Oral Health Group

Topic
Endodontics

Figure 6-Clinical case treated in the manner described using Twisted Files* to prepare a .08 taper and #40 master apical diameter and obturated with RealSeal One Bonded Obturators.*
May 1, 2010 Feature Endodontics

Principle Driven Cleaning, Shaping and Obturation in Orthograde First-Time Endodontic Treatment

by Richard E. Mounce, DDS and Gary Glassman, DDS

This paper was written to detail, with clinical rationale, the various steps in orthograde first time endodontic treatment of adult teeth with closed apices. The steps detailed are principle driven and will work with virtually any rotary nickel titanium (RNT)…

 Figure 6
May 1, 2010 Feature Endodontics

ENDO-EZE Tilos Anatomic Endodontic Technology

by Renato de Toledo Leonardo, DDS, MSc., PhD and Richard D. Tuttle, DDS

The evolution of endodontic instrumentation from stainless steel hand files to the intricacies of rotary nickel titanium has advanced the efficiency and predictability of the enlargement of root canals. In recent years, other improvements in instrumentation methods and materials have…
November 6, 2009 News EndodonticsOral Health

Dead Stuck Shines Light on Richard Mounce

by Oral Health

Dead Stuck, a non-fiction book by Richard Mounce, DDS, boisterously describes how being a root canal specialist (endodontist) has provided the author unique opportunities and challenges in marital and parental relationships, how he once wore girl repellent, his addiction to world football, how…

 FIGURE 5--SystemB obturation, with RealSeal bonded obturation material and the Elements Obturation Unit (SybronEndo, Orange, CA, USA).
December 1, 2007 Feature Endodontics

Classifying Obturation Techniques: Making Clinical Choices

by Richard E. Mounce, DDS

With the wealth of options available in obturation, it can be a challenge to know which technique to adopt and what the ramifications of these choices are in clinical practice. As a first step, obturation techniques might be divided into…

 Dr. Mounce is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.
November 1, 2007 Feature Endodontics

Diagnosis and Management of Irreversible Pulpitis: Practical Strategies

by Richard E. Mounce, DDS

Recently, I received these two questions from the same reader. The answers have clinical application for all clinicians who practice endodontics. These questions underscore the importance of understanding the causes of pulpal inflammation as well as the basic indications for…

 Dr. Mounce is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.
October 1, 2007 Feature Endodontics

Hand Files or Rotary Nickel Titanium Files?

by Rich Mounce, DDS

Is it more effective and safe to finish root canal preparations with hand files or rotary nickel titanium files? There are proponents on both sides of the issue. My empirical bias is that it is inefficient, fatiguing and risks iatrogenic…

 Rich Mounce, DDS
September 1, 2007 Feature Endodontics

Endodontics Made Easy (September 01, 2007)

by Rich Mounce, DDS

What happens when irrigants such as chlorhexidine or sodium hypochlorite are expressed out of the apex? All irrigants with bactericidal action are irritating and toxic to apical tissues to one degree or another. Of the commonly used endodontic irrigants, 5.25%…

 Dr. Mounce lectures globally and is widely published. He is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.
August 1, 2007 Feature Endodontics

Starting All Over Again

by Rich Mounce, DDS

If, when injecting a flowable sealer (like RealSeal sealer or EndoRez), an air bubble (void) forms, how do you get around that? Do you have to remove it all and start over? How much sealer and how the sealer is…
August 1, 2007 Feature Endodontics

Diffusion of Tetracycline-Impregnated Gutta-Percha Points

by Mary G. Dabuleanu, DDS, MS; Gabriel J. Faubert, BBA; John A. Molinari, PhD; Frank E. Pink, DDS, MS,

ABSTRACT The purpose of this study was to use an enzyme immunoassay to determine whether diffusion of tetracycline occurs through root dentin of extracted human teeth. Twenty-one roots were mechanically prepared and then divided into three groups: experimental (G1; n=15;…
June 1, 2007 Feature Endodontics

Endodontic Diagnosis for Vital Inflamed Cases: Making Clinical Decisions

by Richard Mounce, DDS

How often do we examine a patient experiencing pain and wonder if the problem is odontogenic or of another origin? Making matters more complicated, how often have we concluded that the patient’s problem is of dental origin but we are…

 FIGURE 3F--Four months later a fixture and healing abutment were placed. The algorithm sequence followed was logical and sequential; the patient understood her options and chose to retain her natural tooth if at all possible.
May 1, 2007 Feature Endodontics

