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…]
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…]
Clean, shape and fill is a well-known mantra for root canal treatment (RoCT) and the use of irrigating solutions is an important element of the process. The aim of this study was to compare the degree of postoperative pain after single-visit RoCT when using two separate irrigation solutions. Patients with a diagnosis of chronic apical [read the full story…]
In yesterday’s blog we looked at the outcomes of one versus two visit root canal treatment . Today we are looking at a review which seeks to identify what the prevalence of periapical radiolucencies and non-surgical root treatment is in the population. The authors searched the MEDLINE and EMBASE databases with hand searching of the [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…]
Root canal filling is a regular dental procedure. However root filled teeth can be weaker than healthy ones so restoration of these teeth can prove challenging. The aim of this Cochrane review was to assess whether restoring endodontically treated teeth (with or without post and core) using crowns or conventional filling materials was more effective. [read the full story…]
Post systems are used in the restoration of endodontically treated teeth where there has been significant loss of the clinical crown. A post provides a method to secure filing material to the tooth. The aim of this trial was to assess the survival rate of two different post systems after 5 years of service. Patients [read the full story…]
