Dentaltown May 2017 - 123
continuing
education
Fig. 9. Pre-curved
Typhoon NiTi files
Fig. 8. Difficult file access into mandibular molar
because of limited mouth opening, and opposing
arch that's in the way of the handpiece.
SCENARIO: Difficult access to teeth
REASON FOR RISKS:
* Limited mouth opening.
* Posterior location of teeth.
* Long posterior teeth requiring long
files, which make accessibility difficult.
MANAGEMENT OF RISKS:
* Use short files (i.e. 21 millimeters)
* Pre-curve stainless steel hand files to facilitate
entry into endo access and canals.
* Use NiTi files with short shafts.
* Use NiTi files that can be pre-curved before
accessing canals, such as WaveOne Gold by
Dentsply Sirona or Typhoon by Clinician's
Choice.
Fig. 11. 25mm
#30 in a patient
with limited
opening.
Fig. 10
Fig. 12.
Precurvable
WaveOne Gold
NiTi files with
short shaft.
Fig. 13.
Long (left)
vs. short (right)
NiTi file shafts.
and require many appointments. To them,
this could translate into loss of confidence
in you and your skills.
From a patient retention perspective, you
must ask the following: What's the cost to
your patients and your practice when you
spend too long on a root canal or when it
fails? The patient doesn't benefit and neither
does your practice, because you may lose
that patient, along with any referrals. As
many of us (including myself) have found
the hard way, good news is often taken for
granted by patients, while bad news can
spread like wildfire. The cost to your practice
of a failed root canal could be significant.
This certainly is not a good thing when you
want to keep your patients in your practice.
We can't discuss endodontic risks without
touching upon the reality of legal hazards.
Unfortunately, we live in a society that can
easily be litigious. In fact, thanks in large
part to the internet, it's become easy for
patients to file complaints or take legal actions
against dentists. Futhermore, if you didn't
perform the root canal properly, your legal
and monetary risks could be even greater.
Part 2: Clinical
There are clinical scenarios and teeth
which present higher risks for clinical
complications. Some of the more common
scenarios with potential pitfalls are outlined
in Table 2 (p. 122) and Table 3 (p. 125).
Clinical scenarios that may complicate
endodontic procedures include: management
of calcified and curved canals; presence of
pulp stones; teeth and canals that are difficult
to access because of their posterior location;
a patient's limited opening; or the difficulty
in visualizing canals in an endo access.1 For
dentaltown.com \\ MAY 2017
123
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown May 2017
No label
Dentaltown May 2017 - No label
Dentaltown May 2017 - Cover1
Dentaltown May 2017 - Cover2
Dentaltown May 2017 - 1
Dentaltown May 2017 - 2
Dentaltown May 2017 - 3
Dentaltown May 2017 - 4
Dentaltown May 2017 - 5
Dentaltown May 2017 - 6
Dentaltown May 2017 - 7
Dentaltown May 2017 - 8
Dentaltown May 2017 - 9
Dentaltown May 2017 - 10
Dentaltown May 2017 - 11
Dentaltown May 2017 - 12
Dentaltown May 2017 - 13
Dentaltown May 2017 - 14
Dentaltown May 2017 - 15
Dentaltown May 2017 - 16
Dentaltown May 2017 - 17
Dentaltown May 2017 - 18
Dentaltown May 2017 - 19
Dentaltown May 2017 - 20
Dentaltown May 2017 - 21
Dentaltown May 2017 - 22
Dentaltown May 2017 - 23
Dentaltown May 2017 - 24
Dentaltown May 2017 - 25
Dentaltown May 2017 - 26
Dentaltown May 2017 - 27
Dentaltown May 2017 - 28
Dentaltown May 2017 - 29
Dentaltown May 2017 - 30
Dentaltown May 2017 - 31
Dentaltown May 2017 - 32
Dentaltown May 2017 - 33
Dentaltown May 2017 - 34
Dentaltown May 2017 - 35
Dentaltown May 2017 - 36
Dentaltown May 2017 - 37
Dentaltown May 2017 - 38
Dentaltown May 2017 - 39
Dentaltown May 2017 - 40
Dentaltown May 2017 - 41
Dentaltown May 2017 - 42
Dentaltown May 2017 - 43
Dentaltown May 2017 - 44
Dentaltown May 2017 - 45
Dentaltown May 2017 - 46
Dentaltown May 2017 - 47
Dentaltown May 2017 - 48
Dentaltown May 2017 - 49
Dentaltown May 2017 - 50
Dentaltown May 2017 - 51
Dentaltown May 2017 - 52
Dentaltown May 2017 - 53
Dentaltown May 2017 - 54
Dentaltown May 2017 - 55
Dentaltown May 2017 - 56
Dentaltown May 2017 - 57
Dentaltown May 2017 - 58
Dentaltown May 2017 - 59
Dentaltown May 2017 - 60
Dentaltown May 2017 - 61
Dentaltown May 2017 - 62
Dentaltown May 2017 - 63
Dentaltown May 2017 - 64
Dentaltown May 2017 - 65
Dentaltown May 2017 - 66
Dentaltown May 2017 - 67
Dentaltown May 2017 - 68
Dentaltown May 2017 - 69
Dentaltown May 2017 - 70
Dentaltown May 2017 - 71
Dentaltown May 2017 - 72
Dentaltown May 2017 - 73
Dentaltown May 2017 - 74
Dentaltown May 2017 - 75
Dentaltown May 2017 - 76
Dentaltown May 2017 - 77
Dentaltown May 2017 - 78
Dentaltown May 2017 - 79
Dentaltown May 2017 - 80
Dentaltown May 2017 - 81
Dentaltown May 2017 - 82
Dentaltown May 2017 - 83
Dentaltown May 2017 - 84
Dentaltown May 2017 - 85
Dentaltown May 2017 - 86
Dentaltown May 2017 - 87
Dentaltown May 2017 - 88
Dentaltown May 2017 - 89
Dentaltown May 2017 - 90
Dentaltown May 2017 - 91
Dentaltown May 2017 - 92
Dentaltown May 2017 - 93
Dentaltown May 2017 - 94
Dentaltown May 2017 - 95
Dentaltown May 2017 - 96
Dentaltown May 2017 - 97
Dentaltown May 2017 - 98
Dentaltown May 2017 - 99
Dentaltown May 2017 - 100
Dentaltown May 2017 - 101
Dentaltown May 2017 - 102
Dentaltown May 2017 - 103
Dentaltown May 2017 - 104
Dentaltown May 2017 - 105
Dentaltown May 2017 - 106
Dentaltown May 2017 - 107
Dentaltown May 2017 - 108
Dentaltown May 2017 - 109
Dentaltown May 2017 - 110
Dentaltown May 2017 - 111
Dentaltown May 2017 - 112
Dentaltown May 2017 - 113
Dentaltown May 2017 - 114
Dentaltown May 2017 - 115
Dentaltown May 2017 - 116
Dentaltown May 2017 - 117
Dentaltown May 2017 - 118
Dentaltown May 2017 - 119
Dentaltown May 2017 - 120
Dentaltown May 2017 - 121
Dentaltown May 2017 - 122
Dentaltown May 2017 - 123
Dentaltown May 2017 - 124
Dentaltown May 2017 - 125
Dentaltown May 2017 - 126
Dentaltown May 2017 - 127
Dentaltown May 2017 - 128
Dentaltown May 2017 - Cover3
Dentaltown May 2017 - Cover4
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com