to post this interesting case. She is the sister of an endodontist colleague( no pressure) who arrived in my office with a temp crown and in severe pain. As soon as I took a look, I realized the tooth had a bad MD vertical fracture with no probings or mobility but would likely […]

Dr. Angela NogueraJuly 3, 2018 3 comments
Dr. Angela Noguera
MIE: Untreated pal canal

MIE: Untreated pal canal

July 3, 2018 4 comments

White , 70 yo, male presented completely asymptomatic but with a buccal ST.  Tooth had a post and crown and patient did not want to have it removed.  CBCT  showed missed palatal canal. Access was done above the P cusp with the intention of locating and treating the missed canal only. Last PA is a […]

Dr. Angela NogueraJuly 3, 2018 4 comments
Dr. Angela Noguera

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