Endodontic Insight

Interdisciplinary endodontics

Dr. John West discusses saving endodontically diseased teeth with consensus diagnosis, interdisciplinary treatment planning, and sequencing Introduction Endodontically treated teeth can be the weakest link in the esthetic/restorative diagnosis and treatment plan. They can also be the missing link between success and failure of the interdisciplinary treatment plan. In this, the second decade of the …

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Dr. John West discusses “Minimally Invasive” versus “Maximally Appropriate”

The premise The concept of minimally invasive can be misleading in the world of endodontics. An example of misuse of the phrase “minimally invasive” in endodontics would refer to making an access that did not predictably achieve of the Three Fs of endodontic treatment mechanics: “Find, Follow, and Finish.” “Find” refers to discovering the root …

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Endodontic retreatment utilizing a conservative gutta-percha removal instrument

Editor’s intro: Although removing existing gutta percha from previously treated root canals can be accomplished in several ways, this conservative gutta-percha removal instrument has many benefits for root canal retreatment. Dr. Nishan Odabashian discusses how this instrument benefits his retreatment process According to the American Dental Association publication 2005-06 Survey of Dental Services Rendered, approximately 22.6 million …

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Restraint: the lost art of endodontics

Editor’s intro: Dr. John West discusses increases the awareness of the value that restraint plays in the endodontic mechanics. Dr. John West discusses how to increase the awareness of the value that restraint plays in the mechanics of “Finding, Following, and Finishing” I have a confession. I am a dreamer! And, as such, I have always been …

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Rotary versus Reciprocation: “How do I choose?”

Dr. John West explores three critical distinctions of Rotary versus Reciprocation Introduction As a practicing endodontist and a clinical endodontic educator for more than 30 years, the most frequent question I am asked about technique is, “Is it predictable?” While every dentist wants his/her endodontic treatment to be easier, more efficient, simpler, and profitable, in …

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The value of the CBCT in the endodontic practice

Dr. Albert (Ace) Goerig discusses the benefits of 3D imaging to the diagnostic process As a practicing endodontist for over 40 years, I’m always looking for new innovations to keep me excited about endodontics and expand my technical and diagnostic skills. In 2008, I purchased my first cone beam computed tomography (CBCT) unit and used …

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Effectively treating the complex anatomies of root canal systems

Sonendo® discusses eliminating infections from intricate root canal systems and preventing reinfection The tooth is one of the most individual and complex anatomical, as well as histological, structures in the body,1 so much so that radiographic examination has its limitations in imaging their imperceptible tubules and isthmi. Because of this, eliminating infections from intricate root …

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Premixed nanoparticulate bioceramics in endodontics: the first decade

Dr. Allen Ali Nasseh offers a review of an integral part of endodontic therapy Exactly 10 years ago, the first, and still the only premixed nano-particulate bio-ceramic cement was FDA approved for use as a universal root canal cement. The first two formulations were the Endosequence® BC Sealer™ and Endosequence® RRM™ (Brasseler USA, Savannah, Georgia) …

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