Apical Patency in Endodontics: A Key to Root Canal Success Apical patency is very important when it comes to endodontic therapy, or more commonly known as root canal therapy. Clinicians are constantly balancing precision and preservation when performing a root canal. One step of root canal therapy that is often discussed is apical patency. It […]
Category Archives: Root canal therapy
How common is an apical delta for a tooth? Apical delta is a term we use to refer to many different exists of a canal in a tooth. When performing root canal therapy, an it can be a major challenge. This small but complex area can make or break a successful root canal treatment. What […]
Anatomy of the mesio-buccal 2 (MB2) canal that is close to palatal canal The mb2 canal can be close to palatal canal. This is not where it typically exists but needs to be an area that dentists are looking. When performing root canal therapy on the maxillary molars, one of the most commonly overlooked anatomical […]
Understanding the impact Master Apical Size has in Root Canal Treatment The master apical size is a unique aspect to every root canal. Root canal treatment is a common dental procedure aimed at saving a tooth that has become infected or damaged. A critical aspect of this procedure is determining the master apical size (MAS), […]
Pain after root canal? Still having pain after your root canal? Pain after root canal procedure is normal. The amount of pain and how long it last for varies from person to person and on several other factors. What are the main causes for pain after root canal is done? The primary reason someone will […]
What is a radix root? Radix root is a term for an extra distal root on a lower molar tooth. What is the research on radix roots? The radix root is much more prominent in the Asian population. Less than 1% of Venezuelans have one but 22% of Chinese have one. Martins JOE 2022 Korean […]
What to do about an endodontic file separation? Endodontic file separation during a root canal can and does occur. So what can we do about and what should we do about it? What happens when you have a root canal file separation? The first thing we will do is evaluate the situation. As you can […]
The bifurcated inferior alveolar nerve (IAN) Bifurcation of the inferior alveolar nerve is a common anatomical variance but can be difficult to detect. There are reports of bifid, trifid, and even quadrifid. How common is a bifurcated IAN? It most likely occurs between 13-37%, which you can find in Yoon Gen Dent 2018. This is […]
Decompression of a dental abscess Decompression of a dental abscess is something that is rare but beneficial with large lesions. Endodontists and oral surgeons are probably the main two specialists with training in this area. Steps for decompression of a dental abscess The steps for decompression depend to some degree on where it is in […]
Conservative endodontic access (Ninja access) Conservative endodontic access or ninja access is basically an access to complete a root canal that is very small. My bias is that most root canals we see fail do so from infection and likely ineffective cleansing. To limit ones ability to effectively clean out the inside to reduce the […]









