I’ve noticed that the issue of overdiagnosis is really getting a lot of attention in the medical world. Overdiagnosis occurs when a person is diagnosed with a disease, but that disease, if left untreated would never have caused symptoms or death. This results in treatment being provided to people when they could have been left […]
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;
Way back in 1965 Kakaehashi et al(1) showed us that in the absence of microorganisms, even exposed dental pulps can survive quite well. For those of you who aren’t familiar with the research, gnotobiotic (or germ-free) rats had pulps exposed and the access cavities were left completely open. These rats lived in a sterile […]
CRACKED TEETH: Classification Cracked teeth can be one of the most complex, confusing and frustrating dental problems we face in every day practice. Its estimated in general practice that at least one patient per week presents with symptoms relating to a cracked or fractured tooth. Accurate diagnosis and correct management are obviously the crucial steps […]
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 […]
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. […]
In this post we discuss a simple and practical method of classifying periapical pathology that can be used in practice on a daily basis. Listen to the audio version here (5 mins, 50s) : Pulpal and Periapical Diagnosis
In this post, we discuss a simple and practical method of classifying pulpal pathology that can be used in practice on a daily basis. For the new and updated Endospot Podcast, go to the Podcast Page. Listen to the episode here (12 minutes):The Endospot Episode 2 | Simple Guide to Pulpal and Periapical Diagnosis Part […]
