When caries reaches within 0.5 mm of the pulp, the immune system responds to the bacterial advance by recruiting inflammatory cells. These inflamma-tory cells migrate to the dental pulp, typically resulting in irreversible pulpitis, at which point nonsurgical endodontic therapy is the preferred treatment. But achieving an accept-able level of anesthesia in these [...]
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So far Endodontic has created 57 blog entries.
Forming a proper endodontic diagnosis requires taking a patient’s medical and dental history, a thorough inspection and the use of clinical examination methods, such as pulp vitality and mobility testing, along with palpation and percussion. In this process, no indicator is as valuable as the results of percussion testing. Eliciting a response from [...]
The frequently used decayed, missing or filled tooth (DMFT) index provides accurate infor-mation to epidemiologists about the incidence of caries, tooth loss and tooth restorations. Unfortunately, the DMFT index provides no information on the pulpal and periapical status of teeth, limiting its applicability to endodontic treatment needs. One index used to categorize the [...]
Diagnosing cracked teeth is often not a simple decision, and no efficient clinical methods exist to predict their prognosis. This problem is exacerbated in cracked teeth that require root canal treatment before restorative procedures are undertaken, such as the placement of crowns. But little reported evidence-based information exists regarding the prognosis and survival [...]
Happy New Year! We hope you and your families had a peaceful holiday and are staying safe and doing well. We say good-bye to year 2020 in a bittersweet farewell. Our hearts go out to all those who have been affected by the virus. We welcome the new year that lies ahead as a [...]
Christmas season provides a sign of hope. Let us find joy in putting together a different kind of holiday this year. It may not be the same but by creating some of those feelings, we can still capture the holiday spirit although it is going to look different than the traditional celebration. Over these [...]
I hope you and your staff and your family are fine amid these challenging corona days and your practice is back on track and adapting to the CDC and ADA protocols to protect our patients and staff. We suspended our study club seminars for the remainder of 2020 since it can not be done in [...]
The reported prevalence of post-operative pain after root canal treatment varies widely. Most postoperative pain dissipates fairly rapidly, with severity falling by 50% after the first day and to <10% by day 7. Given the multifactorial causes and varying perceptions by individual patients, it is not surprising that many treatment modalities have been proposed to relieve [...]
For many years, lidocaine has been the local anesthetic most commonly employed by dentists. When combined with adrenaline, lidocaine, with its rapid onset and typical duration of 60 minutes for pulpal anesthesia and 3 to 5 hours for soft tissue anesthesia, has proven effective in maintaining adequate pain management, an essential tool for patient comfort and [...]
Study after study has shown excellent clinical success or survival rates of teeth after endodontic treatment. But evaluating outcomes based only on clinical parameters overlooks current trends that emphasize patient-centered outcomes, especially quality of life (QoL). Oral health-related quality of life (OHRQoL) indices allow us to expand outcome measures beyond the mere absence of disease to [...]