Endodontics

Endo Fever is On!

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

Dr. Nupur Shrirao

Dr. Nupur Shrirao

Head & Owner

5 min read55,992 views
  • infection control
  • professional education
  • dentistry
  • patient communication
  • re-treatment
  • root canal treatment
  • implant abutments
  • Endodontics
  • Clinical & Academic Article

Abstract

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

There is no doubt that RCT is the bread and butter of dentistry, and good endodontics is the first step towards a mature, well-respected practice. Relieving someone of pain is the primary reason why most of us chose to become doctors, so in a way, good endodontics is an excellent way of feeling satisfied with your practice. But what makes endodontics, ‘good endodontics’? It is predictability. It is using standardized, efficient, and technology-driven protocols and knowing for sure, what works and what doesn’t.

With awareness on the rise, patients are asking sharper questions, clinicians are refining workflows, and technology keeps raising the bar for predictability. That’s why this issue is built around one clear theme: Endo fever.

Inside, you’ll find four endodontic features that move from everyday chairside decisions to complex problem-solving, plus two timely additions on implants and patient communication. Whether you’re aiming to shorten appointments, reduce post-op flare-ups, or strengthen trust with “Google-educated” patients, this issue is designed to be practical, current, and immediately useful.

What you’ll learn in this issue

This month’s lineup is structured like a journey: start with treatment planning, move into infection control strategies, tackle complications, and finish with advanced clinical decision-making. Then we widen the lens to implants and modern patient management.

Section

Article

Why it matters in practice

Endo fever

Single visit vs multiple visit root canal treatment

Helps you choose the right approach based on case selection, symptoms, disinfection, and scheduling realities.

Endo fever

LSTR – lesion sterilisation & tissue repair

Explores a conservative, infection-focused approach and where it can fit into real-world protocols.

Endo fever

Weeping canals & its management

Offers guidance for one of the most frustrating endo scenarios, including how to stabilize the canal environment.

Endo fever

Re-treatment in endodontics: a comprehensive review

Supports better decision-making for failures, missed anatomy, persistent infection, and referral thresholds.

Implant series

All about multiunit implant abutments

Clarifies indications and practical considerations for restorative efficiency and prosthetic planning.

Marketing

Dealing with “Google-educated” patients: from confrontation to collaboration

Turns online misinformation into a trust-building opportunity through better conversations and clearer value framing.

Endodontics sits at the intersection of urgency and precision. Many patients come in with pain, anxiety, and time pressure, while clinicians need to balance diagnosis, asepsis, disinfection, and restoration strategy without compromise.

This issue reflects what practices are dealing with daily:

  • Higher patient expectations around “saving the tooth”

  • More awareness (and confusion) from online health content

  • A growing demand for efficient visits without sacrificing outcomes

A closer look at the endodontic feature set

Single visit vs multiple visit RCT: choosing with confidence

Single-visit endo can be a win for both patient and practice when the case is appropriate and the protocol is tight. Multiple-visit treatment still has a strong role, especially when exudation, anatomy, infection load, or symptoms indicate the need for staged disinfection.

This article helps you make decisions that are easier to explain, document, and predict.

LSTR: conservative thinking with infection control at the center

LSTR approaches focus on sterilising the lesion and enabling tissue repair, which makes it especially relevant when clinicians want to manage infection while protecting tooth structure.

The value here is not hype, but clarity: where LSTR can support your treatment planning, and where conventional endodontic fundamentals remain non-negotiable.

Weeping canals: managing the case that tests your patience

Few things derail an appointment like a canal that won’t dry. Beyond technique, weeping canals often point to underlying biological and anatomical factors that need a calm, structured response.

This feature focuses on management strategies that reduce guesswork and support predictable next steps.

Re-treatment: a comprehensive review for better decisions

Re-treatment is part diagnosis, part execution, and part communication. Patients want to know why the first attempt failed, what will be different now, and what success looks like.

