Antonis Chaniotis is an Endodontist practicing in Athens, Greece. He is one of the internet’s most famous dental educators and is passionate about teaching through the medium of video. He has a special interest in microsurgical endodontics, and the management of difficult endodontic anatomy. He gives us an insight into what it means to […]
This case was referred as the dentist could only find two canals. The upper second molar will sometimes have the mesiobuccal and distobuccal canals very close, and sometimes the split will occur well below a a single, larger orifice.
I was taught this trick using a tofflemire band a few years ago and haven’t looked back. It works for anterior teeth too, and is particularly useful when a permanent crown has been cemented with temporary cement.
Ledges annoy me. Like crazy. I finally put something together on how to remove them. Enjoy!
Upper pre-molars present as a special case when they require endodontic treatment. They are skinny, weak teeth in their virgin form, and once a marginal ridge is lost, or endodontic access is performed, their resistance to fracture drops significantly. My opinion on these teeth is that the restorative needs trump the endodontic needs in the […]
This case was referred as the treating dentist was astute enough to recognise that while some lower second molars only have two canals, the majority will have at least three. Only one orifice was visible mesially. The mesial roots of lower second (and third) molars are often challenging to treat for a number of reasons. […]
When it comes to compromised teeth, our goal may be to simply maintain a tooth for as long as possible. It also makes sense to plan for the future, so whenever I treat a tooth endodontically, I attempt to have all the possible outcomes in mind, including the eventual failure of the tooth. This […]
Sometimes in endodontics, we miss signs, symptoms or findings that are important to diagnosis or prognosis. Sometimes our brain fools us into thinking we see or find things that aren’t really present. This case is a good example of both of these possible errors. The patient presented complaining of mild tenderness to bite on the […]
The second most common reason for extraction of root filled teeth is periodontal disease. So it’s important we identify periodontal disease when deciding if we should treat a tooth. Periodontal pockets around teeth can generally be due to three things: 1. Periodontal disease; 2. Vertical root fracture;
There are a huge number of factors that can affect the outcome of endodontic therapy. Attempting to isolate these individual factors and determine the relative importance of each is something that has proven difficult or impossible in endodontic scientific literature. Ultimately, our primary aim is to allow our patients to keep their teeth for […]