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Cytokines as Diagnostic Biomarkers for Pulpitis: Exploring Their Role in Vital Pulp Therapy

By Drs. Mike Sabeti and Heather Kim The dental pulp is often categorized into specific diagnostic terminology without recognizing the progressive nature of pulpal disease. Yet, pulpitis presents as a…

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Applicable Reverse Engineering Upgrades to Endodontic Shaping Systems Soon After the Establishment of Universal Standards for Fatigue Test Condition

By Dr. Ekim Onur Orhan This short note highlights the need for a standardization regarding endodontic shaping systems, able to predict their remaining functional life. The objective is to reduce…

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Flowcharting of the Proposed Clinical Decision-Making Algorithm of Broken Endodontic Instruments: Decision-making to Retrieve, Bypass, or Entomb

By  Drs. Nurcan Deniz and  Ekim Onur Orhan Clinical approaches have been described to accessing fractured instruments, depending on their location in the canal and stage of cleaning and shaping…

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Separation Anxiety? Eleven Tips for Working with NiTi Files

By Joseph C. Stern, D.D.S. There have been few innovations in endodontics as revolutionary as nickel titanium (NiTi) rotary. There was a time when one would spend multiple visits hand…

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Broken Instruments – Clinical Decision Making Algorithm

By Dr. Michael Solomonov The fracture of endodontic instruments during root canal treatment is a complication every endodontist must have to deal with. The reported frequency rate for fractured instruments…

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When a Toothache is Not

A 60-year-old female presents to your clinic with a chief complaint of a “sharp pain in (her) face in the area of the left maxillary second bicuspid”. She indicates that her complaint began approximately one year prior to her consultation with you today. Her symptoms seem to be getting worse over time.

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