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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 →

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

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 →

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 →

Lets talk about Tooth Restorability…a collection of sources on an expansive subject

Restorability is a fairly nebulous term that many may consider subjective and individual to the clinician, the tooth and the patients perception of what they would accept as an outcome. I liken attempts at rationalising the process of the assessment... 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 →

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 →

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 →

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  

Cracked tooth syndrome. Part 1: aetiology and diagnosis by Banerji et al. 2010

Symptomatic, incompletely fractured posterior teeth can be a great source of anxiety for both the dental patient and den- tal operator. For the latter, challenges associated with deriving an accurate diagnosis together with the ef cient and time effective management... Continue Reading →

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 →

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.

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

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 →

The ‘Heavy Metal’ Generation

I watched 'Logan' recently-it was a fairly emotional affair illustrating the slow demise of both Wolverine and Doctor X. The former slowly succumbing to the poisonous adamantium (rhymes with stuff we use!) and the latter to alzheimers and dementia. Wolverine... 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 →

Contemporary Issues in the provision of Restorative Dentistry

Contemporary issues in the provision of Restorative Dentistry At the current time there are many challenges associated with managing the need for restorative dentistry at all levels within the NHS. This is a multifactorial problem from training, funding, increased need,... Continue Reading →

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