Resources
Clinical Tips
Real cases from Dr. Nudera's practice — diagnosis, retreatment, surgery, trauma, and the judgment calls in between. Filter by category, or browse them all.
3 Years to Figure It Out
A three-year diagnostic puzzle — a persistent osseous defect in the maxillary right premolar region that kept changing the question.
When a Premolar Plays Tricks: Managing a Rotated Root
Tooth 13, symptomatic irreversible pulpitis with no periapical involvement — and a premolar CBCT revealed was significantly rotated, roots canted in opposite directions.
Challenging Maxillary Canine Case
A severely carious maxillary canine with decay extending below the gingiva and close to the alveolar bone — restorative and endodontic challenges at once.
Mechanical Pulp Exposure
Vital pulp therapy — apexogenesis on an 11-year-old's mandibular second molar after a mechanical exposure during caries excavation. Long-term follow-up included.
Irreversible Pulpitis
Dr. Nudera's protocol for ensuring patient comfort during root canal treatment on tooth #30 with symptomatic irreversible pulpitis.
#7 Abfraction: A Unique Access Approach
Teeth with abfraction lesions present real challenges. How Dr. Nudera maximized the remaining tooth structure on a maxillary lateral incisor with severe facial abfraction.
RCT Radix Entomolaris
Non-surgical root canal treatment on a tooth with a classic entomolaris root configuration.
#14 with Apical Root Resorption
A maxillary first molar with a questionable prognosis due to apical resorption. Advanced irrigation technology highlighted; outcome shown 8 months later.
Carious Pulpal Exposure / Necrotic Pulp
The clinical management of a necrotic mandibular first molar with a carious pulpal exposure and a missing distal wall.
Chronic Abscess #9: Root Canal Unsuccessful at 4 Weeks
A necrotic #9 with a chronic apical abscess that failed to resolve after an otherwise straightforward root canal — and the reassessment when both sinus tracts remained at 4 weeks.
A 13-Year Follow-Up on an Iatrogenic Perforation Case
Referred for surgery on #26 eight months after the original treatment — what looked like a sinus tract was gutta-percha through the gingiva from a buccal perforation. Nonsurgical retreatment, followed 13 years.
Terminal Abutment Selective Root Retreatment
An attempt to retain tooth #31 — an abutment for a mandibular removable partial denture — using a selective root retreatment approach.
Tooth #13 or #14: Exploratory Retreatment
An exploratory retreatment that goes to surgery — Dr. Nudera's decision-making as he works out what's going on in a strange retreatment case.
Retreating My Own Case — 12 Years
Dr. Nudera follows one of his own cases 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 — how Dr. Nudera navigated it.
Inside a Rare "Pulp in Flux" Case
All the preoperative evidence pointed to necrotic pulp in tooth #14 — but on access, one canal was fully vital, another completely necrotic, and the rest in between.
Long-Standing Asymptomatic RCT
What does "success" mean — to you, and to your patient? Dr. Nudera defines it several ways using case examples and logical reasoning.
Understanding Prognosis
The systematic approach Dr. Nudera uses to determine the prognosis of a symptomatic mandibular second molar with a distal vertical defect.
Re-Grow Dead Roots
Endodontic revascularization — a root canal procedure for young patients with underdeveloped roots diagnosed with necrotic pulps.
Endodontic VRF Stabilization
A painful maxillary premolar with a confirmed oblique root fracture in the esthetic zone — temporarily stabilized while planning for replacement.
Surgical Silver Point Removal
Management of a tooth with prior silver point root canal treatment, prior apical surgery, and symptomatic apical periodontitis.
Central Incisor vs. Baseball
How Dr. Nudera takes a simple approach to stabilize an unscheduled emergency and get a young patient on the mend.
Central Incisor vs. Hardwood Floor
Managing a shear fracture extending on the palatal side of a 15-year-old's central incisor, related to trauma.
The Textbook
NuEndo: ReThinking Endodontics
Dr. Nudera's practical guide and reference for endodontic diagnosis, prognosis, and case selection — a systematic, evidence-based approach that goes beyond what's taught in dental school.