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endodontology

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 →

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 →

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 →

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 →

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.

Endodontic Basics: Irrigation

PDF Review/Summary on Irrigation in Endodontics by M Haapasalo

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 →

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 →

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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