Dentaltown November 2019 - 86
root canal treatment-and failure, and
ended up needing to re-treat 200-plus cases,
all documented.
When I re-treated these cases, I discovered that I was able to pull the single cone
right out-the sealer I had used did not
always set inside the canal. This product does
not set in the presence of oxygen; because
of this, the clinician must use a specific file
conditioner so as not to introduce oxygen
into the canal system. But that raises the
question: How do you know if the canal
is oxygen-free? If a little bit of oxygen is
present in the canal system, will the sealer
still set? These are good questions to ask
before incorporating this type of sealer into
your practice.
Running the numbers
I then decided to try a bioceramic
sealer, still sticking with the single-cone
technique. I was much more careful this
time and reviewed the product's studies,
86
NOVEMBER 2019 // dentaltown.com
which showed it to have a similar success
rate to traditional sealer using warm vertical
obturation. A 2018 retrospective cohort study
examined 307 cases (initial and re-treatment)
obturated with a bioceramic sealer in a single
cone technique, with a minimum one-year
recall and an average of 30.1 months. The
outcome produced a 90.9% success rate,
where "success" was defined as apical lesions
healed and healing.10
I used a bioceramic sealer from 2012
to 2017 on the majority of my cases and
anecdotally, I had fairly good success. But
around early 2017, I noticed a pattern that
seemed to recur frequently: More "check"
patients were coming back to my office
because they either still had postoperative
discomfort after a few months or developed
discomfort a year later. Not just the normal
"It's sore when I push on the side of the
tooth or when the electric toothbrush hits
it" but "It's sore when I bite, or push down
on top of the tooth." Anytime you perform
http://www.dentaltown.com
Dentaltown November 2019
Table of Contents for the Digital Edition of Dentaltown November 2019
Dentaltown November 2019 - Intro
Dentaltown November 2019 - Cover1
Dentaltown November 2019 - Cover2
Dentaltown November 2019 - 1
Dentaltown November 2019 - 2
Dentaltown November 2019 - 3
Dentaltown November 2019 - 4
Dentaltown November 2019 - 5
Dentaltown November 2019 - 6
Dentaltown November 2019 - 7
Dentaltown November 2019 - 8
Dentaltown November 2019 - 9
Dentaltown November 2019 - 10
Dentaltown November 2019 - 11
Dentaltown November 2019 - 12
Dentaltown November 2019 - 13
Dentaltown November 2019 - 14
Dentaltown November 2019 - 15
Dentaltown November 2019 - 16
Dentaltown November 2019 - 17
Dentaltown November 2019 - 18
Dentaltown November 2019 - 19
Dentaltown November 2019 - 20
Dentaltown November 2019 - 21
Dentaltown November 2019 - 22
Dentaltown November 2019 - 23
Dentaltown November 2019 - 24
Dentaltown November 2019 - 25
Dentaltown November 2019 - 26
Dentaltown November 2019 - 27
Dentaltown November 2019 - 28
Dentaltown November 2019 - 29
Dentaltown November 2019 - 30
Dentaltown November 2019 - 31
Dentaltown November 2019 - 32
Dentaltown November 2019 - 33
Dentaltown November 2019 - 34
Dentaltown November 2019 - 35
Dentaltown November 2019 - 36
Dentaltown November 2019 - 37
Dentaltown November 2019 - 38
Dentaltown November 2019 - 39
Dentaltown November 2019 - 40
Dentaltown November 2019 - 41
Dentaltown November 2019 - 42
Dentaltown November 2019 - 43
Dentaltown November 2019 - 44
Dentaltown November 2019 - 45
Dentaltown November 2019 - 46
Dentaltown November 2019 - 47
Dentaltown November 2019 - 48
Dentaltown November 2019 - 49
Dentaltown November 2019 - 50
Dentaltown November 2019 - 51
Dentaltown November 2019 - 52
Dentaltown November 2019 - 53
Dentaltown November 2019 - 54
Dentaltown November 2019 - 55
Dentaltown November 2019 - 56
Dentaltown November 2019 - 57
Dentaltown November 2019 - 58
Dentaltown November 2019 - 59
Dentaltown November 2019 - 60
Dentaltown November 2019 - 61
Dentaltown November 2019 - 62
Dentaltown November 2019 - 63
Dentaltown November 2019 - 64
Dentaltown November 2019 - 65
Dentaltown November 2019 - 66
Dentaltown November 2019 - 67
Dentaltown November 2019 - 68
Dentaltown November 2019 - 69
Dentaltown November 2019 - 70
Dentaltown November 2019 - 71
Dentaltown November 2019 - 72
Dentaltown November 2019 - 73
Dentaltown November 2019 - 74
Dentaltown November 2019 - 75
Dentaltown November 2019 - 76
Dentaltown November 2019 - 77
Dentaltown November 2019 - 78
Dentaltown November 2019 - 79
Dentaltown November 2019 - 80
Dentaltown November 2019 - 81
Dentaltown November 2019 - 82
Dentaltown November 2019 - 83
Dentaltown November 2019 - 84
Dentaltown November 2019 - 85
Dentaltown November 2019 - 86
Dentaltown November 2019 - 87
Dentaltown November 2019 - 88
Dentaltown November 2019 - 89
Dentaltown November 2019 - 90
Dentaltown November 2019 - 91
Dentaltown November 2019 - 92
Dentaltown November 2019 - 93
Dentaltown November 2019 - 94
Dentaltown November 2019 - 95
Dentaltown November 2019 - 96
Dentaltown November 2019 - Cover3
Dentaltown November 2019 - 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