T
Clinical cases, practice questions and the conversations behind our articles, events and podcasts.
Ask a Specialist64 discussions in Endodontics
In a mandibular first premolar, a sudden canal disappearance, eccentric file position or unexplained radiographic line should prompt a search for a split system. The challenge is finding anatomy…
A separated instrument is not automatically a retrieval case. I weigh the stage of disinfection, fragment level, curvature, remaining dentine, periapical status and whether I can work under direct…
A facial draining lesion may be treated repeatedly as a skin problem when the dental source is painless. I correlate history, pulp and periapical tests, periodontal findings and imaging. What clue…
Regenerative treatment may produce healing, continued root development or a sensibility response, but these outcomes do not all prove the same biological event. Which outcome do you document as…
An Endodontics hub should guide decisions rather than present disconnected techniques. I start with diagnosis, complexity and restorability, then move through disinfection, obturation, restoration…
Are orifice barriers proven to improve clinical survival after root canal treatment, or are they mainly biologically plausible?
Which clinical findings justify single-visit or multiple-visit root canal treatment?
Can a laboratory comparison identify one universally superior rotary file system for root canal cleaning?
How should persistent canal exudation be assessed before obturation?
What evidence is required before an AI retreatment-prognosis model can influence clinical decisions?
Can quantitative percussion diagnostics identify early apical pathology, and should it change routine diagnosis?
Does preserving more dentin with a truss access improve long-term outcomes without compromising canal disinfection?