I’m quite excited with the new video capabilities and took this video yesterday of a Maxillary first molar access, highlighting the important strategic steps. [ ed - Access is perhaps the singular most under-estimated and ill-considered factor in creating an optimal standard of excellence in endodontics. Regardless of the nature of the super-elastic metal used in any file system, regardless of their envelope of motion, they all fatigue. The purpose of access is to expose the portals of entry of the root canal system, ensure that the biomechanics and biochemistry of the instruments used are not exceeded and facilitate a centered and direct penetrability to the portals of exit……..in the most direct sense, shape facilitates optimal volumetric irrigation and flow of the obturating material along a smooth rheologically optimized channel; the ability to flow a thermolabile material under pressure to the apical terminus is the most dramatic example of controlled injection molding possible. For those reading the blog entries past, it should be apparent that I have issues with single file endodontics, not the concept, which may over time prove serviceable, but with the marketing as "endo is simple" - it's not, if it were, then success would be 100% across the board and it's not. The one thing you learn the longer you do root canal therapy is that the teeth talk to you and for the most part, they never say, I'm simple - they say, I'm negative space - lose your way, misalign your file, access me incorrectly and I'm - gonna take you down!!!]
Terry Pannkuk, DDS, MScD, Diplomate of the American Board of Endodontics
Dr. Ken Serota, DDS, MMSc Author of over 70 publications, Ken has lectured on Endodontics and Implantology around the world. MMSc from the Harvard-Forsyth Dental Center in Boston, MA; Fellow of the Pierre Fauchard Academy. Ken is the founder of ROOTS – an online educational forum for dentists from around the world who wish to learn cutting edge endodontic therapy.