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 […]
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 […]
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 […]
This summary is based on information found in Disinfection of Root Canal Systems: The Treatment of Apical Periodontitis (Wiley Publishing, 2014) Six biological factors that lead to asymptomatic radiolucencies persisting after root canal treatment: Intraradicular infection persisting in the complex apical root canal system; Extraradicular infection, generally in the form of apical actinomycosis; Extruded root canal filling or other exogenous […]
This summary is based on the article published in the Australian Journal of Endodontics titled: Efficacy and safety of articaine versus lidocaine for irreversible pulpitis treatment: A systematic review and meta-analysis of randomised controlled trials (April 2016) Naichuan Su, PhD; Chunjie Li, PhD; Hang Wang, PhD; Jiefei Shen, PhD; Wenjia Liu, PhD; and Liang Kou, MD Read and Download the full-text […]
Teeth undergoing orthodontic tooth movement may require endodontic treatment which could be related or unrelated to orthodontic treatment. However, it is always preferable to try to foresee and treat the tooth endodontically prior to beginning orthodontics for some of the following reasons: Pulpal or periradicular pain can be masked by discomfort associated with that of […]
Infections of an endodontic nature that are associated with orofacial pain are typically caused by obligate anaerobic bacteria. Given the spectrum of action, penicillins are the preferred antibiotic of choice. Drugs in this class act against the obligate anaerobes but, also affects the substrate interrelationships amongst various bacterial strains within the infection. As some of […]
While other materials are available for obturating root canals, gutta percha is still the most widely used and accepted material. Gutta perch is biocompatible, inert material which does not irritate tissues. Composed of zinc oxide, barium sulfate and transpolyisoprene, gutta percha has the ability to adapt to root canal walls. Resilon, a thermoplastic polymer which […]