Review suggests that electronic apex locators may be useful in primary dentition

shutterstock_18525676

Electronic apex locators (EALs) have used in permanent teeth since the 1960s and they have been gaining in popularity. The use of EALs in the primary dentitions was proposed in 1996. The aim of this review was to compare the accuracy of EALs in primary teeth when compared to actual root canal lengths (ARCLs). Searches [read the full story…]

Only limited evidence on the use of photodynamic therapy in root canal disinfection

shutterstock_140418271

Photodynamic therapy (PDT) has been suggested as a potential adjunctive aid to disinfection of the root canal. In principle, it uses a nontoxic photosensitizer that is selectively absorbed in a target tissue and a low-intensity light source. Upon photo-induced activation of the photosensitizer, in the presence of oxygen, a series of reactions produce free radicals [read the full story…]

Trail suggests similar outcomes with cast and glass fibre posts

shutterstock_25133602 - Cast post & core on model

The restoration of teeth following root canal treatment (RoCT) can present challenges and posts inserted into the root canal can provide support to enable restoration. The aim of this study was to evaluate the survival of glass fibre and cast metal posts used to restore endodontically treated teeth with no remaining coronal wall. Patients with [read the full story…]

On-demand analgesic use following root canal treatment resulted in similar pain relief but reduced consumption compared with regular prescription

pulp

The management of pre- and post-operative pain is a key component of endodontic treatment with studies reporting that the incidence of post operative pain (flare-up) ranges from  3-58%.   Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common medication used for managing pain after root canal treatment (RoCT). The aim of this study was to compare the [read the full story…]

Patients showed a preference to retain a tooth affected by apical periodontitis

shutterstock_291173

Apical periodontitis (AP) is a common dental problem and can be treated by root canal treatment (RoCT) or extraction.  The aim of this survey for to explore patients’ preferences for management of a tooth affected by AP, when considering its retention via RoCT, its extraction without replacement, or its replacement with an implant supported crown [read the full story…]

Trial suggests that root canal treatments with and without additional ultrasonic activation of the irrigant are equally effective

shutterstock_291173

Irrigation procedures and protocols are a key stage in root canal therapy. The aim of this study was to compare the effectiveness of root canal treatments with and without additional ultrasonic activation of the irrigant by evaluating the endodontic outcome. Patients with a single-rooted maxillary or mandibular incisor, canine, or premolar tooth the required root [read the full story…]

Review finds limited evidence for predisposing factors for irrigant extrusion during root canal treatment

shutterstock_17046487

Irrigation of root canals is an integral part of root canal treatment. A range of irrigant materials have been used with sodium hypochlorite being the material most currently favoured.  However this and other agents can cause damage if not kept within the confines of the root canal system.  The aim of this review was to [read the full story…]

Weak evidence for success rates of dental restorations placed on root-treated teeth

shutterstock_123309112

Root canal treatment (RoCT) is a common dental procedure and an understanding of the survival of RoCT teeth and their restorations is an important consideration. The aim of this review was to assess the success rates for single crowns, fixed and removable dental prostheses, as well as for the different kinds of posts placed on [read the full story…]

Review finds predictable outcomes with modern endodontic surgery techniques.

shutterstock_6236641 - operating microscope

Surgical endodontic treatment is used when traditional root canal treatment is impractical or unlikely achieve a satisfactory outcome. The aim of this review was to evaluate the outcomes of surgical endodontic treatment performed using modern approaches.  Modern approaches were considered to be use of magnification, root-end resection with minimal or no bevel, retrograde cavity preparation [read the full story…]

Current no robust evidence for the use of lasers as an adjunct to chemo-mechanical disinfection of infected root canals

shutterstock_70416955-root canal treatment

A number of different laser techniques have been considered as alternative approaches to traditional chemo- mechanical approaches for root canal disinfection. The aim of this review was evaluate the clinical efficacy of lasers as an adjunct to chemo-mechanical disinfection of root canals. The PubMed, Cochrane Controlled Trials Register (CENTRAL) and the ISI Web of Knowledge [read the full story…]