What Your Patients Can Expect When You Refer Them To Our Endodontic Office: Part 1 – The Vision

Most patients are a little unsure of what to expect when they make an appointment to see a root canal specialist. In our office we want your patients to feel that they have been referred for the best endodontic care possible.
This doesn’t happen by accident. It takes a lot of thought, planning and training. …

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On August 25, 2014, posted in: News for Doctors by

The Effect of Crown Design on the Potential to Develop a Vertical Root Fracture Following Endodontic Treatment

Patients often ask if a proposed endodontic treatment is guaranteed.  What they are meaning is will they be able to keep their tooth for the rest of their life.  Endodontic success studies have repeatedly shown that overall success rates are approximately 85% with tooth survival in the 98% range.  Most endodontic failures are related to …

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On June 3, 2013, posted in: News for Doctors by

The Effect of Early Coronal Enlargement on the Ability to Accurately Determine the True Size of the Apical Terminus

Dr. Herbert Schilder’s publications (1967’s Vertical Compaction of Warm Gutta Percha and 1972’s Cleaning and Shaping of the Root Canal System) have revolutionized the practice of endodontics, although they went widely unrecognized until the 1990s. We now have a good understanding of the complexity and interconnectedness of the root canal system …

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On November 16, 2012, posted in: News for Doctors by

Bacterial Flora and Extraradicular Biofilm Associated with the Apical Segment of Teeth with Post-Treatment Apical Periodontitis

Many investigators (Nair, Sequeira) have demonstrated that most root canal failures are caused by viable bacteria and their by-products, which survive following endodontic treatment. Recent studies (Yang, Yu) have indicated that bacteria can migrate from an infected canal and colonize micro-resorptive areas in the external aspect of the root in proximity to the apical foramina. …

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On October 30, 2012, posted in: News for Doctors by

Five-Year Longitudinal Assessment of the Prognosis of Apical Microsurgery

Endodontic treatment may be one of the most challenging of the dental disciplines. Root canals systems (RCS) are extremely complex and highly variable within the human population. Microbiologic techniques to date have identified over 750 different bacteria involved in the development of apical periodontitis. However, at electron microscopic levels of inspection, …

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On March 30, 2012, posted in: News for Doctors by

Long Term Survival of Indirect Pulp Treatment in Immature Teeth with Deep Carious Lesions

There is increasing pressure from the public to remove fluoridation from public water systems and reluctance of many young parents to provide their children with fluoride supplements or appropriate radiographs due to perceived health concerns. The irony of this is that many of the same people leading the anti-fluoridation movements are themselves caries-free as a …

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On October 6, 2011, posted in: News for Doctors by

The Effect of NSAID Premedication on the Success of Inferior Alveolar Nerve Block in Pulpitic Teeth Prior to Endodontics

Pain control at the outset of endodontic treatment is critical and makes both the patient and dentist confident and comfortable for the remainder of the treatment. Maxillary teeth are the easiest teeth to achieve profound anaesthesia and rarely test our anaesthetic skills. Mandibular teeth, especially mandibular molars with irreversible pulpitis, are …

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On June 30, 2011, posted in: News for Doctors by

Passive vs Sonic Assisted Irrigation–Effect on Smear Layer

The ultimate goal of endodontics is to eliminate the bacterial bio-load in the complex root canal system, especially in the critical apical one-third. We achieve this objective by a combination of instrument-based mechanical preparation and chemical irrigation of the prepared root canal system.
Sodium hypochlorite (NaOCl), at a concentration of 3% …

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On April 30, 2011, posted in: News for Doctors by

Apexification With MTA

When teeth with immature roots suffer pulpal necrosis, the formation of dentin stops and root development ceases. As a result, the canals remain wide with thin dentin walls and a large apical opening. Often, the root canal system has an inverse architecture with the apical diameter significantly wider than the coronal diameter.This blunderbuss shape …

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On November 30, 2010, posted in: News for Doctors by

Outcome Comparisons between Implants and Endodontically Treated Teeth

Implants and endodontics are both highly predictable procedures. It is difficult, however, to make objective comparisons between the procedures because the factors associated with success and failures are different. For example, the majority of endodontic outcome studies use complete bony healing and absence of symptoms as their criteria for success, while implant success is often …

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On October 6, 2010, posted in: News for Doctors by