Endodontics articles

Endodontics

Regenerative Endodontics Shows 98% Tooth Survival—But Is the Pulp Really Regenerating?

Regenerative endodontics showed 98% tooth survival—but pulp vitality returned in only 21%. So what are we really calling “regeneration”?

Endodontics

Could Direct Fiber-Reinforced Composites Reduce the Need for Indirect Restorations?

Can we confidently restore endodontically treated posterior teeth directly with fiber-reinforced composites instead of immediately moving to indirect restorations?

Endodontics

Does Every Root Canal Tooth Need a Crown?

Not every tooth needs a crown after a root canal. Modern evidence shows that how much healthy structure remains — not the root canal itself — decides your treatment. Learn the framework dentists should be using.

Endodontics

New Study Compares TheraCal PT and Biodentine for Perforation Repair

When repairing a root perforation, should sealing ability take priority over bond strength? A new study comparing TheraCal PT and Biodentine suggests the answer may not be so straightforward.

Endodontics

COMMON MISTAKES DURING ROOT CANAL TREATMENT PROCEDURES: CAUSES, CONSEQUENCES, PREVENTION AND MANAGEMENT

Although modern endodontics has undergone substantial technological advancement, procedural errors continue to occur in routine practice. Studies have shown that many endodontic failures are associated not with the biological complexity of the disease itself but with iatrogenic errors occurring during treatment. Such mistakes can compromise canal disinfection, weaken tooth structure, damage periodontal tissues, or hinder complete obturation of the root canal system which further reduces the prognosis of the treatment. Importantly, many of these mishaps are preventable through careful planning, adherence to established treatment protocols, and an understanding of root canal anatomy.

Endodontics

Contemporary Intracanal Medicaments in Endodontics: A Clinical Guide

Various medicaments such as calcium hydroxide, chlorhexidine, antibiotic pastes, corticosteroid-antibiotic combinations, bioceramic medicaments, and strontium-based formulations have been advocated depending upon the clinical scenario. The choice of medicament depends on factors including pulpal status, microbial flora, periapical pathology, exudation, resorption, and patient-specific considerations. While calcium hydroxide remains the gold standard because of its antimicrobial and hard tissue induction properties, newer materials such as bioceramic medicaments offer enhanced biocompatibility and bioactivity. Strontium-based formulations have also gained attention for their remineralization and osteogenic potential.

Endodontics

Truss Access Cavities: Practical Advantage or Clinical Compromise?

Minimal access is becoming the norm in endodontics. But as we reduce cavity size, are we also limiting our ability to disinfect?

Endodontics

Cold Sensitivity After Endodontic Treatment: Clinical Considerations

A root canal–treated tooth responding to cold is not something we expect, but it does happen. When it does, is it an endodontic failure, or are we missing something beyond the canal?

Endodontics

Early Warning Signs of Root Canal Treatment: A Clinical Guide to Timely Diagnosis

Learn the key warning signs that indicate you may need a root canal and why early diagnosis is essential for saving your natural tooth.

Endodontics

Endodontic Retreatment Cases: A Comprehensive Review

Root canal retreatment cases are performed when a previously treated tooth continues to show pain, infection, swelling, or failure to heal properly. Common reasons for retreatment include missed canals, inadequate cleaning, leakage from a faulty restoration, or reinfection due to recurrent decay. During retreatment, the old filling material is removed, the canals are cleaned and disinfected again, and the tooth is sealed properly to improve long-term success. Early diagnosis and careful case selection are important for achieving a favorable outcome.

Endodontics

Endo Fever is On!

Editorial by Dr Nupur Shrirao (Volume 7, Issue 4)

Endodontics

Management Of Weeping Canals In Endodontic Treatment

This article examines the microbial and inflammatory etiology behind weeping canals, focusing on recalcitrant biofilms and periapical pathosis.

Endodontics

Retreatment Cases: Can We Predict Which Ones Will Heal?

