Is it or Isn’t it?

This patient was referred to our Langley Endodontics office earlier this year for evaluation, diagnosis, and treatment as needed, for tooth #11.
The patient was asymptomatic at the time of their visit to their dentist for routine maintenance.  A history of trauma to the maxillary central incisors with some minor chipping of the incisal edges …

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On October 31, 2016, posted in: News for Doctors by

Treatment Preferences for Toothache Among Working Poor Canadians

Journal of Endodontics, 41:12, 1985-1990, 2015 A. Azarpazhooh, C. Quinonez
Patient autonomy has received more emphasis in the last 20 years as we, in Dentistry, have moved from an authoritative to collaborative model of clinical decision making.  The Canadian Dental Association’s Patient Charter of Rights, not to mention the legal profession, has clearly described the …

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On July 25, 2016, posted in: News for Doctors by

How to Prevent Local Anesthetic Overdose

I recently attended a course, hosted by the Fraser Valley Dental Society, on medical emergencies in the dental office. One of the many topics we covered was local anesthetic (LA) emergencies. It was clear from speaking with other attendees and the questions that arose with our speaker, Dr. David Isen, that most were a bit …

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On May 9, 2016, posted in: News for Doctors by

Mid Mesial Canals – The Black Sheep of the Lower Molar Root Canal System!

New to our newsletters this year is the Case Report.  As an Endodontist, I see a wide variety of interesting cases that are rarely seen by the general dentist. Our goal with these case reports is to share some of these more unusual and interesting cases with our dental community.
In mid-January 2016, a …

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On March 8, 2016, posted in: News for Doctors by

Histological Changes within Dental Pulps in Teeth with Moderate-to-Severe Chronic Periodontitis

International Endodontic Journal, 48, 95-102, 2015 L. Wan et al
The inter-relationship of periodontal and endodontic diseases has been a subject of speculation because of the close connections between the periodontium and pulp tissue in embryonic origin, anatomy, and function. The literature concerning this relationship has been contradictory across the years. The reasons …

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On January 18, 2016, posted in: News for Doctors by

Association between Chronic Apical Periodontitis and Low Birth Weight Preterm Births

The literature contains a number of studies showing association between chronic apical periodontitis (CAP) and systemic health issues such as diabetes and cardiovascular diseases. Research from the field of periodontics has suggested that periodontitis in pregnancy is a risk factor for low birth weight and preterm birth (LBWPB).

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On December 2, 2015, posted in: News for Doctors by

The Cracked Tooth: Histopathologic and Histobacteriologic Aspects

In the 1970’s in North America, dentists were faced with a huge onslaught of patients with periodontal disease and caries. The large cohort baby boomers grew up in the 25 cent coke and a chocolate bar era and their dental health reflected it. Organized dentistry responded to this challenge with massive public education …

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On June 1, 2015, posted in: News for Doctors by

Incidence of Middle Mesial Canals in Mandibular Molars After Guided Troughing Under High Magnifaction: An In Vivo Investigation

Disinfection of the root canal system is the primary goal of endodontic treatment. Schilder coined the term root canal system in the 1960’s to acknowledge the complexity of endodontic treatment. During tooth development, Hetrwig’s epithelial root sheath directs the formation of the root. Dentinogenesis results in the axial thickening of the root …

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On March 30, 2015, posted in: News for Doctors by

The Endodontic Red Herring

The idiom “red herring” is used to refer to something that misleads or detracts from the actual or otherwise important issue.  In the dental office, a red herring is a set of signs and symptoms which can confuse or obfuscate the diagnosis resulting in a course of treatment which does not address the patient’s chief …

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On March 4, 2015, posted in: News for Doctors by

Influence of Ferrule, Post System, and Length on Biomechanical Behavior of Endodontically Treated Anterior Teeth

Endodontically treated anterior teeth are always of concern to the restorative dentist and endodontist alike.  Anterior teeth are the most likely teeth to be affected by both accidental trauma and parafunctional occlusal forces.  Anterior teeth which are biomechanically compromised, whether through caries, trauma, or injudicious endodontic access are often restored, following endodontic treatment, with  post and …

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On March 4, 2015, posted in: News for Doctors by