Township Endodontic Centre

03/25/2026

March Newsletter, mind your language. :)

02/26/2026

Root amputation in 2025. Why not?
The patient was adamant that her 36 would not be lost, fractured mesial root notwithstanding. The distal root, veteran of a 20 year metal post, remained steadfast. Since the mesial root was headed for amputation, removing the post and retreating the distal canal seemed unnecessary. She requested a last stand for the mesial canals, so I placed MTA. Predictably, the healing was more theoretical than actual. The mesial root was amputated, and the distal root received microsurgery.
At one year, the 36 is symptom-free and fully functional, and the patient could not be more pleased with the result.

01/28/2026

01/28/2026

Unfortunately, no special parking pass for this amputee
A spirited 68-year-old gentleman with Haemophilia Factor VIII arrived at Township Endodontic Centre with a rather unhappy 26. It was exceptionally tender upon release from biting.
A thorough clinical examination revealed no probing defects and the CBCT images showed no vertical bone defects. The patient, who was fiercely determined to keep this tooth, was advised that every cusp was poised to break at anytime and expose the pulp. During our treatment we discovered a fracture lurking beneath the mesial amalgam; it extended below the chamber floor on the MB root. Fortunately, it had the courtesy not to cross the chamber floor. The fellow was advised MB root will almost certainly need to be amputated sooner rather than later. This prediction was confirmed at his six-month recall.
Given his mild haemophilia, which we chatted with his physician pre-operatively and tooth the following steps: 1) Minimally invasive surgical approach, 2) Meticulous suturing, 3) Exceptionally detailed post-op instructions provided, 4) No NSAIDs were used.
The fellow is over the moon with the result we attained. The 26 remains to be asymptomatic and fully functional, free of mobility and surrounded by healthy periodontal tissues. His only complaint, is that he feels he ought to qualify for a special parking permit now that he is, in his words, an amputee.
If only all postoperative reviews were this cheerful.
Township Endodontic Centre Jessy Chung BC Endo Solutions RICHMOND ENDODONTIC CENTRE

01/08/2026

Happy 2026 from Township Endodontic Centre!

12/04/2025

12/04/2025

There is no try

12/04/2025

There is no try. Do or do not.
This premolar had the Vortex 30/04 blues. With some imagination, a lot of determination but not too much dentine elimination I managed to remove the file that had become one with the tooth. We managed to “do not” this situation for this nice fellow.

10/21/2025

A noteworthy case was completed last week by a general practitioner participating in the inaugural Township Endodontic Study Club session. The diagnosis was Symptomatic Irreversible Pulpitis with Symptomatic Apical Periodontitis. An intriguing anatomical feature emerged as the two mesiobuccal canals converged at the mid-root level, a reminder that natura artis magistra, nature is the teacher of art.

For those seeking to elevate their endodontic proficiency, consider a hands-on course with BC Endo Solutions. Mastery begins with intention and is honed through practice.
Joel Fransen Township Endodontic Centre Jessy Chung BC Endo Solutions RICHMOND ENDODONTIC CENTRE