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What causes endo failures?

From Ian Furst, Coronation Dental Specialty Group When confronted with a failing endo the big question is, “how is the bacteria getting in?”. Was residual bacteria left during the original endo, is there a vertical root fracture or is there coronal leakage? Dr. Jason Hales, at The Endo Blog, reviews a case of a separated instrument where cleaning and shaping was still completed. Jason’s been posting this blog for years, and it’s a must read for endo.

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Clinical Case: Why is tooth #2.3 rotated & malformed?

From Dr. Milan Madhavji of Canaray Oral Radiology and Dr. Ian Furst of Coronation Dental Specialty Group A 23 year old female presents for orthodontic consultation regarding tooth #2.3 which is rotated and has a crown that appears mildly deformed.  See the 1st video below for a panorex and CT with 3D reformatting. The 2nd video has the answer and/or you can download the PDF radiology report. This link contains the final radiology report QUESTION VIDEO ANSWER VIDEO

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Based on scientific evidence, what is the best method of post-operative pain management following surgical extractions?

For a surgical extraction (flap, bone removal) what do you usually prescribed? Leave us your comments. Has the new legislative requirements in Ontario on narcotic prescriptions changed your practice? From Dr. Stephen Cho, Oral & Maxillofacial Surgeon, Coronation Dental Specialty Group & Staff Surgeon, Cambridge Memorial Hospital Pain management in dentistry is an important objective, necessary for patients’ comfort and trust.  There are numerous medications and strategies which could be utilized for post-operative pain management following surgical extractions such as wisdom teeth extration. In his review on combination analgesic therapy in dental pain, Mehlisch suggests that monotherapy (eg acetaminophen alone) in treatment ...

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What concentration of hypochlorite do you use for endo?

Interesting debate going on in Monday’s post comments. What is the appropriate concentration of hypochlorite? 5% is used by many endodontists, .5% is often recommended in case of hypochlorite accident, 1.25% was recently recommended for in vitro studies for regenerative endo to preserve any live cells in HERS. According to the recent article in JCDA Express there are other options. What do you use?

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Clinical Case: How would you save this tooth with an open apex?

Dr. Sarah Abitbol, Endodontist, Coronation Dental Specialty Group with Dr. Ian Furst, Oral & Maxillofacial Surgeon, Coronation Dental Specialty Group Here’s a case that involves regenerative endodontics. If you’re not sure what regenerative endodontics is or if you’d like a quick tutorial on the biologic basis for it, we’ve created an interactive backgrounder. For a flash version (desktops) click here For a non-flash version (HTML5, ipads and some phones) click here. (some phones do not support the audio), appx 9MB file Clinical Question An 11 year old girl presents with swelling and pain in the left mandible and a fistula adjacent to ...

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