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Endodontics
Managing Refractory Endodontic Disease With Radial Apical Cleansing (Report Of Two Clinical Cases)
by Justin Kolnick, DDSKeywords Refractory endodontic disease, endodontic, radial apical cleansing, Er,Cr:YSGG, diode, laser, biofilm bacteria. Introduction One of the defining attributes of an astute endodontist is the ability to successfully treat refractory endodontic disease. Refractory disease is defined as disease that is…
Letter to the Editor
by Dr. Philip M. Walton, DDS, MMSc, FRCD(C) US Board Certified, Diplomate of PeriodonticsRe: May 2018 Oral Health Editorial I’m always a tad confused with this supposed popular topic in dentistry today… Since when did it become Endo versus Implants? Doesn’t versus imply against each other? Perhaps I’m in the minority but for…
Bioceramic Dispersion Root Filling: Revision of Legacy Obturation Protocols
by Kenneth S. Serota, DDS, MMScDespite the fact that degradation and dissolution of gutta-percha (GP) and sealer (SE) jeopardize positive treatment outcomes, these legacy materials are still used in diverse protocols for root filling canals. 1 This paper reviews the historical cognitive dissonance in endodontics;…
Cutting Endodontic Access Cavities for Long-Term Outcomes
by L. Stephen Buchanan, DDS, FACD, FICDErrors accumulate during procedures. That’s the reason botching the access at the start of an RCT is so much more devastating than say, problems that come from misfitting a gutta percha cone just before finishing the case. Miss a canal…
Rotary vs Reciprocation: “How Do I Choose?”
by John West, DDS, MSDIntroduction As a practicing endodontist and a clinical endodontic educator for more than 30 years, the most frequent question I am asked about technique is, “Is it predictable?” While every dentist wants his or her endodontic treatment to be easier,…
The Cortical Window: Part Two Computer Guided Endodontic Surgery (CGES)
by Naheed Mohamed, DMD, MSD, Perio, FRCD(C); Yosef Nahmias, DDS, MSc; Ken Serota, DDS, MMScInnovations in the micro-armamentarium, techniques and materials used for endodontic microsurgery are seminal to enhanced predictable outcomes by comparison with historical microsurgical procedures. The superior magnification and illumination of surgical operating microscopes heightens identification of root peripheries, ensures a lesser…
Simplifying the Adhesive and Composite Placement Protocol for Direct Posterior Restorations: The Bulk-Fill Technique
by Dennis MarangosIntroduction Among the most frequently performed procedures in dentistry are posterior direct composite restorations. Traditionally requiring the incremental placement of composite layers in order to prevent polymerization shrinkage, postoperative sensitivity, and marginal leakage, direct posterior restorations can be difficult and…
Root Canal Treatment of Maxillary Premolars With Three Roots: A Case Series
by Rodrigo Sanches Cunha DDS MSc PhD FRCD(C); Howard M. Fogel, DDS, MSc FRCD(C)Abstract The successful outcome of endodontic treatment depends on an appreciation of the internal and external tooth morphology. Teeth with unusual root canal anatomy present a unique challenge even to experienced clinicians. This case series describes the endodontic treatment of maxillary premolars…
The Cortical Window: Part One The Evolution of Endodontic Surgery
by Naheed Mohamed, DMD, MSD, Perio, FRCD(C); Dr. Yosi Nahmias, DDS, MSc; Ken Serota, DDS, MMScNon-surgical endodontic therapy requires access preparations that uncover entrances to the labyrinthine tunnels of the root canal system. The era of bio-minimalism has altered the traditional configuration of endodontic access cavities. These bio-minimalistic trends are also transforming endodontic surgery. 1…
Product Profile: GentleWave® System
by James Smith, DMDThe GentleWave® Procedure effectively cleans and disinfects while conserving more precious tooth structure. Simultaneous cleaning of all canals, deep into dentinal tubules, isthmi, lateral canals and other complex anatomy is accomplished through a proprietary technology that leverages multisonic energy, advanced…
Endo VS Implant: What is YOUR Hierarchy in the Decision Making Process?
by Gary Glassman, DDS, FRCD(C)One of the most controversially debated topics of modern dentistry has been whether to retain a tooth with endodontic treatment or to extract it and replace it with an implant. In the 1980s, implant dentistry became the mainstream treatment modality,…
CBCT In Treatment Planning Of External Cervical Resorption: A Case Series
by Ali Fatemi, DDS, MSc, FRCD(C); Yosef Nahmias, DDS, MScResorption of tooth structure happens in primary and permanent dentitions. Physiologic tooth resorption involves primary teeth, preceding their shedding. In permanent dentition, tooth resorption is a pathologic phenomenon, and is classified as internal or external resorption, depending on the surface…
Clinical Brief: Successful Endodontic Treatment
by Oral HealthDr. Marina Polonsky is back to talk about successful endodontic treatment, a topic also found in her feature article in May Oral Health. In this latest Clinical Brief video, Dr. Marina takes us more in depth of the case, her…
Guilty Until Proven Innocent
by Lita DipucchioHave we gone too far with rating our health care providers? I am an otherwise lovely middle-aged woman, who is going through menopause. What that means is that on good days I wake up merely hating most people. Bad…
Dental Tourism: Caveat Emptor
by Dr. Joel FransenMany of our patients are attracted to the allure of cheaper dental treatment abroad. Tooth #36 in the accompanying radiograph (Fig. 1) and photo (Fig. 2) is an example of such a case. Unfortunately in this case, almost every possible…
Increasing Use of Bioceramics in Endodontics: A Narrative Review
by Jeffrey Wen Wei Chang; Chonrada Praisarnti; Prasanna NeelakantanAbstract Successful outcomes of root canal treatment, in addition to a multitude of factors, also depends on the prevention of reinfection of the root canal space. The ultimate goal of root canal treatment is prevention or healing of apical periodontitis.…
NiTi Goes Gold “Ten Clinical Distinctions”
by John West, DDS, MSDThe purpose of this article is to specifically evaluate the new ProTaper Gold: “A One Year Clinical Performance Retrospective.” Nickel titanium (Ni-Ti) file systems have come and gone. Mostly gone. Since the introduction of the first files around 1993, 1…
Histological Analysis of the Cleanliness Produced by Two Different Shaping Systems
by Ivan Olivares, DDS; Jorge Vera, DDS; Edgar Mendez, DDS, MSc; Ana Arias, DDS, PhD; Jose-Luis Jacome-MIn The Apical Third Of The Mesial Roots Of Mandibular Molars: An Ex Vivo Study Abstract Introduction: Current preparation techniques leave a different amount of unprepared root canal wall and consequently do not achieve complete cleanliness. The objective of the…
Improving Predictability of Final Outcomes in Full Mouth Reconstruction
by H. Brian Tuvel, BSc, DDSChief Complaint A 35-year-old female patient was referred to our office by her husband on an emergency basis. The veneer on the upper left first premolar had fractured off. At that time all remaining residual cement was removed and the…
Bio-Minimalism: Trends and Transitions in Endodontics
by Martin Trope, Ken SerotaExtract Preservation of natural tooth structure during an endodontic procedure is paramount in order to ensure predictable clinical success. In the past, access cavity preparation, instrument design and taper as well as spatial accommodation for obturation techniques has inadvertently induced…