Non-surgical retreatment outcomes are often unpredictable despite careful execution. This study evaluated AI-based models to predict healing after root canal retreatment and found that machine learning, particularly XGBoost, showed high accuracy in identifying cases at risk of failure. Key clinical factors such as preoperative lesions, tooth type, and restoration quality significantly influenced outcomes, suggesting that AI may help structure prognosis assessment before treatment begins.

Endodontics

Single Visit vs Multiple Visit Root Canal Treatment

Root canal treatment can now be completed in either a single appointment or multiple visits, with both approaches showing comparable success rates when properly executed. Single Visit Approach: Modern technology has made it possible to complete cleaning, disinfecting, and filling the root canal in one session. This offers significant convenience for patients—requiring only one time off work and avoiding temporary fillings. Research confirms that single-visit treatments achieve success rates similar to multiple-visit procedures when appropriate disinfection protocols are followed. This approach works well for most routine cases, including vital teeth and those with chronic conditions. Multiple Visit Approach: The traditional method involves initial canal preparation, placement of antibacterial medication between appointments, and final filling at a subsequent visit. This extended timeframe allows for more thorough disinfection in complex cases, particularly those with severe infections or large lesions. However, it demands greater time commitment and carries risks like temporary filling failure. Clinical Decision-Making: The choice depends on individual case factors. Single visits suit most straightforward cases, while multiple appointments may benefit teeth with acute abscesses, persistent drainage, or complicated anatomy. Patient preference and practitioner expertise also play important roles. Both methods are effective when case selection is appropriate and technique is meticulous, giving practitioners flexibility to choose the best approach for each patient’s unique situation.​​​​​​​​​​​​​​​​

Endodontics

Beyond Radiographs: Detecting Early Endodontic Pathology with QPD

If the PDL is damaged due to an endodontic lesion, can QPD detect that change before it becomes radiographically evident?

Endodontics

Which Rotary File Cleans the Canal Better? A Comparison of Three NiTi Systems

Endodontics

Do Orifice Barriers Really Improve Endodontic Outcomes?

Are orifice barriers truly improving long-term endodontic outcomes — or are they simply an added layer of reassurance? A new systematic review explores whether their routine placement is clinically justified, especially beyond cracked root-filled teeth.

Endodontics

Robots in the Access Cavity? New Study Compares Accuracy in Calcified Canals

Robotic-guided access cavity preparation demonstrates accuracy comparable to static guides and superior apical precision over dynamic navigation in managing calcified canals, according to a new in vitro study in the International Endodontic Journal.

Endodontics

Unveiling the Invisible: The Pivotal Role of CBCT in Modern Endodontics

Introduction In conventional endodontics, diagnosis and treatment planning have long relied on two‑dimensional (2D) periapical radiographs and panoramic...

Endodontics

Emdogain Demonstrates Potential as a Scaffold in Regenerative Endodontic Therapy for Immature Necrotic Teeth

A novel case series explores the clinical efficacy of enamel matrix derivative in human pulp-dentin regeneration A recent case series reports encouraging...

Endodontics

Mastering Root Canal Therapy: 10 Strategies for Pain Reduction and Clinical Success

Author: Dr Achla Goel Root canal therapy (RCT) is a crucial yet often feared dental procedure. Despite advancements in technology and technique, patient...

Endodontics

Light-Cured Obturation: A Promising Advancement in Root Canal Filling

A new light-curable injectable material, OdneFill (Switzerland), is showing promise as an effective alternative for root canal obturation. Root canal treatment...

Endodontics

Frequently Asked Questions - ROOT CANAL TREATMENT 101

1. How do I locate the extra canals in maxillary and mandibular teeth? To effectively locate extra canals, one must first have a thorough understanding of...

Endodontics

DentalReach Endo Special Issue: Jan 2025

Editorial for Volume 7, Issue 1 Endodontics, a crucial branch of dentistry, focuses on the diagnosis and treatment of dental pulp diseases. As we step into...