Dr. Karina Leiva, Endodontist

Dr. Karina Leiva, Endodontist Dental professional since 2009, proudly servicing our community in the specialty of Endodontics.

👋. Another of my normal day cases… scroll ➡️. When I saw this lower premolar all calcified with “maybe extra canals”… I ...
03/26/2026

👋. Another of my normal day cases… scroll ➡️. When I saw this lower premolar all calcified with “maybe extra canals”… I knew it was going to be one of those days 🫣

Manual instrumentation all the way to apex… slow, careful… and of course—separated a file 🙃 (because why not). Thankfully, managed to retrieve it 💪

Mid-tx CBCT = game changer → found the hidden lingual canal 👀

Finished with GentleWave + obturation with BC Sealer High Flow & GP

Not today, calcification… not today 😎

EndoCases

This is our team seeing through the eyes of a child: my own kiddo!Caring for little smiles is a big responsibility—and o...
03/22/2026

This is our team seeing through the eyes of a child: my own kiddo!
Caring for little smiles is a big responsibility—and one we take to heart. 💙
Our team of three doctors is dedicated to providing high-quality endodontic care for children, always with a gentle and compassionate approach. We offer nitrous oxide and IV sedation. PD: I see which is but you tell me which one is .endo and which one myself. 🤣🤪

🔎 Interesting case from today. Tooth #3While reviewing the CBCT, I noticed something unusual 👀The mesiobuccal root show...
03/13/2026

🔎 Interesting case from today. Tooth #3

While reviewing the CBCT, I noticed something unusual 👀
The mesiobuccal root showed MB, MB2 and even MB3 canals (green arrows on the CBCT).

That meant only one thing… time to hunt canals.

After careful manual instrumentation, I was able to negotiate MB2 and MB3 all the way to the apex.

The palatal canal presented a lateral exit, so I avoided aggressive instrumentation to prevent transportation or damage.

🦷 Diagnosis: Necrotic pulp with suppuration.

The case was completed using the GentleWave® procedure and obturated with GP and BC Sealer.

Cases like this remind us why CBCT and patience are essential in endodontics.

✔️ Find the anatomy
✔️ Respect the anatomy
✔️ Treat the anatomy

GentleWave DentalCases EndoLife

Hi 👋 my friends! Ready for another tooth saved? Case Outcome 🦷 Patient presented with intermittent pain on #19 with a p...
03/12/2026

Hi 👋 my friends! Ready for another tooth saved? Case Outcome 🦷

Patient presented with intermittent pain on #19 with a previously treated RCT. Extraction had been recommended, but the patient wanted to try saving the tooth.

CBCT findings: missed DB canal and apical lesions.

Treatment: non-surgical retreatment using Gentle Wave 🌊

6-month follow-up: complete healing and patient asymptomatic. ✅

Hello everyone! Hope your teeth are behaving today. I just wanted to share really quick this case. I saw 👀 the CBCT and ...
03/09/2026

Hello everyone! Hope your teeth are behaving today. I just wanted to share really quick this case. I saw 👀 the CBCT and I was like oh noo! A furcal lesion. Hoping for a lateral canal (that would be causing the problem), I did the RCT using the gentle wave procedure 🌊… and voilà! A lateral mid root canal was filled with BC sealer hi flow. The prognosis is good in these cases! And the most important thing, another tooth saved! 🙏🏻❤️

🦷 A tooth planned for extraction… saved.Hi 👋 pals! I’ve been a little bit busier lately but here I come again. This is f...
03/05/2026

🦷 A tooth planned for extraction… saved.

Hi 👋 pals! I’ve been a little bit busier lately but here I come again. This is for my beloved referrals. Patient presented with bite pain and pressure on tooth #19, previously treated with RCT years ago. Extraction had been recommended, but the patient wanted to try to save the tooth.

🔎 CBCT revealed:
• Missed mesiobuccal canal
• Furcal perforation
• Apical radiolucencies on mesial and distal roots

📋 Diagnosis: Previously treated tooth with symptomatic apical periodontitis.

🛠 Treatment:
Furcal perforation repaired with MTA, BC liner placed, and retreatment performed using GentleWave®.

✅ 6-month follow-up:
Apical lesions healed, furcal defect improving, and the patient is completely asymptomatic.

✨ Happy patient. Happy endodontist. Saving teeth whenever possible.

Tooth #14 presented with a periapical lesion on all three root apices and the patient was very symptomatic at the begin...
02/17/2026

Tooth #14 presented with a periapical lesion on all three root apices and the patient was very symptomatic at the beginning 😣 — pain, inflammation, and clear signs of infection around the roots.

We performed root canal therapy using the GentleWave® system 💧 — allowing for advanced cleaning and disinfection of the entire root canal system.

🗓 6-month follow-up:
✨ The periapical pathology has resolved
✨ Bone healing is evident
✨ The patient is now completely asymptomatic 😊

Proper diagnosis, advanced technology, and careful follow-up make all the difference.
The goal is not only to relieve pain — but to eliminate infection and promote true healing.

DentalCare 🦷

Just passing here to show you my dear referrals fellas, a case of a #19 that looks nice despite of the long roots. Gang...
02/11/2026

Just passing here to show you my dear referrals fellas, a case of a #19 that looks nice despite of the long roots. Gangle wave and BC sealer (Brasseler) used. ❤️🦷

Hi! Just passing to say hello and leave this interesting case here. Furca lesion caused by a crack on pulpal floor❓maybe...
01/27/2026

Hi! Just passing to say hello and leave this interesting case here. Furca lesion caused by a crack on pulpal floor❓maybe… periodontal related problems ❔Perhaps… but no! It was a secondary lateral canal coming from the necrotic pulp. Gentle Wave procedure done. Look how nice the Distal root delta is appreciated. 🎆

🦷 Pediatric Dental Trauma 👋 Happy new year people! Starting with good news and positive vibes! This 9-year-old patient...
01/14/2026

🦷 Pediatric Dental Trauma 👋 Happy new year people! Starting with good news and positive vibes!

This 9-year-old patient was referred to us by an orthodontist following dental trauma that occurred a few weeks prior to the initial visit. Clinical examination revealed progressive gray discoloration, and diagnostic findings confirmed pulpal necrosis. CBCT imaging showed early signs of external root resorption.

Treatment began with root canal therapy and placement of calcium hydroxide. At the second visit, apexification was completed using MTA BC putty. Internal walking bleaching was then performed over three visits to restore esthetics.

✨ The outcome was extremely satisfying, both functionally and cosmetically.
The patient is now on a 6-month follow-up protocol to monitor long-term stability.

RootCanalTherapy ClinicalExcellence

Happy holidays from our wonderful working family to yours! 🎁🎄🕎
12/14/2025

Happy holidays from our wonderful working family to yours! 🎁🎄🕎

When to send to the endodontist? When you don’t see a continuous canal to apex. It’s likely a deep split! It was 5 mm sh...
12/07/2025

When to send to the endodontist? When you don’t see a continuous canal to apex. It’s likely a deep split! It was 5 mm short from the working lenght. Sometimes a premolar represents a bigger challenge than a molar! This one made me sweat 😅. A fiber post placed. Swipe ➡️ to see the details ❤️🦷

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Plantation, FL

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Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Friday 8:30am - 5pm

Telephone

+19544384282

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