Township Endodontic Centre

10/21/2025

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

10/10/2025

Two years ago, a gentleman with considerable dental woe entered our clinic. He is the friend of the father of one of our staff. At sixty-five years of age, he is a devoted father and the primary caregiver to his daughter, who lives with developmental challenges. His days are spent in service rather than society. His outings are rare, his needs modest, and his dental situation rather challenging.
He sought us out for a second opinion. The verdict from another office had been grim. He was told that his four maxillary anterior teeth were beyond salvation. The original dental work had been performed twenty years ago, in a land far beyond the borders of Canada. The recommendation was clear and absolute. Extraction was the only option.
This gentleman, however, was not concerned with aesthetics. His smile line is low and his aesthetic concerns even lower. What he wanted was simple. He wished to keep his teeth if at all possible.
We saw a challenge. More importantly, we saw a motivated patient who would not crucify us should our efforts fall short. With that in mind, we retreated all four teeth and managed to preserve the fused crowns.
About two years later… The imperfect teeth remain. They are asymptomatic, functional, and stable. The 11 and 12 have not responded as remarkably well as the 21 and 22, but they are not far behind. We continue to keep a close eye on these teeth for this ever-so deserving fellow, whose quiet dignity reminds us that sometimes the most meaningful victories are the ones that go unnoticed by the world but deeply felt by the individual.
RICHMOND ENDODONTIC CENTRE Township Endodontic Centre Jessy Chung BC Endo Solutions Joel Fransen

10/09/2025

To our hero on the front lines in the battle to save the teeth of the Fraser Valley,

10/09/2025

Our wall of accomplishments is growing!

10/09/2025

A red letter day at Township Endodontic Centre as we celebrate a decade with the great Krista. You are our Super K, putting out the fires so we can arrest the infections! Township Endodontic CentreRICHMOND ENDODONTIC CENTREJessy ChungBC Endo Solutions

09/18/2025

Some surprises from the Emerald Isle do not whisper. They roar.
Orthograde retreatment revealed an untreated MB2, a familiar adversary. Yet the palatal canal concealed a rare stratagem. An apical split, a rare bird indeed, flew my way today.
Township Endodontic Centre BC Endo Solutions RICHMOND ENDODONTIC CENTRE Jessy Chung

07/21/2025

A little dental humour. Was it you that did that RCT or was it another dentist? :)
https://1drv.ms/v/c/12fc028dc1d81927/EUCUYal_bWpGtuXosUB4JyABcFDLNElwFFKXazY4uk-Qrw
Joel Fransen Jessy Chung Township Endodontic Centre BC Endo Solutions RICHMOND ENDODONTIC CENTRE

06/25/2025

Patient: “Will you do your best?”
Me: “Absolutely. Cross my heart.”

06/18/2025

A formidable case, both medically and technically.
This gracious patient underwent resection of a left tonsillar carcinoma two months ago, following unsuccessful chemoradiotherapy and radiation treatment. Post-operatively, she developed trismus, severely restricting her mouth opening. Complicating matters further, tooth 47 (US #31) presented with pulpal necrosis and symptomatic apical periodontitis refractory to Amoxicillin. Thus, we had to access the tooth before more time could be dedicated to enabling a greater amount of opening of the mouth.
Her polypharmacy profile was extensive: Celecoxib for arthritis, Gabapentin for epilepsy, Rabeprazole for Zollinger–Ellison syndrome, Metoprolol for angina, Escitalopram for depression, Clonazepam for panic disorder, and Dapagliflozin for diabetes.
Endodontic access was anything but routine. Gaining access to the C-shaped canal system demanded the entirety of my armamentarium: high-speed burs, severely angled Munce burs, and an ultrasonic tip too. After instrumentation, the mesiobuccal canal coalesced with the mesiolingual and distal canals.
A compelling challenge, but ultimately a gratifying one.

04/17/2025

Whistle while you work Wednesday.....An interesting case indeed. There is a fractured file in the MB canal, a cementoblastoma at the apex of the distal root, and the canal in that root is wide in the B-L direction with a wafer-thin furcal wall.
I was able to bypass the file in the MB canal; there is a small mountain of hand files to prove that. I had to treat the distal root as though it had three unique canals, trying my best to seal the apical constriction that is B-L and not create a strip perforation, too.
The cementoblastoma is something that has remained unchanged for years.