Endodontics

Management of root perforation and sodium hypochlorite extrusion injury

A 33-year-old female presented to the A&E department, accompanied by her general dental practitioner (GDP) with a large, painful swelling on the right...

Management of implant screwdriver ingestion: reflection and guidance for the GDP placing implants

A 91-year-old lady was diagnosed with T4N0M0 squamous cell carcinoma (SCC) of the left buccal mucosa with mandibular involvement. This was treated...

Vital pulp therapy: the past, present and future

Vital pulp therapy (VPT) is a biologically based concept that aims to preserve all or part of the pulp that has been compromised by caries or trauma.

Treatment planning for a patient requiring multiple restorative treatment modalities by a recently qualified dentist

TC was a non-smoker and had never smoked and he drank no alcohol. He worked as a civil engineer and enjoyed spending time with his family in his spare...

A 5-year observation of the Dahl principle to manage localized anterior tooth wear

A male of European origin, aged 44 years old, presented for prosthodontic treatment, concerned ‘his teeth would continue to deteriorate’. He requested...

Intentional replantation: An underused modality?

Three cases were referred to Aga Khan University Hospital dental clinics in 2019 with a common complaint of unresolved severe pain (Table 1). The...

Surgical endodontics under the microscope: principles and practice

The DOM offers a range of magnification, usually an increase in the order of 8–40 times.11 Compared to magnifying loupes, where any magnification over...

Cone beam computed tomography (CBCT) in paediatric dentistry

The relative risk of radiation is higher for children since the cells are more susceptible to the stochastic effects of radiation. In addition, the...

Optimizing Local Anaesthetic Practice: Addressing Misconceptions and Minimizing Anaesthetic Failures

There is no standard success rate for IANBs. Failure rates of IANBs vary extensively from 31% to 81%.7 Dentists often struggle to identify the reasons...

When to consider the use of CBCT in endodontic treatment planning in adults

Canal obliteration can be idiopathic, due to hereditary disorders (eg dentinogenesis imperfecta) or occur following trauma, orthodontic treatment,...

Disinfection of the root canal system: what should the protocol be?

In orthograde root canal treatment, the clinician must access the pulp chamber of the tooth, locate and access all the root canals and prepare these...

Hydraulic cements for various intra-coronal applications: Part 1

The most important feature of these materials is the setting mechanism and their interaction with the clinical environment. When the cement is mixed...

Hydraulic cements for various applications in endodontics: Part 2

The intra-radicular materials include the root canal sealers and the materials used for apical plugs. The properties of these materials are very...