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Dental Forum and Clinical Discussions | DentalReach

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Clinical cases, practice questions and the conversations behind our articles, events and podcasts.

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ActiveNewestTrendingUnanswered

64 discussions in Endodontics

T
EndodonticsArticle

How do you reach a defensible pulpal and apical diagnosis?

Editorial imaging note: When conventional findings do not answer a defined question, review Dental CBCT Selection and Radiation Safety: Clinical Guide…

Team DentalReach·1mo ago·3
3
93
EndodonticsArticle

When is root canal treatment indicated—and when should the diagnosis be reconsidered?

Root canal treatment should follow a pulpal and apical diagnosis based on history, clinical tests, periodontal findings and appropriate imaging. Symptoms alone are insufficient because cracked…

Dr. Rockson Samuel·1mo ago·3
3
123
EndodonticsArticle

What determines the prognosis of a replanted avulsed permanent tooth?

Prognosis depends heavily on extra-alveolar dry time, storage medium, root development, periodontal ligament injury, socket condition, gentle handling, flexible splinting and timely follow-up.…

Dr. Rockson Samuel·1mo ago·3
3
102
EndodonticsArticle

What is the safest strategy for locating and negotiating a calcified root canal?

Management starts with diagnosis, angled radiographs or justified three-dimensional imaging, access refinement under magnification and a staged coronal-to-apical approach. Ultrasonics, small…

Dr. Rockson Samuel·1mo ago·3
3
110
EndodonticsArticle

Which recent endodontic advances meaningfully improve root canal outcomes?

Useful advances include enhanced imaging, magnification, conservative access planning, heat-treated instruments, activation of irrigants, bioceramic materials and improved restorative sealing.…

Dr. Rockson Samuel·1mo ago·3
3
119
EndodonticsArticle

Which endodontic cases should a new dentist treat or refer?

Use diagnosis, anatomy, access, isolation, restorability and complication risk to define beginner case-selection and referral thresholds.

Dr. Rockson Samuel·1mo ago·3
3
98
EndodonticsArticle

Is rubber dam isolation mandatory during root canal treatment?

Rubber dam isolation is regarded as the standard of care during root canal treatment because it supports asepsis, prevents salivary contamination, protects soft tissues and reduces the risk of…

Dr. Rockson Samuel·1mo ago·3
3
123
EndodonticsArticle

How do you reduce rotary endodontic file separation without compromising shaping?

Discuss glide path, anatomy, torque and speed, irrigation, file inspection and referral thresholds for safer rotary preparation.

Dr. Rockson Samuel·1mo ago·3
3
116
EndodonticsArticle

What should dentists evaluate before purchasing and adopting an operating microscope?

Discuss optics, ergonomics, illumination, mounting, documentation, operatory fit, training and service support—not magnification alone.

Dr. Rockson Samuel·1mo ago·3
3
77
EndodonticsArticle

What are the most common causes of persistent disease after root canal treatment?

Persistent or recurrent apical disease after root canal treatment may involve missed anatomy, inadequate disinfection, persistent intraradicular or extraradicular infection, procedural…

Dr. Rockson Samuel·1mo ago·3
3
149
T
EndodonticsArticle

What is your safest framework for troubleshooting a difficult root canal case?

I organise difficult root canal cases around five domains: diagnosis, anatomy, microbial control, structural preservation and review. This prevents one product or technique from dominating the…

Team DentalReach·10mo ago·3
3
113
T
EndodonticsArticle

Does cell homing regenerate a true pulp-dentine complex?

Cell homing recruits endogenous cells into a prepared environment, but clinical healing or a positive sensibility response does not by itself prove recreation of normal pulp histology. Which outcome…

Team DentalReach·1y ago·3
3
106
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