The Blame Game – Root Canal Failure?
Jeff CASE #1 I recently completed a diagnostic excavation on this tooth and determined that it was non-restorable due to decay under mesial crown margin and into the pulpal floor of…
Health
Clinical Clues for Identifying Cracked/Fracture Roots
Accurate diagnosis of a cracked/fractured root is a difficult task. It is important to get it right, because the treatment for a cracked root is usually extraction. I explain to…
Successful Perforation Repair using MTA
This patient presented for treatment of #30 in March 2009. Prior RCT had been done and a large furcal lesion as well as periapical lesion were noted. Retreatment was recommended.…
CBCT as a Tool in Endodontic Diagnosis
Cone Beam Computed Tomography (CBCT) is a valuable tool in endodontic diagnosis. The following case illustrates how CBCT provides added diagnostic information not available through traditional 2D imaging. This patient…
Would you implant or do RCT? – UPDATED
I work with some great oral surgeons & periodontists. I was recently asked to evaluate tooth #31 by my periodontist colleague. This patient had been referred to him for extraction…
Managing a Cracked Tooth
ealing with cracked teeth can be very challenging. In the first place, there is a lot of confusion about what we are calling a cracked tooth. Craze lines, fractured cusps,…
Superstition Springs Endodontics goes 3D
excited to introduce cone beam technology (CBCT) into their practice of endodontics. The decision to incorporate this technology has come after a extended review of the technology, research and clinical…
Pulpal Regeneration – More Evidence
In previous posts regarding pulpal regeneration, we have shown not only apical closure, but some dentinal bridging coronal to the apex. While difficult to believe, we have also seen teeth…
The Isthmus
Devoted readers and astute clinicians know of the importance of the isthmus. I found this definition for isthmus online on dictionary.com: a connecting, usually narrow, part, organ, or passage, especially…
Root Canals and Dental Implants: The Rest of the Story
At a recent local implant seminar, the clinician speaker, a representative of a leading implant manufacturer, reportedly told the audience that endodontic retreatment had a success rate of 46% in…