Surgical endodontic treatment is used when traditional root canal treatment is impractical or unlikely achieve a satisfactory outcome. The aim of this review was to evaluate the outcomes of surgical endodontic treatment performed using modern approaches. Modern approaches were considered to be use of magnification, root-end resection with minimal or no bevel, retrograde cavity preparation [read the full story…]
A number of different laser techniques have been considered as alternative approaches to traditional chemo- mechanical approaches for root canal disinfection. The aim of this review was evaluate the clinical efficacy of lasers as an adjunct to chemo-mechanical disinfection of root canals. The PubMed, Cochrane Controlled Trials Register (CENTRAL) and the ISI Web of Knowledge [read the full story…]
Elimination of bacteria from the root canal is a key aim of root canal treatment (RoCT). The aim of this study was to compare the results of a non-activated single-irrigation protocol (NAI) that used only 1% Sodium hypochlorite (NaOCl) with a passive ultrasonic multi-irrigation protocol (PUI) that used 1% NaOCl, 17% ethylenediaminetetraacetic acid (EDTA), and [read the full story…]
Occlusal reduction is one possible technique to reduce postoperative pain in patients suffering from irreversible pulpitis and tenderness to percussion. The aim of this study was to assess the effectiveness of this procedure Patients with irreversible pulpitis and mild tenderness to percussion without moderate-to-severe spontaneous pain underwent standardized root canal treatment (RoCT) performed by a [read the full story…]
In root canal treatment (RoCT) apical preparation is traditionally to three sizes larger than the first apical binding file (FABF) although some have argued for further enlargement. The aim of this study was to evaluate the effect of different apical preparation sizes on the outcome of primary RoCT in mandibular first molars. Patients > 18 [read the full story…]
The aim of this study was to compare both the effectiveness of the anaesthesia and the pain with deposition between fast and slow inferior alveolar nerve block (IANB) injection techniques. Patients attending a dental emergency department and requiring endodontic management were randomised to receive either fast (n=30) or slow (n=30) IANB injections using 3.6 mL [read the full story…]
Elimination of pain during and after root canal treatment is an important element of patient care and modern endodontic practice. The aim of this study was to compare the postoperative pain and analgesic use after single-visit root canal treatment of acute irreversible pulpitis with either bupivacaine (a long-acting anaesthetic) or lidocaine. Patients with a first [read the full story…]
Earlier this week (11th Sept ) we reported on a trial that compared the use of two different irrigant solutions during root canal treatment (RoCT). Now a review that aims to assess the effects of irrigants used in the non-surgical of mature permanent teeth has been published on the Cochrane Library. The usual sound Cochrane [read the full story…]
Root canal treatment (RoCT) is commonly performed dental procedure. This usually follows irreversible pulpitis and necrosis of the dental pulp caused as a result of caries, or dental trauma. The aim of this study was to evaluate the outcome of single- versus 2-visit root canal treatment of teeth with apical periodontitis after a 2-year follow-up [read the full story…]
The Swedish Council on Health Technology Assessment (SBU) systematic review of the Methods of Diagnosis and Treatment in Endodontics is now available in English, the original report in Swedish being published in 2010. The review aimed to address a number of specific questions:- How well can different diagnostic methods determine the condition of the pulp [read the full story…]
