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May 2018
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,…