Endodontics

Dr. Joel Fransen: Which Technique to Use to Test for Pulpal Vitality Necrosis?

Dr. Joel Fransen answered a question that came our way from a Canadian dentist: Which technique do you tend to use to test for pulpal vitality necrosis? Chiraz Guessaier, CDA Oasis Manager    

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CE Showcase: Root Canals Done Better, Faster and Safer: A Practical Course for GPs

Dr. Manor Haas, Certified Specialist in Endodontics in Toronto, spoke with Dr. Chiraz Guessaier about his upcoming session at PDC 2017. Highlights Dr. Haas sessions run as follows:  Thursday, March 9, 2017: 8:30 – 11:00: Root Canals Done Better, Faster and Safer: A Practical Course for GPs Thursday, March 9, 2017: 1:30 – 4:00: Endo Workshop for GPs: Locate, Instrument and Obturate Canals Friday, March 10, 2017: 8:30 – 11:00: Endo Workshop for GPs: Locate, Instrument and Obturate Canals (repeat)      

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What happens when a gutta percha is extruded and broken beyond the apex?

Dr. Joel Fransen, Endodontist in Richmond BC, responded to a question submitted by a general dentist. Q: What happens when a gutta percha is extruded and broken beyond the apex? To share your comments, feedback or to ask a question, please email us at oasisdiscussions@cda-adc.ca  

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What Should You Consider When Making an Endodontic Diagnosis?

Dr. Joel Fransen, an endodontist from B.C, recently spoke with Dr. John O’Keefe about the terms used in endodontic diagnosis. Highlights Without the right diagnosis, endodontic treatment cannot be successfully performed. Reviewing the basics is important to help us become the “pulp whisperers”. Each tooth should have a diagnosis of the pulp tissue and periradicular area. Additionally, the adjacent teeth should also have similar diagnoses. Tips Ensure the reception team reminds patients to bring in their current medication list. Take a thorough medical and dental history. Use appropriate dental and endodontic terminology when communicating with dental providers. Determine if the ...

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The Use of Regenerative Techniques in Endodontics

In this short discussion, Dr. Isabel Mello, an endodontist from Dalhousie University, speaks with Dr. Suham Alexander about the use of regenerative techniques in endodontics. Highlights Regenerative techniques, although newer, have been used in apexification for teeth with necrotic pulps and open apices. This procedure is used to help revascularize teeth necrotic pulps and incomplete root formation, poor crown:root ratios, open apices and thin dentinal walls. Revascularization has the potential to improve these issues compared to other techniques. The technique still requires disinfection of the root canal system, intracanal medicaments, stem cells which are already present in the environment and a ...

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When Should You Refer a Case for Endodontic Treatment?

Drs. Gevik Malkhassian and Craig Bellamy, Endodontists in Toronto, spoke with Dr. John O’Keefe about when general dentists should refer patients for endodontic treatment.  Highlights While mid-treatment challenges can occur in a seemingly “straight forward” endodontic treatment, a careful pre-assessment of the tooth and one’s own skill and expertise can minimize and/or prevent some of these challenges before treatment is started. In some instances, it may be determined that an endodontic referral is in the best interest of the patient and the practitioner. Some of the questions to consider include: Do I feel comfortable completing this treatment? Have I successfully treated ...

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How to Avoid Common Endodontic Pitfalls in General Practice

Dr. Viraj Vora speaks to Dr. John O’Keefe about how to avoid pitfall in endodontics. This is important to keep patient satisfaction high and practitioner stress levels low. Key messages Good diagnosis of the patient’s problem and treatment planning is essential Proper case selection is also important for success Send appropriate cases to an endodontic specialist Avoid cases that will be unsuccessful that may lead to patient retention or litigation issues in the future Know your own level of expertise and your limitations – be honest with yourself Remember that patients gather information from various sources (friends, colleagues and internet searches) ...

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What is the impact of root canal disinfection on treatment outcomes?

This summary is based on information found in Disinfection of Root Canal Systems: The Treatment of Apical Periodontitis (Wiley Publishing, 2014)   Disinfection of the root canal system and its general effect on endodontic outcomes is a complex issue, parts of which have been studied widely, but its specific effect is not well documented in clinical trials with high levels of clinical evidence. It is understood that if a canal system can be filled after a negative culture is obtained, the outcome is better (1). The steps that produce a canal system with a low level of bacteria remaining are of some dispute, and what level is critical to produce ...

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