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 →
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 →
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 →
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 →
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 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 →
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 →
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.
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 →
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 luxation can be a daunting injury to manage. The issue stems from the fairly strange position the tooth presents with and the relative rigidity of the tooth. This is by and large caused by the dislodgement of the tooth... Continue Reading →
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 →
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 →
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 →