Oral Health Group

Topic
Endodontics

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…

 FIGURE 10
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…

 FIGURE 1--The value with regard to the benefits of bonded obturation cannot be overstated and include for the first time, an obturation that to the greatest extent possible in Endodontics ever, fulfils the three principle functions of a root canal filling listed above. In the empirical opinion of the author, there is no credible evidence in the endodontic literature that RealSeal is not the advance claimed.
June 1, 2006 Feature Endodontics

Bacteria, Bird Droppings, and Bonded Obturation: Clinical Decisions

by Rich Mounce, DDS

The conventional wisdom has traditionally been that, all things being equal, it didn’t matter what was put into root canal systems to obturate them. The old saying “What you take out is more important than what you put in” dominated…

 FIGURE 3C
May 1, 2006 Feature Endodontics

One Method to Remove Separated Rotary Nickel Titanium Files

by Rich Mounce, DDS and Gary Glassman, DDS, FRCD(C)

At hands on courses, we are frequently asked how to remove separated rotary nickel titanium files (RNT). It is a skill that has taken years to learn and will continually evolve. Removal of separated rotary files can be addressed from…

 FIGURE 19B
May 1, 2006 Feature Endodontics

A Celebrity Wedding! Hero Joining Sonic

by A. Utku Ozan, DDS, MS

This article provides the clinicians a higher success ratio in endodontic treatment by focusing on advanced mechanical preparation. The protocol of advanced technique is not only increasing quality of prognosis but also the efficiency. Since the introduction of Giromatic (90…

 FIGURE 6--The ProTaper Universal files link concept with computer modeled design configurations that provide for an efficient and effective means of shaping the root canal space.
May 1, 2006 Feature Endodontics

From Concept to Creation: A Vision Forty Years On

by Robert Kaufmann, DMD, MS; Kenneth S. Serota, DDS, MMSc, Clifford J. Ruddle, DDS

The Five Ages of Man are said to be the Golden Age, the Silver Age, the Brazen Age, the Heroic Age, and the Iron Age. Endodontics has passed through many ages as the discipline transitions to increasingly predictable clinical success.…

 FIGURE 8
May 1, 2006 Feature Endodontics

The Use of a Chelating Agent and Ultrasonic Tips in the Retrieval of Broken Rotary Ni-Ti

by Philippe W Sleiman, CD-D.E.S.E.

The purpose of this article is to correlate the importance of irrigating with chelating agents (and their chemical reaction in eliminating the debris from between the flutes of separated nickel titanium files), with the ability to retrieve and/or bypass instruments…
May 1, 2006 Feature Endodontics

Endodontic Principles That Govern

by Stace D. Lind, DDS

I would rather not give you another ‘how to’ article or another preaching ‘sermon’ telling you how to practice but would rather teach correct principles that govern endodontic success and allow you to govern yourself. A correct principle can and…

 Steven Cohen
May 1, 2006 Feature Endodontics

Bacteria: The Evil of All Root

by Steven Cohen, DDS, Cert. Endo, Gary Glassman, DDS, FRCD(C)

Picture this: A small town in the Wild West Frontier. The street is deserted, it’s high noon, and the sun is beating down on this dust bowl of a town. Two gunfighters square off for a showdown, each at one…

 FIGURE 1
May 1, 2006 Feature Endodontics

Creating Excellent Endodontic Results: A Case History

by Richard Mounce, DDS

We can learn more from our clinical failures than our successes. If we will allow it, the cases that have less success can be great teachers if we are open to their lessons. Such is a case pictured in Figure…

 12F) Three month recall, no symptoms, and furcation lesion reduced in size.
May 1, 2006 Feature Endodontics

Rips, Strips and Broken Tips: Handling the Endodontic Mishap

by Steven Cohen, DDS, Cert. Endo, Gary Glassman, DDS, FRDC(C), Richard Mounce, DDS

PART II: The Perforation
March 1, 2006 Feature Endodontics

Fine Tuning In Canal Negotiation: A Paradigm of Excellence (PART II)

by Rich Mounce, DDS

To answer the question that was asked (Feb/06 pg. 8) by a reader, no, hand K files are not meant to be inserted into canals that cannot support the diameter of the given file. Said differently, the hand file will…
February 1, 2006 Feature Endodontics

Fine Tuning in Canal Negotiation: A Paradigm of Excellence (PART I)

by Rich Mounce, DDS

Recently I received e-mail from a reader asking me to comment on negotiation of canals with hand files. I had mentioned in a previous column that, all things being equal, small K files should be “precurved and placed into the…
January 1, 2006 Feature Endodontics

Endodontic Access Through a Crown: Clinical Considerations

by Richard Mounce, DDS

Making endodontic access through a crown and repairing the access opening in lieu of making a new crown is problematic. In my empirical opinion and experience, the vast majority of crowns that I have accessed, either for first time treatment…

 FIGURE 3C--Post-operative radiograph displaying convergence of middle mesial and mesiolingual canals.
December 1, 2005 Feature Endodontics

Expecting the Unexpected. The Beauty of Endodontics: Part I Middle Mesial Canals of Mandibular First Molars

by Glen Partnoy, DDS, MS, FRCD(C)

Bacteria are the primary etiologic agents in pulpal and periapical infection.1-3 Therefore, the aim of successful endodontic therapy should be to thoroughly debride the canal system of organic substrate, infected pulp tissue and microorganisms and to seal the canal space…
December 1, 2005 Feature Endodontics

Is It Essential To Pre-curve K Files Before Use?

by Rich Mounce, DDS

In a word, yes! K files are indeed essential to pre-curve prior to use. First off, canal systems are never straight, no matter how the radiograph may appear. No line in nature is straight and canals contain a dimension of…