Oral Health Group


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%

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;

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

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

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

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

Rich Mounce, DDS
December 1, 2006 Feature Endodontics

The K3 Rotary Nickel Titanium File — Predictable Root Canal Instrumentation

by Rich Mounce, DDS

Having used all the rotary nickel titanium (RNT) systems available in North America, I have come to rely upon the K3 RNT system (SybronEndo, Orange, CA) as my preferred file. K3 stands in distinction to the other RNT root canal

Richard Mounce
November 1, 2006 Feature Endodontics

Prevention Begins with Assessment

by Richard Mounce, DDS

Recently, I was on a technical scuba diving training dive where a serious accident occurred. The situation was caused by a lack of communication and a faulty dive plan. It was completely preventable. While not potentially fatal, in an endodontic

Rich Mounce
October 1, 2006 Feature Endodontics

How Many Times Can I Use a Rotary Nickel Titanium File?

by Rich Mounce, DDS

Recently I was asked this question by a reader. The answer is primarily dependent on the brand of rotary nickel titanium (RNT) file used, taper, tip size, how many times it has been used previously and under what conditions. Obviously,

FIGURE 6--The risk assessment algorithm extrapolates to many reconstructive protocols. Tooth #1.5 will require root canal therapy, post/core rehabilitation and full coverage regardless of whether it will be a component of a fixed bridge to replace the missing tooth or simply be reconstructed as the condition of the restoration mandates. Its use as a single functional unit in contrast to the stress impact of a bridge retainer presents a far more positive potential treatment outcome.
October 1, 2006 Feature Endodontics

The Biologic Imperatives of Endodontics and Implantology: Fashioning a Risk Assessment Algorithm

by Kenneth S. Serota, DDS, MMSc and Rich Mounce, DDS

The functional success rates for endodontically treated teeth are without equal.1 As it is manifest that a natural tooth is preferable to an unnatural replacement, it is therefore incumbent on the practitioner to be familiar with what is possible in

October 1, 2006 Feature Endodontics

More Effective Endodontics Than Rotary NiTi

by Barry L. Musikant and Allan S. Deutsch

Regardless of what system is used to shape canals, the goal is to render a canal devoid of as much tissue as possible, producing a shape that can be obturated as close to 100% as possible. Knowing that tissue in

Dr. Mounce
August 1, 2006 Feature Endodontics

Endodontic Success: Two critical steps

by Rich Mounce, DDS

In my opinion, the advent of predictable implant therapy is a good stimulus for endodontics. Implant therapy has, in one view, called on endodontics to improve its predictability, safety and efficiency. If endodontics has a rival in implants, endodontics must