The goal of endodontic treatment is to prevent or cure, when present, Lesions of Endodontic Origin, at times referred to as apical periodontitis. The role of bacteria in the pathogenesis of endodontic disease is well established, and therefore, it is critical to eradicate these pathogens by employing the highest level of presently developed standards. This … Read more
Irrigation of root canal systems is the most important aspect of RCTT 1,2,3, yet it may also be the least understood thing we do inside these complex spaces.4 Evidence for that statement is the fact that, to this day, very few endodontists understand how the introduction of rotary shaping files caused an increase in our irrigation failures,5 not to … Read more
The internet has made the world smaller, connecting us in ways unimaginable just a decade ago, and this has served to forever change the endodontic educational model. Specifically, online endodontic education takes on a variety of forms, such as online courses, webinars, podcasts, and YouTube videos. Additionally, online education is offered on discussion forums and … Read more
This paper is written from my perspective as a “wet-fingered” GP engaged fully in private practice. As dentists, our technical excellence involving hand-eye coordinated skills is highly valued and therefore often our primary focus throughout the educational process and in daily practice. This is one foundational pillar for efficacious care. A second pillar is a … Read more
In modern endodontic practice, the focus has shifted from traditional cleaning, shaping, and filling methods to prioritizing conservative canal shaping first, opening the canals, and using advanced disinfection protocols with irrigation, enabling more effective cleaning before three-dimensional filling.1 To be more accurate and descriptive of root canal anatomy, it is recommended to use the term … Read more
An accurate endodontic diagnosis is based on a variety of clinical tests, including thermal and electric pulp testing, percussion, bite stick, periodontal probing, and palpation. However, each of these subjective tests is prone to both false positive and false negative responses that could result in the inability to get an accurate diagnosis or the treatment … Read more
Dr. Gary Glassman shares a couple of his top troubleshooting tips for using an apex locator to ensure you’re getting the best results. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
The ultimate goal of endodontic treatment is the prevention and/or treatment of apical periodontitis such that there is complete healing and absence of infection1 while the overall long-term goal is the placement of a definitive, clinically successful restoration and preservation of tooth structure. Successful endodontic treatment depends on a number of factors, including proper instrumentation, successful … Read more
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A “career” is an occupation undertaken for a significant period of a person’s life and with opportunities for progress.1 But how does one ensure not just progress but fulfilment and happiness? Having worked as an endodontist for more than 30 years and completed more than 50,000 treatments, I have evolved and expanded my approach and philosophy … Read more
Dr. Gary Glassman discusses the top 5 best ways to use an apex locator when working on a root canal. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
Dr. Gary Glassman answers the question, “when is the best time to restore an endodontically-treated tooth?” Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
Endo expert, Dr. Gary Glassman, returns to the series to discuss his irrigation protocol that is used in his final irrigation. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
Accidents happen! In this episode of Weekly Wisdom, Dr. Gary Glassman discusses how to best handle “procedural misadventures” or procedural accidents. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
Dr. Gary Glassman returns to Weekly Wisdom to discuss one of the most important parts of root canal treatment. Subscribe to Oral Health’s weekly e-newsletter to have the latest episode delivered straight to your inbox every week!
A case is presented on how an endodontic infection can contribute to extra-oral sinus tract, and the problems in diagnosis that can be related to this type of case. A literature search failed to show a pictorial progression of a cutaneous sinus tract. This report, with help from the patient, shows a diagrammatic progression of … Read more
The primary goal in endodontics is to save teeth and preserve long-term function. If a patient presents with a diseased or inflamed pulp, it must be removed from the root canal system in a manner that preserves tooth structure and restores occlusal function.1 Over the last ten years minimally invasive endodontics (MIE) is a concept … Read more
Abstract Endodontic surgical treatment of a root end pathology can be very successful when properly diagnosed. PRF, a type of blood derived concentrate, has shown promising results to improve healing of the surgical site as well as improve patient post operative pain and quality of life. The present article describes in detail the clinical application … Read more
Historically the glide path within the root canal system was enlarged with a series of hand files, but as hand files increase in size the stiffness also increases, thereby making procedural mishaps and ledge formation more likely. Hand files are also relatively inefficient requiring more chair-time to complete the procedure and may result in more … Read more
The purpose of endodontics is to prevent or heal lesions of endodontic origin (LEO).1 If preventing and healing is the purpose of endodontics, how do we increase endodontic predictability in order to accomplish the preferred result? The first step to successful endodontics is to decide if what I am doing is predictable. As a clinician … Read more
It is globally accepted that 3D cleaning and disinfection are central to endodontic success and that bacteria are ubiquitous in endodontically failing teeth. Yet, there is ongoing controversy regarding the very clinical methods used that directly influence eliminating these microbial invaders. The role of bacteria in the pathogenesis of endodontic disease is well established, and … Read more