ProEndo Forum

ProEndo Forum

Welcome to the friendly root canal forum.

This forum is open to discuss day-to-day root treatments. Let's talk about clinical difficulties and how to resolve them.

I like to share my strategies with you so that you can obtain consistent excellent results.

Or write in to discuss or ask any advice on any subject in Endodontics.

Webinar: 1st July at 8pm: Choosing a file system for the 21st Century.

I was kindly asked by Prof. Paul Tipton to present an endodontic presentation for his webinar series during the summer (covid break).  I have titled it "Choosing a File System for the 21st Century.  I preferred to call it "Searching for Tomorrow, Today."  I will discuss the various file systems on the market and compare them. Then I will introduce files that would lead us into the 21st century.  At the moment (today is 03 June 2020), I would like to keep this information unrevealed until after the webinar to keep your interest in the subject.  I would hope that it will make for interesting viewing and contemplation.  

I am delighted to inform you that another Microsurgical Endodontic course will be held on 23rd and 24th November 2020 in Manchester 

Please click on to find out more details.  This should be a most informative and clinical-put-into-practice ever course yet.  This is a 2 day intensive and thorough knowledge-filled and practical hands-on course.  The instruments for each delegate will be comprehensive and appropiate.  The delegates are invited and encouraged to ask their nurses to join for the second day practical to help assist and become accustomed to the surgery technique.   Please fill in the questionaire to register your interest.

I look forward to meeting you.

I am delighted to inform you that another Microsurgical Endodontic course will be held on 17/18th June  2019 in Manchester

Please click on to find out more details.  This should be a most informative and clinical-put-into-practice ever course yet.  This is a 2 day intensive and thorough knowledge-filled and practical hands-on course.  The instruments for each delegate will be comprehensive and appropiate.  The delegates are invited and encouraged to ask their nurses to join for the second day practical to help assist and become accustomed to the surgery technique.   Please fill in the questionaire to register your interest.

I look forward to meeting you.

Root treatment of a lower left first molar failing with infection below roots.  My Retreatment exhibits a complex root canal system which should result in success and saving tooth.

 

                   Before Treatment                                                                Retreatment

MS1

       MS2

I tried over at least a year to promote apexigenesis using calcium hydroxide dressings. Unfortunately the apex did not respond. Conservative and orthograde root treatment did not work due to the large open apex. A surgical approach was decided that would be the best approach and treatment.

fractured central incisor with open apex

 

 

 

 

 

 

 

 

 

 

Here is the Best root canal treatment for 2016 picked out of about 1000.

The roots are measured about 22-24mm.  The root canal shape is curved and tapered to the apex.  A secondary or accessory has been demonstrated deep, near the apex in the distal root.

The shape and flow of the canal is centered and well performed and exhibits a mature and advanced skilled technique.

The prognosis of the tooth is good and well established.

Molar root canal anatomy is complex and often quite challenging to clean and treat with exacting and successful outcomes.  These teeth generally have three roots and multiple root canals with interconnecting systems.  We find that upper first molars have a fourth canal in the mesio-bucal root with about 70-90% regularity, depending uopn which research papers have been studied.  I have found that most second mesio-buccal canals lead directly and "quickly" into the first mesio-buccal canal.  Others may remain singular with their own foramen.  Sometimes upper first molars may have a fourth root, but this is rare.

 Second upper molar teeth also generally have three roots, sometimes the buccal roots fuse and then there are two roots.  Some teeth may even have one fused root.  The tooth may still have three root canals even when the gross anatomy of number of roots may change.  It is rare that upper second molar teeth have four separate roots. 

 

Microsurgical Endodontic Course 2015

 

I am delighted to inform you that another Microsurgical Endodontic course will be held on 11/12th May 2015 at LonDec, London.

Please click on to find out more details.  I have made some practical changes since 2013 (besides the venue) that I hope will improve the clinical practice.  This should be a most informative and clinical-put-into-practice ever course yet.  I am so excited about the venue which boasts a highly professional and complete state-of-the-art equipment and technology.  The instruments for each delegate will be comprehensive and appropiate.  The delegates are invited to bring along their nurses for the second day practical to help assist and become accustomed to the surgery. I look forward to meeting you.  Please fill in the questionaire to register your interest.

PLEASE NOTE THIS COURSE (2015) IS NOW FULLY BOOKED

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