Endodontic procedure guidelines for root canals: How to prevent mishaps | Oral pathology and diagnosis
View online | April 7, 2016 | Forward to a Friend

We’re a kooky bunch of professionals in the eyes of the nondental world!

I was recently in Costco perusing the book section, and a book titled Demon Dentist caught my eye. I bought it out of sheer curiosity so I could read what it had to say. I laughed, raised my eyebrows, and shook my head a few times while getting through the book. But overall, it wasn’t half bad.

What I realized after reading it is that sometimes we have to step outside the bounds of our profession to see how everyone else perceives us. This detachment from our “dental bubble” allows for some interesting table talk and can give us perspective that can lead to better patient care.

So when we tell little Johnny to stop sucking his thumb, he will undeniably look at us like we’re from another planet, because in his mind, we most definitely are. When we say "Oops!" as we’re doing that root canal, the patient never perceives it as a good sign. Or how about "What the *%@!" accompanied by raised eyebrows and worry all over the face of the parent because their kid has a humongous white mass on his radiograph. Intrigued? You should be.

There's a lot to read and a lot to learn. Here’s to our profession and all of us who make it one wild and fabulous ride!

Cheers!

—Stacey L. Simmons, DDS, Editorial Director

Original Articles from Breakthrough Clinical

This really sucks! Treatment for non-nutritive sucking in pediatric dental patients

$subtitles.get($x) Fingers, thumbs, binkies, the ear of a favorite stuffed animal, the corner of a loved blanket . . . Studies show that up to 90% of young children engage in non-nutritive sucking. A little over half stop by the age of two, and by age four 90% have stopped. So, do we need to intervene and put a halt to sucking habits? Does it really matter? Conway Jensen, DDS, talks about the oral effects of non-nutritive sucking, at what age it becomes a problem, and gives advice on how to get your pediatric dental patients to stop this difficult habit.

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Oops! Mishaps and prevention guidelines for endodontics procedures

$subtitles.get($x) Endodontic procedural accidents . . . if you do root canals in your practice, they’re going to happen. While setbacks during a root canal procedure are unwanted and unplanned, it is helpful to understand the underlying causes of these mishaps and what can be done to prevent them. Breakthrough Clinical’s Editorial Director Stacey Simmons, DDS, gives guidelines you’ll want to keep that cover what to watch for and how to correct problems that may happen during your endodontics procedures at the access and preparation, cleaning and shaping, and obturation stages.

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My Picks from the DentistryIQ Network

Peri-implant mucositis: Are you a clairvoyant or a charlatan?

$subtitles.get($x) As clinicians, we are trained to believe that achieving disease resolution is tantamount to giving the patient a successful result. Is this true when disease resolution is achieved but esthetics are sacrificed and the patient is unhappy? Can this type of dissatisfaction be precluded? Absolutely. Find out how in this clinical tip from Perio-Implant Advisory Editorial Director Scott Froum, DDS.

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Case report: Replacing a failing composite using G-Premio Bond and G-aenial Sculpt

$subtitles.get($x) Gregori M. Kurtzman, DDS, MAGD, details a case in which he replaced a failing composite restoration on a maxillary left lateral incisor, and he explains what products he chose to use for the case and why. This article first appeared in Pearls for Your Practice: The Product Navigator.

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More on the new model of periodontal disease

$subtitles.get($x) The new model of periodontal disease indicates that low-abundance bacteria critical for dysbiosis are now known as keystone pathogens, the best-documented example of which is Porphyromonas gingivalis. In his DentistryIQ blog, “Making the Oral-Systemic Connection,” Richard H. Nagelberg, DDS, explains how P. gingivalis elevates the virulence of the entire community following interactive communication with accessory pathogens.

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Take our survey, get a free book from Dr. Levin

$subtitles.get($x) Dentists, we need your help! Take the 2016 Dental Economics–Levin Group Annual Practice Survey today. Tell us how your practice is performing, and receive a free digital download of Dr. Levin’s book, Beating the Clock: How Dentists Can Always Run On Time. Look for results in September’s DE!

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Pathology and Diagnosis

Breakthrough Clinical oral pathology case: No. 14

$subtitles.get($x) R.F. John Holtzen, DMD, presents this month’s oral pathology case for Breakthrough Clinical. An otherwise-healthy six-year-old male child presented to his general dentist with the parents noting that tooth No. 9 had erupted normally following exfoliation of tooth No. F, but tooth No. E was still present. The parents were concerned that the permanent teeth in the No. 7/No. 8 area may not be developing. A panoramic film taken by the general dentist revealed a large radiodense area in the region apical to teeth No. D/No. E.

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Diagnosis and treatment for Breakthrough Clinical oral pathology case: No. 13

$subtitles.get($x) Breakthrough Clinical’s Editorial Director Stacey Simmons, DDS, gives her differentials, definitive diagnosis, and recommended treatment for the oral pathology case she presented last month. “The oral surgeon removed a root fragment of what was assumed to be tooth D, as well as another piece of random deformed tooth structure. The cyst, along with what appeared to be tooth No. 7 (deformed), was surgically enucleated and the specimen was sent off for biopsy. Results came back as . . .

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Visit Breakthrough Clinical’s Facebook Group

$subtitles.get($x) To network with your colleagues and share information about dental cases, treatment plans, clinical outcomes, and more, visit our Breakthrough Clinical Facebook group. You can post your own cases, pose questions to the group about ongoing treatment and diagnoses, and join in on discussions. We'd love to have you become a part of our growing number of dentists!

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Our Sponsors and Continuing Education

SPONSORED INFORMATION: Essential Dental Systems

$subtitles.get($x) Irrigate, clean, and rapidly disinfect the root canal in one step! Now you can save time and money over using EDTA and chlorhexidine sequentially.

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SPONSORED INFORMATION: Are you tired of juggling with multiple bonds?

$subtitles.get($x) Voco’s Futurabond U is a dual-cured universal adhesive that does not require primers or activators. It can be used with self-etch, selective-etch, and total-etch procedures. It is indicated for all direct or indirect materials, whether they be light-, dual-, or self-cured resins. Request your free sample.

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CE: Effective and Productive Instrument Processing (2 CE credits)

$subtitles.get($x) 25% off this CE course through May 4, 2016. Regular cost: $49. Final cost after discount: $36.75. Use promotion code APRCODE at checkout.

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