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Endodontics
The NiTi File Revolution
by Barbara Müller, BSc, MSc, PhDNowhere in dentistry is technical progress as rapid as in modern endodontics. The development of flexible nickel-titanium files in the late 1980s created entirely new and hitherto unknown opportunities in the mechanical preparation of root canals. Numerous recent innovations have…
Optimal Canal Disinfection: Concepts, Materials And Evidence-Based Protocols
by Richard Mounce, DDS; David McCarty, DDSCanal disinfection, controlled memory nickel titanium, CBCT imaging, surgical microscopes, among other advances, have changed the clinical practice of endodontics dramatically in the past 20 years. CBCT provides a three-dimensional pre-operative guide to canal anatomy, which is subsequently interpreted through…
KaVo Kerr Introduces The Elements E-Motion Endodontic Motor
by KaVo KerrKaVo Kerr is excited to introduce the elements™ e-motion endodontic motor with next generation Adaptive Motion technology. The new Adaptive Motion enables higher cutting efficiency, and greater protection against file separation, deformation and transportation. elements™ e-motion also features an intuitive,…
Dynamic Navigation For Orthograde And Retrograde Endodontics
by Kenneth S. Serota, DDS, MMScThe Evolution of Surgical Navigation Transformative technologies are altering the developmental framework in dentistry. Digital imaging, diagnostics and impressions, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) for prosthesis fabrication and lasers for soft and hard tissue alterations can achieve degrees…
8 Days – 8 Communities – 8 Clinics – 4,500 Patients, A typical Bridge To Health Brigade
by Ira Sankiewicz, DDS, BSc; Tina Papacosmas, RRDHBridge to Health was founded in 2012 by six passionate health care professionals brought together by a common desire to provide health care to those in tremendous need. In 2013, Bridge to Health set out with their first team and…
Unconventional Implant Placement Through An Impacted Canine: A Five-Year Follow-Up
by Philip M. Walton DDS, MMSc, FRCD(C) US Board Certified, Diplomate of PeriodonticsIntroduction Amidst various technologies and treatment options for replacement of one’s tooth, dental implants have become the standard of care in present day practice. No longer are we enamoured by the body’s ability to accept an endosseous implant as its…
The Endodontic Restorative Harmonic: Part I Access To Apex, Apex To Access
by Kenneth S. Serota, DDS, MMScThe restoration of endodontically treated teeth (ETT) has been guided historically by anecdotal empiricism rather than biomechanical dynamics. Decisions regarding the configuration of the restoration, the diameter of the post channel and the post and core materials to be used…
Trends Towards Conservative Endodontic Treatment
by Bobby Nadeau, DDS; Dale Jung, DDS; Viraj Vora, DDS, MSIntroduction Consider a new patient who has come to a dental office and undergoes a screening examination. A quick look at any missing teeth may prompt a dentist to ask, why were these teeth lost? While patient responses may be…
The Notorious MB2 Canal: How To Find And Treat It
by Manor Haas, DDS, Cer. Endo, MSc(D), FRCD(C)Introduction One of the most infamous canals we chase in endodontics is the second mesio-buccal (MB2) canal of maxillary molars. It’s often referred to as the “fourth canal” and is one of the most frustrating aspects of maxillary molar root…
Dynamic Endodontic Navigation: A Case Report
by Yosef Nahmias, DDS, MScAs a child growing up in the sixties, I was a great fan of the famous “Star Trek” television show starring William Shatner. The original series debuted on September 8, 1966. The show tells the tale of the crew of…
Endodontic Engagement: The GP And Endodontist Can Achieve More As A Team
by Brett E. Gilbert, DDS, Diplomate, American Board of EndodonticsThe Pulse To truly feel the current pulse in dentistry, you must listen to what other dentists are thinking and saying. Online message boards are a great place to participate in the conversations that dentists are having. These forums give…
Choosing Wisely: Fostering Informed Conversations Between Patients And Dentists
by Susan Sutherland, DDS, MSc; Karen Born, PhDIntroduction Earlier this year the Canadian Association of Hospital Dentists joined the Choosing Wisely Canada campaign. Choosing Wisely Canada is the national voice on reducing harm to patients. Modeled on the Choosing Wisely campaign in the United States, an initiative…
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…Advertisement 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…