Search

Key Topics in Restorative Dentistry

Category

Endodontics

Acute endodontic and dental trauma provision during the COVID-19 crisis by Ayub & Alani

COVID-19 (also known as coronavirus) has had a profound impact on dentistry, with all elective treatment grinding to a halt initially and a slow phased return to normal services. The guidance available regarding treating dental emergencies is currently advice, analgesia... Continue Reading →

Factors Determining Post Selection, Foundation Restorations and Review of Success & Failure Data

The longevity of endodontically involved teeth has been greatly enhanced by continuing developments made in endodontic therapy and restorative procedures. It has been reported that a large number of endodontically treated teeth are restored to their original function with the... Continue Reading →

Restorative Considerations in Deciding Whether to Restore or Remove Endodontically Treated Teeth by Spear

The interdisciplinary team is often confronted with the decision of whether to retain or remove questionable teeth that have already been treated endodontically. The purpose of this article is to review the restorative criteria that must be met in order... Continue Reading →

“Biological Restoration”: Root Canal and Coronal Reconstruction by Correa-Faria et al.

Anterior tooth fracture, as a result of traumatic injuries, frequently occurs in dentistry. Proper reconstruction of extensively damaged teeth can be achieved through the fragment reattachment procedure known as “Biological Restoration.” This case report refers to the esthetics and functional... Continue Reading →

Root end surgery UR1 and cyst removal by John Rhodes

An informative video with some brilliant footage of the management of a upper right central incisor. https://youtu.be/EaMxV8kNCWo CLICK HERE TO BOOK THE RESTORABILITY SYMPOSIUM

Ferrule Effect – Literature Review

Preserving intact coronal and radicular tooth structure, especially maintaining cervical tissue to create a ferrule effect, is considered to be crucial for the optimal biomechanical behavior of restored teeth. The ferrule effect has been extensively studied and still remains controversial... Continue Reading →

Continued apexogenesis of immature permanent incisors following trauma by Welbury & Walton

Two cases of trauma to immature teeth are described which differed significantly in their initial severity. However, both subsequently presented with continued apical root formation. In the two cases a histological examination after tooth removal confirmed continued apical development ot... Continue Reading →

Endodontics and the ageing patient

Patients are living longer and the rate of edentulism is decreasing. Endodontic treatment is an essential part of maintain-ing the health and well-being of the elderly. Retention of natural teeth improves the quality of life and the overall healthand longevity... Continue Reading →

A practical guide to endodontic access cavity preparation in molar teeth by Patel & Rhodes

The main objective of access cavity preparation is to identify the root canal entrances for subsequent preparation and obturation of the root canal system. Access cavity preparation can be one of the most challenging and frustrating aspects of endodontic treatment,... Continue Reading →

Restoration of endodontically treated teeth, Manocci & Cowie 2014

The restoration of endodontically treated teeth has undergone significant changes in the last 20 years. Most of these changes are associated with the preservation of tooth structure, this has been achieved first of all with the increasing use of operative... Continue Reading →

Guidelines for management of sodium hypochlorite extrusion injuries by Farook et al. 2014

Sodium hypochlorite (NaOCl) is the most common irrigant used in modern endodontics. It is highly effective at dissolv- ing organic debris and disinfecting the root canal system due to the high pH. Extravasation of NaOCl into intra-oral and extra-oral tissues... Continue Reading →

Has MTA had its day ?

I have used MTA since my MSc in Endo some 15 years ago. At that time there were not many other alternatives, especially when considering the non-vital open apex cases. Prior to that I remember as an undergraduate seeing post... Continue Reading →

Post-and-cores: Past to present by Terry & Swift

For more than 250 years, clinicians have written about the placement of posts in the roots of teeth to retain restorations. As early as 1728, Pierre Fauchard described the use of “tenons,” which were metal posts screwed into the roots... Continue Reading →

Restoration of the root canal treated tooth by Eliyas et al.

When considering endodontically treated teeth, the quality of the restoration is important from the outset. It sheds light into possible causes of pulp necrosis or failure of endodontic treatment and influences the outcome of future endodontic treatment. A tooth undergoing... Continue Reading →

Contemporary endodontics – part 1 by Barnes & Patel

This is the first of two review papers which aim to update the general dental practitioner on contemporary endodontic practice. This first paper reviews advancements in knowledge of endodontic infections, case selection and diagnosis. An overview is given of contemporary... Continue Reading →

Contemporary obturation of the root canal system by Tomson

This article will provide an overview of the rationale behind taking a contemporary approach to obturation of the root canal system. It will outline a broad range of obturation materials including those traditionally used and newer, advanced ones that are... Continue Reading →

Nonvital Tooth Bleaching: A Review of the Literature and Clinical Procedures by Plotino

Tooth discoloration varies in etiology, appearance, localization, severity, and adhesion to tooth structure. It can be defined as being extrinsic or intrinsic on the basis of localization and etiology. In this review of the literature, various causes of tooth discoloration,... Continue Reading →

Beautiful documentation by John Rhodes of microsurgical endodontics

http://www.rootcanals.co.uk

The Ferrule Effect-A short video

    Click here for Key Topics in Restorative Dentistry Symposium on Occlusion

Micro-surgical endodontics by Eliyas et al.

Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis,... Continue Reading →

Sclerosed premolar management by John Rhodes

Case by John Rhodes http://www.rootcanals.co.uk Click here for Key Topics in Restorative Dentistry Symposium on Occlusion

The ‘Nayyar’ core, a video by Mahul Patel and a paper on immediate core build-ups for root canal treated teeth by Southard 1999

Amalgam Build-Up from DrMahulPatel on Vimeo. One of the primary objectives of endodontic therapy is to establish an adequate seal with the root canal filling material. The placement of an immediate coronal buildup at obturation, in conjunction with the rubber... Continue Reading →

Cracked molar management

Case by John Rhodes http://www.rootcanals.co.uk Click here for Key Topics in Restorative Dentistry Symposium on Occlusion

Root Canal Treatment 100 years ago

How much has really changed in 100 years in clinical practice? This video shows root canal treatment from 1917...as you can see rubber dam was used, as was sodium hypochlorite, Gutta Percha and the recognition that the canal system needed... Continue Reading →

Assessing restored teeth with pulp and periapical diseases for the presence of cracks, caries and marginal breakdown by Abbott 2004

BACKGROUND: To determine whether clinical examinations and periapical radiographs provide sufficient information to assess the cause of pulp and periapical diseases, the status of teeth when restored and their further treatment needs. Other aims were to determine whether restorations should be... Continue Reading →

Decoding the pulp floor

Case by John Rhodes http://www.rootcanals.co.uk

Sodium Hypochlorite accident and complications

Aqueous sodium hypochlorite (bleach) solution is widely used in dental practice during root canal treatment. Although it is generally regarded as being very safe, potentially severe complications can occur when it comes into contact with soft tissue. This paper discusses the... Continue Reading →

Endodontic management of a horizontally root fractured central incisor

Case by John Rhodes http://www.rootcanals.co.uk  

Why keep the canal patent ? An article by Khatavkar & Hegde

One of the major controversies in root canal concerns the apical limit of instrumentation and obturation. A number of anatomical histological studies have been carried out to determine the true termination of the root canal. The apical extent of the... Continue Reading →

Dens Invaginatus is a problem from the outside in. A review by Alani & Bishop 2008

This review considers the different possible nomenclatures and concludes that dens invaginatus is the most appropriate description. The paper highlights the different reported prevalence figures and concludes that the problem is probably one of the most common of the dental... Continue Reading →

The Endocrown: A Different Type of All-Ceramic Reconstruction for Molars by Fages and Bennasar

The endocrown is indicated for the endodontic restoration of severely damaged molars. This monolithic, ceramic adhesive restoration requires specific preparation techniques to satisfy criteria that are primarily biomechanical in nature: a cervical margin in the form of a butt joint... Continue Reading →

Endodontic-orthodontic relationships, a classic review by Guttman and Hamilton 1999

There is a paucity of information on the concise relationship between endodontics and orthodontics during treatment planning decisions. This relationship ranges from effects on the pulp from orthodontic treatment and the potential for resorption during tooth movement, to the clinical... Continue Reading →

Treatment Options for Teeth with Open Apices and Apical Periodontitis by Raldi

Three clinical cases involving teeth with open apices and apical periodontitis were treated using different protocols. The first case was managed with intracanal calcium hydroxide paste for 12 months before obturation with gutta-percha and sealer. In the second case, an... Continue Reading →

Apical limit and working length in Endodontics by Stephane Simon et al. 2009

Establishing the working length is an important step in endodontic treatment as inaccurate length determination may lead to failure. There is an ongoing debate regarding the extent of the apical limit of root canal preparation. This controversy is based upon... Continue Reading →

Risk Management in Endodontics by Webber British Dental Journal 2010

Endodontic procedures are challenging and technically demanding. In the UK standards of treatment have been shown to have fallen short of acceptable guidelines, laying many dentists open to litigation on questions of clinical negligence by patients who understand and know... Continue Reading →

Dental Resorption -Diagnosis and Management by Darcey 2013

In this second paper the clinical indicators of root resorption and their diagnosis and management are considered. While the clinical picture can be similar, pathological processes of resorption vary greatly from site to site and this paper pro- poses appropriate... Continue Reading →

What causes a file to fracture ? How can we prevent it ?

Endodontic file fracture has traditionally been considered an uncommon event; however, a recent perception of increased fracture incidence with rotary nickel-titanium (NiTi) instruments has emerged.

Russian Red Paste

Paper on Russian Red Paste

Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report by Kahler ADJ 2011

Microsurgical endodontic retreatment of a maxillary molar with a separated file: a case report

Dental Resorption-Pathology, Classification and Aetiology by Darcey 2013

This paper will explore the pathological process involved in dental resorption as well as its classifications and aetiology. The second subsequent paper will look at its diagnosis and management.

