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Restorative Dentistry

Topical, interesting and useful learning resources on Periodontology, Endodontics and Prosthodontics !

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Endodontics

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

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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