Horizontal Root Fractures: To Treat or Not to Treat, That is the Question! But What is the Answer?

It is not uncommon to see people with fractures to anterior teeth, usually as a result of a traumatic incident. A blow to the teeth can result in a crown fracture, partial or complete avulsion, a fracture to the root or some combination. These incidents create a lot of angst for both the patient, their …

read more
On March 1, 2017, posted in: News for Doctors by


Root Canal Completion Survival of Endodontically Treated Teeth

Journal of Endodontics, 42:11, 1598-1603, 2016 I. Pratt et al
The goal of most dentists is to have people, their patients, keep their natural dentition for their entire lifetime. In North America, organized dentistry has made incredible strides helping people keep their teeth, even through the era of high sugar, fast foods. The vast majority …

read more
On February 16, 2017, posted in: News for Doctors by


Irrigation: You Can Clean What You Can’t See

Endodontic irrigation is the second leg of chemo-mechanical cleaning and shaping of the root canal system (RCS).  Both mechanical shaping of the canals and chemical disinfection of the shaped canals are critical to a successful endodontic protocol and a comfortable patient outcome.  Mechanical shaping of the canals was described by Dr. Herbert Schilder in his …

read more
On December 7, 2016, posted in: News for Doctors by


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 …

read more
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 …

read more
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 …

read more
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 …

read more
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 …

read more
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).

read more
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 …

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