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Endodontics

Should retention of a tooth be an important goal of dentistry?

This summary is based on the article published in the Australian Endodontic Journal: Should retention of a tooth be an important goal of dentistry? (April 2015) Jessica J. Zachar Context Whether a questionable tooth should be treated endodontically or extracted, is still a dilemma that clinicians encounter every day. With advances in technology such as implantology, deciding whether or not to save a tooth is still not clear. Local site-specific factors and patient-related factors that may affect the longevity of a particular tooth should be considered in preparing the treatment plan. Long-term success rates for root canal therapy and implant-supported ...

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How important is it to find the second mesiobuccal canal in maxillary molars?

Dr. Rodrigo Cunha from the College of Dentistry at the University of Manitoba explains the importance of finding the second mesiobuccal canal in maxillary molars. If you have any questions, you can either email Dr. Cunha or send an email to oasisdiscussions@cda-adc.ca Watch the video     

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Are more conservative root canal preparations and smaller tapered files better in preserving tooth structure during endo?

This question was submitted by a general dentist:  Are more conservative root canal preparations and smaller tapered files better in preserving tooth structure during endo? The trend seems to be shifting from large tapers(0.8.0.6) occlusally, plus large size files(30, 35) in order to facilitate access of irrigants and flushing into the depths back to keeping the canals narrow in order to preserve tooth structure and prevent fractures etc.  Do please advise. Dr. Mary Dabuleanu from Dabuleanu Dental and Dr. Suham Alexander provided this quick initial response:  It has been suggested that smaller access preparations and smaller tapered rotary files allow for more ...

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Oasis Case Conference – management of the failed root canal treatment on 16

The management of this case is provided by Dr. Mary Dabuleanu from Dabuleanu Dental A CDA Oasis Case Conferences is a two-part presentation of a clinical case. In Part 1, we invite you to watch the short video of the case and provide comments about a possible diagnosis and treatment. You will also have the opportunity of submitting any questions you might have related to the case*. In Part 2, the case presenter shows how the case was managed and answers key questions.   * When you submit comments and questions in conjunction with Part 1 of the case conference, they do not go live on the ...

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What are the outcomes of the Toronto Study: Phase 3-4: Orthograde Retreatment?

This summary is based on the article published in the Journal of Endodontics: Treatment Outcome in Endodontics: The Toronto Study—Phases 3 and 4: Orthograde Retreatment Cristian de Chevigny, DMD, MSc, Thuan T. Dao, DMD, MSc, PhD, Bettina R. Basrani, DDS, PhD, Vincent Marquis, DMD, MSc, Mahsa Farzaneh, DDS, MSc, Sarah Abitbol, DDS, MSc, and Shimon Friedman, DMD This study is a reference to the Oasis Case Conference with Dr. Mary Dabuleanu  Context The Toronto Study Project was established in 1993, with the intention to augment the evidence supporting endodontic treatment by prospectively investigating the 4- to 6-year outcome of treatment ...

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Oasis Case Conference – failed root canal treatment on 16. What’s your diagnosis?

This case was submitted by Dr. Mary Dabuleanu from Dabuleanu Dental A CDA Oasis Case Conferences is a two-part presentation of a clinical case. In Part 1, we invite you to watch the short video of the case and provide comments about a possible diagnosis and treatment. You will also have the opportunity of submitting any questions you might have related to the case*. In Part 2, the case presenter shows how the case was managed and answers key questions.     * When you submit comments and questions in conjunction with Part 1 of the case conference, they do not go live on the Oasis Discussions ...

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What are the biological considerations in the management of traumatic dental injuries?

This summary is based on the article published in Endodontic Topics: Biological considerations in the management of traumatic dental injuries (May 2014) Leif K. Bakland and Jens Ove Andreasen Courtesy of Wiley Publishing, you can access the full-text article here for the next 3 months.    Context The use of established procedures for the management of patients with traumatic dental injuries should optimize both immediate and long-term outcomes. Dental injuries are not always easy to manage, even with available guidelines; the typical injury is often complicated by being a combination of several types of traumas (e.g. crown fracture combined with ...

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How often and over what time period will any excess root canal cement/sealer dissolve?

This question was submitted by a general dentist: If expressed through the apical foramen during RCT, how often and over what time period will any excess root canal cement/sealer dissolve? Dr. Mary Dabuleanu from Dabuleanu Dental and Dr. Suham Alexander provided this quick initial response:            Root canal sealers or cements play an important role in endodontic treatment such as: filling irregularities between the filling material and root canal walls filling accessory canals and foramina of canals binding agent for gutta percha or other core material to the dentin illustrates presence of areas of resorption, internal shape ...

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