Oliver Pope is an Endodontist practicing and teaching in Melbourne, Australia. He has been involved in researching what “normal” looks like on cone beam CT, and has fantastic insights on the relevance of CBCT findings to everyday practice. In part 1 of this podcast we discuss the interpretation of apical findings on CBCT, and the limitations […]
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.
It’s important to confirm the presence or absence of a crack in these teeth before consigning them to extraction. There was no obvious crack or periodontal probing. The lucency was endodontic in origin only.
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. […]
One of the most frustrating occurrences in endodontics is failure of LA. This can sometimes happen due to a technique failure, but there are also patients for whom LA is just not very effective. Difficulty in anaesthetising certain patients has been identified for as long as there is history in medicine and dentistry. Probably the […]
OK, we’re going to get a bit technical here and explain the difference between the commonly confused vertical root fracture and cracked tooth. Dentists like to be specific, and an accurate diagnosis will assist in determining appropriate treatment. The reference for this is the American Association of Endodontics publication, “Cracking the Cracked Tooth Code: Detection […]
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 […]