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Endodontics

Is there a truly great online resource for the management of dental trauma cases?

Can there be many more stressful occasions during a busy day at your office than when an emergency dental trauma case shows up unexpectedly requiring immediate treatment? You are already running behind and the patient (and often the parent) is crying and upset. You don’t deal with this type of case every day, and you are concerned about putting a foot wrong “under the spotlight.” What do you do next? Having consulted with some eminent experts in the field of pediatric dentistry, I have no hesitation in recommending the Dental Trauma Guide website to you as an excellent “at the fingertips” resource ...

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How do I manage vital, irreversibly inflamed teeth with unstoppable bleeding?

This urgent care scenario is presented by the JCDAOasis Team in consultation with Dr. Brian Jafine. Peer-reviewed content that appeared in the JCDA OASIS “point of care” searchable database at www.jcdaoasis.ca  Presentation Population Patients with recent dental restorations (amalgams, resins, crowns) or trauma Medically-compromised patients Signs Large/deep restorations and crowns (broken down, leaking, open margins) Continuous bleeding after several attempts to dry, close, or fill the root canal spaces Symptoms Pain severity: the patient may experience some pain Investigation Thoroughly assess the patient’s medical history: inquire about diabetes mellitus, bleeding disorders, hypertension, history of radiation therapy, etc. Perform an oral examination: ...

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What are the hottest topics in endodontics today?

Dear colleagues, I have just received an email alert from the Journal of Endodontics with a list of the top 15 articles that were downloaded from the online version of that prestigious publication in 2012. Below, you will find links to the Medline abstracts of these 15 articles. In the top right hand corner of each abstract there is a link to the website of the publisher, where you can purchase the full text of any of these articles. I hope you find this information useful to your practice. John Ferrule Effect: A Literature Review Juloski, J.; Radovic, I.; Goracci, C.; Vulicevic, ...

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How to identify the number of accessory canals while doing RCT?

(Content under development) The following question was submitted by a practising dentist: How to identify the number of accessory canals while doing RCT? Dr. Mary Dabuleanu from Dabuleanu Dental provided these initial comments for consideration:  One never quite knows exactly how many accessory canals are present when you embark in a case. The pre-operative X-Ray may show an area of widened periodontal ligament space along the side of a root, which proves to be a lateral canal on the final X-Ray. If the root anatomy is tortuous, one can suspect some accessory canals around the sharp bend of the root. Also, bulbous ...

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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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