Tale of Two Specialties: The Endodontic/Implant Algorithm

by Kenneth S. Serota, DDS, MMSc

Change is a significant evolutionary tool provided it rests upon a solid and secure foundation. Innovations in materials and technologies occurring within the dental field are impacting powerfully on its art and science; however, dentistry, like all health care, is…

 FIGURE 4
May 1, 2007 Feature Endodontics

The Use of the K3 Orifice Openers In Primary Teeth Preparation

by Oral Health

Philippe Sleiman PhD, FICD; Samia Abou-Jaoude DDS, DES and Roula Berberi DDS, DES

 FIGURE 3
May 1, 2007 Feature Endodontics

Troubleshooting Your Apex Locator

by Manfred Friedman, BDS, BCh.D.hon and Leendert (Len) Boksman DDS, BSc, FADI, FICD

Electronic Apex Locators (EAL) were introduced to the dental profession in the early ’60s by Sunada in 1962 based on the work of Suzuki first described in 1942, where he found that the electrical resistance between a file inserted into…

 FIGURE 7--Clinical Case treated with RealSeal and K3 rotary nickel titanium files (SybronEndo, Orange, CA, USA)
May 1, 2007 Feature Endodontics

Bonded Obturation: Time for New Shoes

by Richard Mounce, DDS

In the July, 2004 issue of Oral Health in an article called “Bonded Obturation, A Quantum Leap Forward for Endodontics” Dr. Gary Glassman and I stated, “The surgical operating microscope and the advent of rotary nickel titanium instrumentation have both…

 FIGURE 5--Periapical radiograph demonstrating osseous healing.
May 1, 2007 Feature Endodontics

Misdiagnosis of a Cutaneous Lesion Resulting from a Dentoalveolar Abscess

by Tina M. Kell, DDS, BSc and Yosef Nahmias, DDS, MSc

Infection, like some diseases, may have many different manifestations. It may surface at the primary site of the source, it may present with atypical signs and symptoms or it may even present at a distant site from its primary source…

 Dr. Serota is in private endodontic practice in Mississauga, Ontario. He is the founder of the cybercommunities ROOTS (www.rxroots.com) and IMPLANTS (www.rximplants.com). He can be reached at kendo@endosolns.com
May 1, 2007 Feature Endodontics

A Clear and Present Reality

by Kenneth S. Serota, DDS, MMSc

The focus on aesthetics has dominated both the dental profession and dental industry for the past decade. Fortunately, the pendulum’s arc has reversed and dentistry is reframing yet again. The profession is revisiting treatment planning, with all its fundamentals and…

 Richard Mounce, DDS
April 1, 2007 Feature Endodontics

Determining TWL from Multiple Sources

by Richard Mounce, DDS

In reviewing the literature, I found an article that has important clinical relevance with regard to the determination of TWL and that is worthy of wider discussion (“Frequency of Over instrumentation with an Acceptable Radiographic Working Length” by El Ayouti,…

 Richard Mounce DDS
March 1, 2007 Feature Endodontics

Quick Tips For Creating Better Endodontic Results: 20 Rapid-Fire Ideas

by Richard Mounce DDS

1) Carefully study the tooth before beginning treatment. Anticipating clinical challenges and developing strategies is always far preferable to dealing with iatrogenic problems after they occur. 2) Always use a rubber dam, always. If the patient will not tolerate one,…

 Dr. Mounce lectures globally and is widely published. He is in private practice in endodontics in Vancouver, WA, USA. Amongst other appointments, he is the endodontic consultant for the Belau National Hospital Dental Clinic in the Republic of Palau. Korror, Palau (Micronesia). He can be reached at RichardMounce@MounceEndo.com.
February 1, 2007 Feature Endodontics

Practical Endodontic Suggestions for the General Dentist: Creating Ergonomics and Efficiency

by Richard Mounce, DDS

Being able to perform endodontic treatment as safely and efficiently as possible is a function of primary three components: 1. Choosing cases correctly for treatment or for referral.Advertisement It is difficult to give simple and arbitrary rationale for cases which…

 Richard Mounce
January 1, 2007 Feature Endodontics

Working Length Determination: Knowing Where to Stop

by Richard Mounce, DDS

Electronic length determination… is superior to radiographic localization of the apical constriction” from a recent statement of the German Society for Dental, Oral and Maxillary Medicine. I agree wholeheartedly with this statement. Of the various methods of determining true working…