ABSTRACTAs an oral and maxillofacial surgeon I am often asked by referring dentists what the protocol is for dealing with patients who are taking bisphosphonate medication. These drugs are associated with what has been termed Bisphosphonate-Related Osteonecrotic Jaw (BRONJ). It is important to note that there are now additional drugs that have been implicated in … Read more
INTRODUCTION AND REVIEW OF THE LITERATUREOrthodontic tooth movement is dependent on changes to the local environment, including vascular changes, recruitment of inflammatory mediators and alveolar socket remodelling.1 In most instances, orthodontic tooth movement occurs without significant damage to the teeth and surrounding periodontium. Rarely, pulpal side effects may occur, including altered pulpal respiration rate, internal … Read more
The principles of three dimensional cleaning, shaping and obturation of the root canal system which are the foundations for predictable endodontic success were outlined by Schilder over four decades ago and remain pertinent even with all the technological advances that have been made since the turn of the century1,2 The preparation of the root canal … Read more
Four handed dentistry has definitely led to some ease in practice and an increase in efficiency. However, it also has impacted the dental professional’s long-term health and well being. As a dental professional there is a requirement for precision, focus and unorthodox body positions. This combination may lead to prolonged sitting and standing positions in … Read more
As far back as 1967, Herb Schilder recognized that long-term endodontic success could approach 100%.1 For necrotic teeth, years of studies have demonstrated that success rates are usually lower.2 Cleaning and shaping a canal filled with bacteria would appear to pose a greater threat to success than simply having to remove inflamed tissue. So what … Read more
The American Association of Endodontists appointed its 2013-2014 officers and added four new members to its Board of Directors during the Association’s Annual Session, April 17-20, in Honolulu. Gary R. Hartwell, D.D.S., M.S., President. Dr. Hartwell recently retired from the University of Medicine and Dentistry of New Jersey’s New Jersey Dental School after nearly 10 … Read more
The state of the art in endodontics – Modern concepts in diagnostics and therapies – A core theme at IDS
Contemporary nonsurgical endodontic treatment includes several stages that have to be done lege artis in order to be successful: • A good access cavity that reveals all of the canal orifices, facilitates instrument introduction, and serves as a reservoir for the irrigant; • Mechanical instrumentation of the root canal system, which provides debridement of soft … Read more
We are fortunate to live in a society that has access to a superior level of dental care that is considered amongst the best in the world. Unfortunately, this is not the case for millions of people in countless other areas. In fact, it can be considered tragic. For many years now I have been … Read more
Congratulations to the editorial staff at Oral Health for putting together an issue devoted to serious medical conditions/problems that have dental solutions. I wish to especially thank Dr. Janice Goodman for her foresight in bringing these issues to the attention of the dental profession. I have had the opportunity to lecture to medical doctors on … Read more
The traditional irrigation method still used by the great majority of clinicians is represented by the Positive Pressure irrigation technique. It is based on delivering irrigant solutions into the root canals using syringes and irrigation needles by effect of the thrust (Positive Pressure) that the operator exercises on the piston of these syringes. A careful … Read more
More than 14,000 endodontic procedures are performed in the USA every year (American Association of Endodontists). Four percent of that number will require retreatment.1 The accepted objectives of root canal therapy are: Cleaning and shaping of the root canal space, disinfection of the canal space and three dimensional obturation of the root canal system. A … Read more
The restorative dentist is a multi-disciplined clinician and may embrace many aspects of dentistry including endodontics in their armamentarium. Restorative dentists realize that the restoration of endodontically-involved teeth needs a comprehensive approach to the complete and successful restoration of those teeth and are aware of the impact on the rest of the dentition and supporting … Read more
This is an endo related post. For those who are upset about my antipathy towards single file endodontics, rest assured, it will not be referenced, nor should you take away any sense that endodontic microsurgery and single file endodontics are mutually inclusive. It’s a blog folks, take from it what you will. I want to … Read more
One of the lads on the ROOTS forum read the original blog entry and sent the following along…….sharing and caring is simply nothing more than putting material and I guess, yourself, out there………other than being able to bomb a nuclear facility, staying under the radar achieves very little when it applies to things other than … Read more
A friend was reading some of the blog postings on endodontics and sent this along to share. I include it because the YOUTUBE is in Spanish and yet, it still speaks volumes. [youtube]http://www.youtube.com/watch?v=DZ4t8jJnMZk[/youtube] Interesting article for your perusal…http://www.slideshare.net/kendo160/m4-handpiece Gambarini G et al. Cyclic fatigue analysis of twisted file rotary NiTi instruments used in reciprocating motion – … Read more
How many files does it take to sculpt a root canal space if: (Illogical logic of dangerous dichotomies – PART DEUX) A root canal space is an arborizational, anastomotic, labyrinthine complexity, morphologically comparable to the pathways of a maze. http://endodontiafobusp.wordpress.com/2012/04/04/apical-delta/apical-delta1/ http://endodontiafobusp.wordpress.com/2012/04/04/apical-delta/apical-delta2/ http://endodontiafobusp.wordpress.com/2012/04/04/apical-delta/apical-delta3/ [youtube]http://www.youtube.com/watch?v=keVqnGbo5Pc[/youtube]
http://www.slideshare.net/kendo160/wave-one-jan2012 http://www.slideshare.net/kendo160/dentinal-tubule-infection-as-the-cause-of-recurrent-disease-and-late-endodontic-treatment-failure-a-case-report-12270277 If you read both these articles, you have to be left with a sense of the “dangerous dichotomies” in their relative perspective. If one were to consider all possibilities suggested “in a step by step linear manner” and then formulate a solution that is best for all contingencies, you are left with a disparate fait … Read more
This was gifted to us by Terry Pannkuk of Santa Barbara, CA. He is one of the most unique endodontic educators in the world and he brings to his efforts, the other gods of the endodontic pantheon. It’s unfortunate that my primary “gold mine” is endodontic, because this exists in all fields of dentistry. Folks … Read more
No one bit re; an answer to how to remove the separated instrument from a blog entry a few entries back………..thus, not to leave ya hangin’…….. Comment from dentist performing the procedure asking for assistance: “The tooth was necrotic, the referring dentist said he got to the apex with a #20 K file and then … Read more