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

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Dr. Karina Leiva, Endodontist

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United States
Plantation, FL
Dr. Karina Leiva, Endodontist

Dental professional since 2009, proudly servicing our community in the specialty of Endodontics.

08/01/2025

🔬🦷 True 4-hands Endodontics at its finest.
Every procedure I perform is with the assistance of one of my trusted dental assistant—side by side, under the microscope, with precision and teamwork.

This isn’t just “help”—it’s a synchronized dance of focus, technique, and experience.
With dual microscopes, we both see what matters most: your tooth’s health and long-term success. ❤️🦷

$👋 A nice case to share! Today, this young 18 y/o patient came for evaluation of a horizontal root fracture at the mid r...$

07/15/2025

👋 A nice case to share! Today, this young 18 y/o patient came for evaluation of a horizontal root fracture at the mid root level of teeth #8 and 9. The patient had a car accident 9 months ago. Today’s radiographs show a favorable connective tissue healing. The teeth 🦷 has been stabilized by fibrous tissue at the fracture line, the pulp remains vital, and the tooth can often be maintained functionally and esthetically for years with minimal or no intervention beyond monitoring.
• If the pulp is vital and there are no symptoms, no intervention may be required—just follow-up.
• If pulp necrosis develops, typically only the coronal segment requires root canal therapy.

07/12/2025

🎉 Celebrating another lap around the sun!
Grateful for another year of growth, learning, and connecting with amazing people in this journey. Thanks to everyone who’s been part of it — patients 🦷 , students, colleagues 👩🏻‍⚕️🧑🏼‍⚕️, and family. ¡Vamos por más! 💼🦷🎂

05/14/2025

Quick lunchtime case! 🥗

RCT on #30
Dx: Symptomatic Irreversible Pulpitis / Normal Periapex

What made this case interesting? One of the mesial canals was a full 2.5 mm longer than the others — with no angulation on the file! 🤯 At first, I doubted my apex locator, but I decided to trust it — and the fill landed right on point ✅

I loved the anatomy here: 4 distinct canals with 4 separate points of exit 🦷➡️ Such a beautiful reminder of why I love endo!

05/09/2025

Hi everyone! 👋
This was a pretty straightforward -unusual- case, but I just loved the final shapes and thought it was worth sharing! 🦷✨

Tooth #31 came in with a diagnosis of SIP/SAP 🔥 and was treated following our usual protocol:
✔️ GentleWave procedure 🌊
✔️ Obturation with gutta-percha and BC Sealer 🧴

What makes this case stand out? The importance of CBCT! 📸
While the PA looked quite calcified ⚪️ and unclear, the CBCT revealed beautifully patent canals 🌀 — a great reminder that appearances can be deceiving.

Always trust but verify… with 3D imaging 🧠!

05/05/2025

Hi people!
A quick lunchtime post about a case referred for RCT on #15.
Dx: Previously initiated root canal treatment, Symptomatic Apical Periodontitis.

Tx: Usual start, 4 canals located ✅
Separated instrument located in the MB canal at mid root third ⚙️ As per referral, it was 4 mm of an SX. Platform created around broken instrument ⚒️ US to loosen it 🔊. Bouncing of the piece due to the nature of NiTi materials. Cowboy loop pen to remove fractured instrument 🤠 after 2 attempts… GentleWave procedure done 💧
Apically gauged, matched GP cones 📏
BC Sealer Hi Flow + Hydraulic condensation 🦷✨
Phew! This one made me sweat 😅

de nervio de conducto

05/04/2025

Hello gang! 👋
Quick lunchtime case share 🦷

🦷 Tooth #31
🦠 Dx: SIP/SAP
🧵 PD: 6 mm on distal
👑 Recent crown placed

🌀 The twist?
Double sharp curvature on both X & Y axes 😅
Reminded me of a soccer player’s legs ⚽️

🛠️ Treatment Highlights:
• Navigated 2 sharp curves with utmost care
• GentleWave® 🌊 procedure performed 💧
• Cautious obturation—no puffs wanted! 🚫💨 The infra-alveolar nerve is extremely close to the root tips.

Outcome:
Cleaned, sealed, and ready for healing! ✅
Endodontics done with care and love ❤️
⸻

04/28/2025

The tooth anatomy 🦷 never stops 🛑surprising me!
Today’s case: Patient came in with pain on #3 — diagnosis: SIP/SAP.

The canals looked very sclerotic (nothing new in our practice!), but persistence pays off. Found the MB2!
While hand filing ✋ (yes, old-school hand filing for calcified canals — saves a lot of trouble later!), I noticed MB2 deviated in a different direction 🧭 from MB.

Performed GentleWave procedure 🌊, followed by obturation with BC sealer and gutta-percha via hydraulic condensation.

When I took the final X-ray… voilà!🍀
The MB2 had a different and lateral POE (point of exit)!

Happy patient 😁, happy doctor!👩‍⚕️

04/26/2025

🦷 Patient presented with pain on biting & percussion
👑 Crown placed ~5 years ago
📸 CBCT showed generalized periapical thickening

Diagnosis: Pulp necrosis+ Symptomatic Apical Periodontitis (PN/SAP)

Not your average case:
• 🧱 Short, sclerotic roots
• 🚫 No visible pulp chamber
• 🤷‍♂️ Accessed through the crown and found one canal—but which one?
📷 Took a PA with a hand file to confirm canal position before moving forward.

💧 GentleWave procedure for thorough cleaning
🪡 Obturated with GP + BC Sealer using hydraulic condensation

The next day? Patient completely asymptomatic.
That’s the kind of result that makes it all worth it!

04/25/2025

Tooth #14 | GentleWave Case
Patient came in with severe pain. Diagnosis: partially necrotic pulp with symptomatic apical periodontitis.

This was a challenging case due to:
• Sharp canal curvatures
• Very long roots (24.5 mm)
• High patient anxiety

MB2 merged with MB in the middle third of the root.

We used the GentleWave system for effective disinfection and achieved clean portals of exit.
Obturation was done using GP + Hi-Flow BC Sealer via hydraulic condensation.

There was some sealer extrusion in the mesial canal—not ideal, but bioceramics are osteoinductive, which helps with healing.

One more case where technique, patience, and technology made the difference.

conducto

04/19/2025

Tooth #31 | RCT Case
Dx: Pulp necrosis & symptomatic apical periodontitis
GentleWave procedure performed with excellent outcome—patient asymptomatic the next day.

This case highlights the importance of reviewing CBCT scans in mandibular second molars with long roots. Excessive sealer extrusion can potentially reach the IAN canal.

Note the beautifully filled portals of exit—precise and thorough.

03/01/2025

Honored to have the opportunity to learn from one of the legends in endodontic radiology, Dr. Bruno Azevedo. During my residency, I read many of his articles, and even today, his lectures continue to teach me something new. Beyond his expertise, he is incredibly approachable and down-to-earth—truly an inspiration in the field!

Address

Plantation, FL

Opening Hours

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

Telephone

+19544384282

Website

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