Clinical decision making after endodontic file fracture McGuigan et al. British Dental Journal, 2013

When a file fractures during root canal treatment there are several treatment options available to the clinician. The definitive management should be based on a thorough knowledge of the success rates of each treatment option, balanced against potential risks of removal or file retention. Although integration of modern techniques into endodontic practice has improved the clinician's ability to remove fractured files, removal may not always be possible or even desirable.

Maxillary Molar Root Canal Morphology and Anatomy

Canal configuration in the mesiobuccal root of the maxillary 1st molar and its endodontic significance Weine 1969 Mesiobuccal roots of 208 extracted maxillary first molars were sectioned from a mesial approach in a buccolingual direction using sand paper. Type I... Continue Reading →

Endodontics or Implants ? British Society of Restorative Dentistry lecture 2014, Peter Briggs

  https://youtu.be/nYmvyh2atZs

San Antonio Guide to the Classical Endodontic Literature

This literature guide to the classic literature provides postgraduates with a plethora of knowledge in an easy to access pdf. Click below. San Antonio Guide to Classic Endodontic Literature

Endodontic Access Upper 6

Credit: rpcendo

Endodontic Basics: Irrigation

The success of endodontic treatment depends on the eradication of microbes (if present) from the root-canal system and prevention of reinfection. The root canal is shaped with hand and rotary instruments under constant irrigation to remove the inflamed and necrotic... Continue Reading →

Endodontic Basics: Working length determination

Working Length Determination Mahmoud Torabinejad James Gutmann on Problem Solving in Working Length Determination Working Length Determination Sharma & Arora

Undergraduate Society Prizes Index

British Society of Prosthodontics-Kulzer Undergraduate Award British Endodontic Society Student Essay Prize-The Harty Prize British Endodontic Society Elective Period Prize British Endodontic Society Foundation Dentist Prize British Society for Periodontology-Frank Ashley Undergraduate Prize British Society of Paediatric Dentistry The National... Continue Reading →

Useful online Dentistry papers and resources

Restorative Dentistry RCS Diagnosis, prevention and Management of Dental Erosion RCS Management of Temporomandibular disorders RCS The Oral Management of Oncology patients RCS NHS Implant guidelines RCS Restorative Dentistry needs complexity assessment BSRD Crown and Bridge Guidelines McGill Consensus on... Continue Reading →

Diploma in Operative Dentistry at Kings

What are the aetiology and risk factors for dental trauma injuries ? A summary of a study by Ulf Glendor

Below is a summary of the main risk for dental trauma injuries as per a review by Ulf Glendor. Oral predisposing factors Patients with an overjet of over 5mm Lip incompetance Protrusive nature of incisor position Unintentional traumatic dental injuries... Continue Reading →

What are the characteristics of a peri-apical (radicular) cyst ?

Its not uncommon for practitioners to refer to specialists or secondary care units for treatment of a 'periapical cyst' or 'radicular cyst'. The only surefire way of diagnosing the presence of a cyst is through histology, although such lesions do... Continue Reading →

Lateral luxations-a short animation on management

Factors needing consideration prior to planning root canal treatment-A revision infographic

There are numerous factors that need considering prior to providing root canal treatment these have varying importance depending on presentation. Important factors include patient related issues, periodontal status, the endodontic difficulty, the amount of remaining tooth structure and the history... Continue Reading →

Endodontic Microsurgery: A new paradigm in apical disease management by Daniel Flynn

The advent of predictable implant technology has challenged endodontists to adopt more techniques into their armamentarium. Endodontists need to be able to provide high quality predictable treatments. Gone are the days of the clumsy apicectomy and amalgam retrograde fillings. Like all... Continue Reading →

Endodontic Irrigation…whats the secret ?

Irrigation is the key step in disinfection of the root canal system. Reducing the bacterial load within the apical 3mm of the canal in preparation for obturation is largely achieved with chemo-mechanical debridement utilising files and hypochlorite. The method with... Continue Reading →

Avulsions…time is precious! 

Avulsion injuries are devastating for our patients. A model patient tepeing away for years and all of a sudden bang they go from 28 pearly whites to a gappy smile that can be both physically and mentally debilitating. These injuries... Continue Reading →

Magnification and Endo…you can’t treat what you can’t see !

It's true, did you ever meet an orthopaedic surgeon who could mend a broken leg blindfolded ? Visualisation is everything in any procedure and if you can't see it you can't treat it. In many cases not seeing can result... Continue Reading →

The endodontic-implant continuum

About 5 years ago I was approached  by the Royal College to do a paper on the endodontic implant interface. At the time the conjecture about the longevity, survival and success of implants was starting to being questioned both within... Continue Reading →

 Without appreciating the anatomy of the root canal system optimal access, preparation and obturation may be impossible to achieve. The most commonly used medium of plain radiographs do not provide enough information pre treatment to fully appreciate all the anatomical... Continue Reading →

Up ↑

%d bloggers like this: