Closed-System Negative Pressure Irrigation

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

Optimal Canal Disinfection: Concepts, Materials And Evidence-Based Protocols

Canal disinfection, controlled memory nickel titanium, CBCT imaging, surgical microscopes, among other advances, have changed the clinical practice of endodontics dramatically in the past 20 years. CBCT provides a three-dimensional pre-operative guide to canal anatomy, which is subsequently interpreted through the microscope clinically (Fig. 1). Controlled memory nickel titanium instruments provide a faster, more predictable, … Read more

When you get to the fork in the road, take it…….

Please note: It is the intention of this blog as it approaches its second anniversary to expand its solicitation of cases, op-ed pieces such as this one, commentary on the sophistication (proven and unproven) of product, and laboratory technology. Where possible, the use of the commentary section will be tweaked to lead to the development … Read more

Yes, there is an endo god and his name is Markus Haapasalo

For once, the use of files, or new files, or one file, or a twisted file, or a new obturating material, or a Teflon obturation material, or the sealer du jour or the handpiece du jour is not the focus of an industry related, industry driven, royalty or honorarium linked publication and the article under … Read more

Veritas; In the realm of the philosopher kings

Please bear with me re; this particular blog entry. It is an experimental model for future design parameters of both clinical and op-ed pieces on the winds of change in dentistry. As well, it is hoped that it can in time, be used to denote transitional change as product, technique and philosophy iterate temporally as … Read more

Veritas – If it seems too good to be true, it most likely is.

All I want is the truth, just gimme some truth – John Lennon (1940 – 1980) Endodontics is once again careening towards technologic revisionism – and the marketing by the companies veers as always towards corporate hegemony and their advocates as always are out in solipsistic full force; the question is, does technology improve the … Read more