Oral pathology and diagnosis
View online | November 3, 2016 | Forward to a Friend

Clinical blunders, mishaps, and picking the right kind of irrigant when doing root canal therapy

Imagine sitting in a lecture titled, “The 10 biggest mistakes I’ve made clinically since graduating from dental school.” You might be intrigued as you mull over all the blunders you’ve made since getting the title of doctor. This month I'm sharing some of my mishaps and hand-to-forehead moments of things that I’ve had to learn the hard way. If I call these my “on-the-job expensive educational moments,” it makes me feel better. Just don’t laugh too hard.

What is in your arsenal of irrigants when you do root canals? Is one irrigant better than another? Endodontist Barry Musikant goes over what works best and why.

This month's pathology case is something that’s commonly observed with many differentials. Take a look at this lesion and see what you come up with.

Happy Thanksgiving and Cheers! —Stacey L. Simmons, DDS, Editorial Director

Original from Breakthrough

Clinical dental mishaps, blunders, and learning from my mistakes in dentistry

$subtitles.get($x) Any confidence we have as clinicians gets knocked down a notch or two when we see the endless perfect cases presented at lectures—you know, those perfect implants, perfect dentures, perfect veneers, perfect crowns, perfect fillings (with tertiary anatomy, no less!), and perfect long-term outcomes. In the spirit of learning, here are some of my "expensive learning experiences" that I learned the hard way.

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Endodontic Insight

Endodontic insight: Optimum endodontic irrigation techniques

$subtitles.get($x) Proper cleansing of endodontically treated canals requires constant use of irrigants throughout the entire procedure. Our endo treatment success rates will be much improved with a clear understanding of the various irrigants, their concentration, and proper sequence. Dr. Barry L. Musikant shares a protocol that will optimize bacterial reduction, reduce instrument resistance to full apical preparations, and ultimately preserve dentin.

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Oral-Systemic Connection

Bacterial ID for prevention of periodontal disease

$subtitles.get($x) In his DentistryIQ blog, “Making the Oral-Systemic Connection,” Dr. Richard H. Nagelberg says, “Here’s a radical idea: identify the bacteria in patients who don’t have periodontal disease.” He explains the ideal system for combatting periodontal disease and how you can diagnose and treat perio patients in your practice using salivary diagnostics to target risk factors.

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Pathology and Diagnosis

Breakthrough Clinical oral pathology case: No. 21

$subtitles.get($x) Breakthrough Clinical Editorial Director Dr. Stacey L. Simmons presents the oral pathology case of a healthy 41-year-old female who presented for a routine exam and checkup. Health history was normal, and the patient reported no major concerns or issues. However, radiographic examination revealed a large, radiopaque mass just distal to the apical third of tooth No. 20.

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Diagnosis and treatment for Breakthrough Clinical oral pathology case: No. 20

$subtitles.get($x) Dr. Zaher Safadi is back to give his differentials and diagnosis for the Breakthrough Clinical oral pathology case of the 40-year-old woman with a six-year history of recurrent anterior mandibular swelling. Read about incidence rates for this particular tumor as well as treatment this patient underwent.

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Our Sponsors

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