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Editorial

Dr Chris J. Lampert Guest Editor Endodontist Portland, Oregon, USA

The success of modern endodontic treatment can largely be attributed to the work of Dr Herbert Schilder. This is not because he pioneered 3-D obturation with warm gutta-percha, not because he defined the first mechanical and biological objectives for shaping and cleaning a root-canal system, not because he stood by his principles in the face of criticism, but because he raised the bar for endodontic success to a new level. Numerous gifted educators and clinicians have followed and furthered Dr Schilder’s principles and techniques. In fact, in this edition of roots, two contributing authors were trained by Dr Schilder

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Content

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Untying the Gordian Knot: An evidence-based endo-implant algorithm (Part I)

Dr Kenneth S. Serota, USA

Over the years, endodontics has diminished itself by enabling the presumption that it is comprised of a narrowly defined service mix; root-canal therapy purportedly begins at the apex and ends at the orifice. Nothing could be further from the truth. It is the catalyst and precursor of a multivariate continuum, potentially the foundational pillar of all phases of any rehabilitation (Figs. 1a–c)...

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Dental Tribune International

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Apical microsurgery - Part IV: The REB and REP

Dr John J. Stropko, USA

The amount or degree of the root-end bevel (REB) is of utmost importance and should be precisely planned after considering the overall crown–root ratio, presence of posts or other obstacles, root anatomy, and periodontal status of the tooth. According to previous research, 98% of canal system ramifications occur in the apical 3mm.1 If the bevel is long (traditionally 25° to 45°), an excessive amount of root structure would have to be removed to include the apical 3mm on the palatal or lingual part of the root’s apical canal system (especially in roots with multiple canals)...

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The importance of endodontics in implant treatment planning

Dr Jose M. Hoyo, USA

There’s a new vision in dentistry that is gradually being recognised and is referred to as the endo-implant algorithm. This new approach considers the role of the endodontist as critical in considering whether a tooth can be saved or whether extraction and replacement with a dental implant is the correct treatment protocol. An endodontist is in the unique position to evaluate critical factors leading to endodontic failures in order to determine whether another endodontic procedure will lead to a predictable and successful outcome. Should the outcome not be favourable, then extraction and replacement with a dental implant would be the protocol to follow...

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DT Study Club

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Managing maxillary molars

Dr Mark Dreyer, USA

Maxillary first molars are notable for their complex root-canal system morphology. The mesio-buccal (MB) roots are characterised by an irregular ovoid morphology, resulting in an isthmus or fin of pulpal tissue extending palatally to the principle MB canal. This case report presents steps taken to address this anatomy in order to maximise the disinfection and debridement of the root-canal system. Failure to address this anatomic complexity may lead to persistence or recurrence of endodontic disease...

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Comprehensive evaluation of previous root-canal therapy

Dr Richard E. Mounce, USA

I recently received an e-mail from a general dentist with the image of tooth #15 (Fig. 1). The e-mail read: “I have an X-ray of our son’s #15 root-canal treatment done five years ago by an endodontist. He has pain. I would like your opinion on the retreatment?” There was no additional information...

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The perceptions of a David in a land of Goliaths

Dr Barry Lee Musikant, USA

When you are competing against giants in a field that has become tremendously lucrative for these giants, you could easily feel out of your depth and should beat a hasty retreat, lest you encounter their true wrath. It is undeniable that we are exposed to the all-encompassing marketing power of these giants. We recognise their ability to dominate endodontic education in the schools (both undergraduate and graduate), commercial exhibits and lectures at all the major meetings, and the majority of the articles published in trade journals, all nicely capped off with an army of salespeople who make sophisticated pitches to dentists to buy one or another of the expensive rotary NiTi systems...

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Determining working length, or how to locate the apical terminus (Part 2)

Prof Vladimir Ivanovic & Dr Katarina Beljic-Ivanovic, Serbia

We would like to start the second part of our article with a quotation: “Adequate radiographs, knowledge of anatomy, and tactile sense and not apex locators will help to determine apical constriction.”2 We found this statement provocative enough to give electronic locators a chance...

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File selection: Why geometry matters most

Dr L. Stephen Buchanan, USA

Shortly after the excitement of the rotary file revolution wore off, the next frontier in shaping technology became the search for faster cutting efficiency. This is logically similar to our continuing search for increasingly faster computers...

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Ready-to-use root-canal sealer: 2Seal easymiX

Redaktion

2Seal is a tried and tested epoxy-amine-based root-canal sealer. It has been available for many years in a standard two-tube pack and is now available as 2Seal easymiX in a convenient double-chamber mixing syringe with exchangeable, flexible intra-oral tips. 2Seal easymiX always mixes to an ideal ratio, which can be applied directly into the root canal—with no mess or waste.

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International Events

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Submission Guidelines

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Imprint

Copyright Regulations_roots international magazine of endodontology is published by Oemus Media AG and will appear in 2010 with one issue every quarter. The magazine and all articles and illustrations therein are protected by copyright. Any utilisation wi

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Roots - Int. Magazine

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