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Endodontics

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 →

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