May 2019

Dynamic Navigation For Orthograde And Retrograde Endodontics

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The Evolution of Surgical Navigation Transformative technologies are altering the developmental framework in dentistry. Digital imaging, diagnostics and impressions, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) for prosthesis fabrication and lasers for soft and hard tissue alterations can achieve degrees of bio-minimalism that were impossible a few scant years ago.1-5 Nowhere is this more prevalent … Read more

The Endodontic Restorative Harmonic: Part I Access To Apex, Apex To Access

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The restoration of endodontically treated teeth (ETT) has been guided historically by anecdotal empiricism rather than biomechanical dynamics. Decisions regarding the configuration of the restoration, the diameter of the post channel and the post and core materials to be used have plagued foundational dentistry for decades.1,2 The loss of coronal tooth structure due to caries,3 … Read more

Trends Towards Conservative Endodontic Treatment

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Introduction Consider a new patient who has come to a dental office and undergoes a screening examination. A quick look at any missing teeth may prompt a dentist to ask, why were these teeth lost? While patient responses may be vague, the answer often involves fractured endodontically treated teeth (ETT). For the most part, teeth … Read more

The Notorious MB2 Canal: How To Find And Treat It

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Introduction One of the most infamous canals we chase in endodontics is the second mesio-buccal (MB2) canal of maxillary molars. It’s often referred to as the “fourth canal” and is one of the most frustrating aspects of maxillary molar root canals. We have known of the presence of the MB2 canal for over a century. … Read more

Dynamic Endodontic Navigation: A Case Report

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As a child growing up in the sixties, I was a great fan of the famous “Star Trek” television show starring William Shatner. The original series debuted on September 8, 1966. The show tells the tale of the crew of the starship Enterprise and its five-year mission “to boldly go where no man has gone … Read more

Endodontic Engagement: The GP And Endodontist Can Achieve More As A Team

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The Pulse To truly feel the current pulse in dentistry, you must listen to what other dentists are thinking and saying. Online message boards are a great place to participate in the conversations that dentists are having. These forums give us a sense of the current trends. Social media is the emerging wave of communication … Read more

Choosing Wisely: Fostering Informed Conversations Between Patients And Dentists

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Introduction Earlier this year the Canadian Association of Hospital Dentists joined the Choosing Wisely Canada campaign. Choosing Wisely Canada is the national voice on reducing harm to patients. Modeled on the Choosing Wisely campaign in the United States, an initiative of the American Board of Internal Medicine (ABIM) Foundation, it is a national, clinician-led and … Read more