Sharing the Endodontic Knowledge

‘No’ Treatment is ‘The’ Treatment!

August 21, 2012

A patient presented with pain in the lower anterior area.  A fairly good-looking and recent root canal (approx. over 2 months old) had been performed on tooth #4.2.  Patient’s pain

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One Cone Fits All, or Does It?

July 22, 2012

“After about ten years of first appearing on the market, currently Thermafil obturators are completely modified and form an integral part of a complete and sophisticated system of root canal

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antibiotics in endodontics

Antibiotics: Knowing When Not To Use Them!

July 16, 2012

Inappropriately prescribing antibiotics is one of the main contributing factors in the development of antibiotic resistant microorganisms. The most effective treatment of endodontic infections are: removal of the source of

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Alcohol Will Set Things Straight!

July 2, 2012

During re-treatment procedures, removing the gutta-percha dry (if possible) is preferred.  Simply because it is less messy.  But I often find myself use a bit of C-form (what we call

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Calcium Hydroxide: What’s the Big Deal?

July 1, 2012

It is known that micro-organisms in irregular spaces beside the main canals and specially in lateral and accessory canals survive the limited effect of chemomechanical instrumentation.  There are overwhelming  amount

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How to Handle the Curve?

June 22, 2012

Some of you may wonder how a long root with moderate to severe curvature should be instrumented. Some clinicians may also be hesitant to use rotary instruments in such roots

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The True Agents of Cleaning

June 18, 2012

The dentin mud or “smear layer” forms as a result of the action of endodontic instruments during root canal therapy.  The debris (inorganic materials along with the pulpal tissues, bacteria,

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Lateral vs. Vertical: What Say You?

June 13, 2012

“Pure lateral or vertical compaction rarely occurs. The vectors of force applied during obturation techniques are an integrated blend of forces and result in composite of forces that are neither

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A Hopeless Case?

June 5, 2012

“In traumatic dental injuries, not only it is important to know when to treat a case (endodontically-speaking); it is equally important to know when not to treat it.” – Martin

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Ruddle to the Rescue!

June 2, 2012

Removing posts from canals could be pain in the neck sometimes. There are many ways to remove a post from a canal such as cutting all the sound tooth structure

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Too Hot to Handle!

May 30, 2012

One common question that many of my friends ask me is “How do you deal with a hot tooth?” After giving adequate block injections and local infiltrations, I usually use

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Oh No, Vertical Root Fracture!

May 29, 2012

We have all come across an endodontically-treated tooth with vertical root fracture (VRF). What gives the VRF away is the pattern of bone loss (more bone loss occlusally than apically)

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Don’t Let the Sun Set on Pus!

May 28, 2012

One of my favorite instructors at UBC, Dr. Matthew, used to say this all the time and I think it is a very good advice. Here is a case that

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Do Not Judge Me!

May 26, 2012

A patient with #46 failed root canal treatment walks into my office a couple of days ago. He was so upset with his original dentist who had done the root

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I Love Sealer Puffs!

May 26, 2012

Many clinicians are interested in techniques that produce sealer puffs and show off apical ramifications. Here is a brief summary of an article that I had read a couple of

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