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Endodontics

Interview: “The immense variability of human tooth anatomy” Nov 21, 2016 | Endodontics USA

Interview: “The immense variability of human tooth anatomy”

With his high-definition photography of complex root canal systems, Dr. Craig Barrington, who practices dentistry in Waxahachie, Texas, is developing quite a name for himself. Just check out his presence on Facebook, at craiggbarringtondds. In an interview with Endo Tribune, Barrington talks about how he captures these high-definition endodontic images and how he uses them to increase his knowledge and help improve the level of care he provides to his patients.

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Photon Induced Photoacoustic Streaming Jan 26, 2016 | Endodontics USA

Photon Induced Photoacoustic Streaming

A patient asked for the option to save her teeth that were scheduled for extraction by another dentist. The lower left first and second molars had high mobility (grade 2), were necrotic, with significant probing depths in the buccal aspect. The teeth were diagnosed for endo/perio treatment. Difficulties with this case included complex radicular anatomy, long anatomical measurements (26 and 27 mm respectively for #36 and 37) and the presence of a deep vertical bone loss in the buccal aspect.

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Removing separated files with the Terauchi File Retrieval Kit Dec 11, 2015 | Endodontics USA

Removing separated files with the Terauchi File Retrieval Kit

I once asked my good friend Dr. Yoshi Terauchi how many canals he shaped with a given nickel titanium rotary file before discarding it and bringing a new file into the procedure. He answered, “I use rotary files until they break, I remove the broken segment and then get a new file.” WHAT? I thought to myself as I looked at him like he had two heads.

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Relieved reamers and the 30-degree reciprocating handpiece Nov 19, 2015 | Endodontics USA

Relieved reamers and the 30-degree reciprocating handpiece

As a practicing endodontist and manufacturer of endodontic instrumentation systems, it is fascinating to me to observe the initial evaluation of greater tapered rotary NiTi instrumentation as a paradigm improvement over traditional manual techniques morph into a far more cautious view where more and more evidence documenting its deleterious effects on the dentin is becoming increasingly evident.

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Interview: Setting the highest possible standard in endodontics Apr 22, 2015 | Endodontics USA

Interview: Setting the highest possible standard in endodontics

A newly developed system for endodontic cleaning and disinfection — GentleWave — utilizes broad-spectrum acoustic energy to remove all pulp tissue, debris, decay and bacteria from the entire root canal system. This pioneering technology — developed by Sonendo — employs advanced fluid dynamics and hydroacoustics to create effective cleaning.

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An update on non-rotating reciprocating endodontics Nov 13, 2014 | Endodontics USA

An update on non-rotating reciprocating endodontics

There is an important distinction to be made between systems that involve 360 -degree rotations, be they interrupted or continuous, and systems that purposely minimize rotation to 30 degrees. While a system that undergoes interrupted full rotations is less vulnerable to instrument separation than continuous rotations, it is still a problem and both are associated with the production of dentinal defects where concern exists that they may propagate and coalesce into vertical fractures over time.

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PIPS and retreatment Oct 13, 2014 | Endodontics USA

PIPS and retreatment

Retreatment can be difficult and time-consuming. The first order of business is to figure out why the primary root canal treatment is failing. Sometimes the answer will be evident after the patient interview, clinical exam and radiographic analysis, but other times the root canal failure is a mystery.

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Microendodontics? Oct 7, 2014 | Endodontics USA

Microendodontics?

I don’t like the term “microendodontics.” I like the term “minimally invasive endodontics” better, but they both imply an objective that is not the reality of the changing concepts of what access and shaping results should ideally look like. It’s not about how small you can make an access but about designing treatment protocols that maximize dentin conservation while balancing the need for meeting treatment objectives.

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It’s never what you think it is Aug 29, 2014 | Endodontics USA

It’s never what you think it is

As a practicing endodontist over the past 25 five years, you believe you’ve seen whatever can walk in the door case wise. We are taught to look at digital imaging, listen to the patient’s history and symptoms and then offer a qualified diagnosis. We then present that to the patient, and after that patient is informed and consented we begin treatment.

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Endodontic irrigants and irrigant delivery systems Aug 1, 2014 | Endodontics USA

Endodontic irrigants and irrigant delivery systems

Endodontic treatment is a predictable procedure with high success rates. Success depends on a number of factors, including appropriate instrumentation, successful irrigation and decontamination of the root-canal space to the apices and in areas such as isthmuses. These steps must be followed by complete obturation of the root canals, and placement of a coronal seal, prior to restorative treatment.

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Control the anatomy; control procedural training Jul 22, 2014 | Endodontics USA

Control the anatomy; control procedural training

We buy “New Tech” when we perceive that some part of our personal or professional lives could be managed more easily with this new tool. We bought billions of cordless and then wireless phones because we wanted to talk to anybody, any time, regardless of where we happened to be when the spirit moved us. And it was good.

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Endodontics made more efficient with the ScanX Swift Jul 15, 2014 | Endodontics USA

Endodontics made more efficient with the ScanX Swift

Technology has made endodontic treatment faster and more efficient. However, there are still parts of the endodontic protocol that cannot be avoided that add time to the procedure. Taking radiographs is a fundamental part of endodontics. When traditional film radiographs are exposed and processed, there is a unit of time that goes by that the practitioner has to get up from the chair, leave the room and wait for the X-rays to be exposed and processed.

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