Endodontic Dilemmas

Endo Perio Lesions: How to Diagnose and How to Treat

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By Barry Musikant
The lesion has its origins in endodontics if it is accurately defined as endo-perio. If the lesion starts out as a periodontal problem it is perio-endo in genesis. Diagnosing the differences is crucial in optimizing treatment. For example, if one believes the problem is endo-perio, t ...

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Deciding when to extract or endodontically retreat a tooth.

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By Barry Musikant, DMD
Conceptually the answer is very easy. We retreat a tooth when we believe such retreatment will lead to the successful function of the tooth for a long period of time. In reality the answer is far more difficult. Some of the questions that must be answered in the positive to do r ...

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Managing Endodontic Post Operative Pain

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By Barry Musikant, DMD
Post operative pain is something that keeps me humble. It generally is not severe and does not routinely occur. It can happen whether the endodontics is done in one visit or more. Endodontically treating a vital tooth is less likely to lead to a flareup even if the tooth was exq ...

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How to Select Best System in Rotary Files

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By Barry L. Musikant, DMD

In determining the best way to shape canals, we should consider the use of rotating NiTi as one general method of instrumentation with many variations in design and utilization to choose from. To limit the methodology of instrumentation to systems that incorporate either c ...

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Endodontic Cleaning and shaping methods

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By Barry L. Musikant, DMD

The most productive way to think about endodontic cleaning and shaping is to think about what we have to shape rather than how we shape it. If we understand exactly what the challenges are, then deciding what is the best way to shape a canal should be more an exercise in c ...

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