We usually blame bacteria for causing pulpitis but………. This patient complained of severe irreversible pulpitis symptoms for four days, which were only just starting to settle. She couldn’t isolate to either the upper second premolar or molar. Her dentist had extirpated the molar but symptoms hadn’t changed. Pulp testing showed the premolar was also […]
This is just a short post to let you know that I will be running a hands-on course for general dentists on October 12 in Brisbane. I wanted to let Endospot followers have the first opportunity to sign up. It should be a great day with a nice mix of useful information, practical advice and […]
I know it’s been a long time since I’ve posted so I thought I’d show a case that caused me some trouble recently. The owner of this tooth had suffered a significant facial swelling and ended up in hospital. Fortunately, the swelling had subsided by the time I saw him and he was keen to […]
Back when I was working as an Endodontist with the Australian Navy, I often mentored newly graduated dentists. There was an interesting interaction between us that would often occur. The junior dentist would come into my surgery with a question about diagnosis. They would explain a set of symptoms and then show me a radiograph. […]
Welcome to the first Endospot Case of Note. This case is of a C-Shaped lower molar and I’ve tried my best to highlight the interesting aspects of the case, explain what can be seen using our diagnostic tools, and also how to treat these cases. As usual, I would love to hear your thoughts and […]
OK so a patient has come to see you complaining of toothache. It’s root canal time. You open up the lower right first molar and find a necrotic pulp. You’ve isolated well and done a nice endodontic preparation. Length is good and you’re happy with the sizes of your apical preps. You’ve been irrigating with […]
The Trans-Tasman Endodontic Conference was held in the beautiful New Zealand city of Christchurch on 4-6 November this year. It was great to catch up with good friends and see some interesting speakers. One of the headline acts was Dr Stanley Malamed, who is well known around the world for his books and lectures on […]
Well, I don’t know if I’m going to help you improve the speed of your preparations, but I do want to make some comments about some files that I’ve recently had the opportunity to try (they may not be new to everyone, I work in China and things take a little longer to become available […]
In this, post, we discuss practical techniques for preventing failure of LA for endodontics, especially when dealing with irreversible pulpitis. Listren to the audio file below: Preventing Local Anesthetic Failure in Endodontics
Every dentist has had the unfortunate experience of being unable to achieve anesthesia, especially when dealing with an irreversibly inflamed dental pulp. You find yourself filled with self-doubt and feeling helpless, especially where the patient has presented in pain and you feel you need to remove that inflamed pulp! But, LA failure is a […]
