Guilty Until Proven Innocent

Bioceramics

Have we gone too far with rating our health care providers?   I am an otherwise lovely middle-aged woman, who is going through menopause. What that means is that on good days I wake up merely hating most people. Bad days are at least one log scale worse. Let’s just say I have been heard … Read more

Dental Tourism: Caveat Emptor

Viewpoint FIGURE #1 alternate text for this image

Many of our patients are attracted to the allure of cheaper dental treatment abroad. Tooth #36 in the accompanying radiograph (Fig. 1) and photo (Fig. 2) is an example of such a case. Unfortunately in this case, almost every possible iatrogenic endodontic mishap was encountered. This treatment is substandard and if done in Canada the … Read more

Increasing Use of Bioceramics in Endodontics: A Narrative Review

Bioceramics

Abstract Successful outcomes of root canal treatment, in addition to a multitude of factors, also depends on the prevention of reinfection of the root canal space. The ultimate goal of root canal treatment is prevention or healing of apical periodontitis. The use of biologically active materials to seal root canal systems has been extensively proposed … Read more

NiTi Goes Gold “Ten Clinical Distinctions”

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The purpose of this article is to specifically evaluate the new ProTaper Gold: “A One Year Clinical Performance Retrospective.” Nickel titanium (Ni-Ti) file systems have come and gone. Mostly gone. Since the introduction of the first files around 1993, 1 industry, scientists, dental companies and clinicians have all been looking for the magic file. While … Read more

Bio-Minimalism: Trends and Transitions in Endodontics

Bio-Minimalism

Extract Preservation of natural tooth structure during an endodontic procedure is paramount in order to ensure predictable clinical success. In the past, access cavity preparation, instrument design and taper as well as spatial accommodation for obturation techniques has inadvertently induced iatrogenic potential to the results achieved and over time, functional stresses have caused the tooth … Read more

Successful Endodontic Treatment of Internal Cervical Root Resorption

Internal Cervical Resorption

 Using Er,Cr:YSGG 2780nm and Diode 940nm Laser Systems: A Three-Year Follow-Up Case Report Abstract Endodontic therapy for teeth diagnosed with irreversible pulpitis has been in use for many years, and continues to be the standard of care in the dental practice. In simple cases, where mechanical instrumentation and chemical irrigation can achieve sufficient cleaning and … Read more

Cone Beam Computed Tomography (CBCT) in Endodontics: A Case Series

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Clinical examination and radiographic imaging are the key steps in diagnosis and treatment planning in endodontics. Up until recently, intraoral, panoramic, and occlusal radiographs were the only imaging modalities available to dentists to rely on. These radiographs are two-dimensional (2D) images of three-dimensional (3D) structures with their inherent limitations such as image distortion and superimposition. … Read more

Improving Predictability of Final Outcomes in Full Mouth Reconstruction

Full Mouth Reconstruction

Chief Complaint A 35-year-old female patient was referred to our office by her husband on an emergency basis. The veneer on the upper left first premolar had fractured off. At that time all remaining residual cement was removed and the veneer sent to our lab to be cleaned and was silanated. It was subsequently rebonded … Read more

Enhanced Properties of a Classic Material: Clinical Case Report

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Female patient, 47 years old, presented with a clinical picture of extensive iatrogenic perforation of the furcation region of the dental element 36 (Fig. 1), associated with radiographic bone loss, vestibular fistula and pain on palpation. The patient reported history of having been previously subjected to an urgent intervention in this tooth by other professional, … Read more

The Pharmacological Management of Dental Caries

Bioceramics

Every two years, IDS in Cologne showcases the latest in dental technology and points to the future direction of dentistry. About 75 percent of the products on display this year indulged in high-tech manifestations of operative dentistry that were predicated on the ongoing progression of dental disease and tooth loss. One had to sift carefully … Read more

At the Root: You Never Forget Your First

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By Dental tradeshow standards, arguably within North America, either the Chicago Midwinter Dental Meeting, or the Greater New York Meeting would be the largest. In Canada, most likely the Pacific Dental Conference is the largest. Imagine if you will, five buildings, each having the size of tradeshow floor as the North American ones do. Except, … Read more