Unexpected Bleeding

May 30, 2021

At the end of the shaping and cleaning stages of root canal procedure, we should be able to dry the root canal system with sterile paper points. But, this is not always the case!

Unexpected bleeding intra-operatively can occur for a range of reasons…

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sinus tract

A Misdiagnosis: a Big Nail in This One’s Coffin

August 23, 2016

Patient presents with apparent sinus tract in quadrant 4. According to the patient, the sinus tract had been identified by a hygienist during a hygiene appointment. Subsequently, the endodontic treatment had been initiated in order to resolve the infection…

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perforated tooth

Not Every Hole is a Canal

October 26, 2013

Perforations or accidental communications need to be repaired as soon as possible in order to achieve the best possible prognosis. The choice of repair material depends on the location and the size of perforation. MTA is still one of the best materials that can be used to seal the pulp floor perforations as long as it is not communicating with the sulcus…

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broken files

Your Tooth Broke My Instrument!

November 16, 2012

“A dentist who has not separated a tip of a file, reamer, or broach has not done enough root canals.” — Louis Grossman

There are essentially 2 reasons for rotary rotary instrument separation inside a canal…

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post-op x-ray

I Love Sealer Puffs!

May 26, 2012

Chemomechanical preparation partially removes necrotic tissue from the entrance of lateral canals or apical ramifications, whereas the adjacent tissue remains inflamed, sometimes infected, and associated with periradicular disease. Vital tissue in lateral canals or apical ramifications is not removed by preparation…

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