This article brings a systematic view to re-treatment planning, helping clinicians weigh prognosis, complexity, and when referral may be the best choice.

Implant series spotlight: multiunit abutments made practical

As implant workflows become more streamlined, multiunit abutments remain a key topic for restorative predictability. This feature focuses on the essentials clinicians and teams need to align on: where multiunits add value, what to watch for clinically, and how they impact restorative steps.

Even if your clinic refers consultants for the implant workflow, understanding multiunits strengthens treatment planning and patient explanations.

Marketing feature: turning “Google-educated” into “well-informed”

Patients aren’t wrong to research. The friction starts when online content replaces diagnosis, or when fear-based posts raise doubts about necessary care. The marketing feature in this issue reframes the challenge: instead of confrontation, aim for collaboration.

At DentalReach, we see this as a growth lever for practices. When your team can confidently explain options, risks, timelines, and costs in plain language, case acceptance rises and stress drops. This article is your blueprint for making those conversations smoother, shorter, and more productive.

Final word

Endo fever was decided as our magazine theme for the month as it’s a reflection of what practices are experiencing right now: higher clinical demands, smarter patients, and a stronger need for predictable outcomes. We built this issue to support your decision-making chairside and your communication beyond the operatory.

Dive in, share it with your team, and let April be the month you sharpen both your endodontic workflows and your patient trust.

Predictability is a system, not a device

Technology can improve visualisation, measurement and efficiency, but predictable endodontics still depends on diagnosis, case selection, isolation, anatomy, irrigation, procedural control, obturation, coronal restoration and review. A clinician should also recognise when complexity exceeds available training or equipment and refer without delay.

StageCore questionFailure to avoid
DiagnosisIs the pain source and pulpal/apical status established?Treating an unconfirmed tooth
DisinfectionCan anatomy be negotiated and irrigated safely?Equating shaping with sterilisation
RestorationCan the tooth be sealed and structurally protected?Ignoring restorability
Follow-upAre symptoms and healing reviewed?Calling absence of pain success

Continue through retreatment planning, persistent canal exudation and intracanal medicaments.

Frequently asked questions

Does advanced equipment guarantee endodontic success?

No. It supports a sound protocol but cannot replace diagnosis, training or case selection.

When should a case be referred?

Refer when anatomy, diagnosis, procedural risk or complication exceeds available expertise and resources.

Is pain relief equal to healing?

No. Clinical and radiographic follow-up may be necessary to assess outcome.

References

  1. [1]Duncan HF, Kirkevang LL, Peters OA, et al.. Treatment of pulpal and apical disease: The European Society of Endodontology S3-level clinical practice guideline International Endodontic Journal. 2023. Available at: source
  2. [2]American Association of Endodontists. Clinical Guidelines and Position Statements American Association of Endodontists. Available at: source

Written by

Dr. Nupur Shrirao

Dr. Nupur Shrirao

Head & Owner

Dr. Nupur Shrirao is a highly experienced dentist specializing in prosthodontics, with a successful career spanning multiple roles since 2013. Key positions include Consultant Prosthodontist at Mata Kaulan Charitable Hospital and Sreeda Dental Hub, Head of the Dental Department at Babadeep Singh Hospital, and Consultant Dentist at Prabh Aasra, where Nupur was a founding member of the dental wing. Currently, Nupur operates as a Prosthodontist and Owner at Dr. Surjit Singh Eye and Dental Clinic in Chandigarh Tricity, serves as Editor In Chief at DentalReach, and holds the position of Specialist Editor at Cactus Communications. Nupur's foundational education includes a BDS from YMT Dental College, Mumbai and an MDS in Prosthodontics & Implantology from VSPMs Dental College, complemented by a Fellowship in Advanced Aesthetic Dentistry from Universität Greifswald, Germany. Additionally, Nupur has a background in communication as a former Radio Jockey at All India Radio.