Current Articles of Significance #4: Sabeti et al 2024: Outcome of Endodontic Retreatment.

In this video, coinciding with the Celtics NBA win, Drs. Meshking, Blicher, Pryles, and Nasseh sit down to discuss for recent articles in the literature worth a discussion.
You Can find Links to additional parts here:
Current Lit Articles Of Significance (AOS)
(previous series 1-3)
AOS #1: • Endo Articles Review: ...
AOS #2: • Endo Articles Review w...
AOS #3: • Endo Articles of Signi...
(current series 4-7)
AOS #4: Sabeti et al 2024: Outcome of Contemporary Nonsurgical Endodontic Retreatment: A Systematic Review of Randomized Controlled Trials and Cohort Studies • Current Articles of Si...
AOS #5: Kim et al. 2024: Retrospective Assessment of Endodontically Treated Teeth Replaced by Dental Implants • Current Articles of Si...
AOS #6: Schmidt et. al 2024: How Does Intentional Apical Foraminal Enlargement Affect the Foramen and Root Canal Morphology? • Current Articles of Si...
AOS #7: Dophin et al. 2024: Efficacy of the TuttleNumbNow Intraosseous Anesthesia for Pulpal Anesthesia in Mandibular First Molar Teeth.

[@michaelwang4222]

This is such an informative talk! Thanks for posting

[@fyx2023]

Great video with so much information! I especially appreciated the perspective of a general dentist and the Q&A segment. Looking forward to the next AoS!

[@Coco-572]

Would a few treatments of PRF into the adult canal , initiate a biological repair that is enough to stabilize the tooth and the surrounding tissue can begin to heal ?

[@AANasseh]

@@Coco-572 The rate limiting factor in all endodontic endeavors is the disinfection. While scientists have focused a lot on the matrix, and growth factors, non of those factors are going to get a chance to contribute in the absence of robust disinfection and removal of inflammatory antigens. So, the focus has to shift to disinfection, and ideally sterilization, which will almost guarantee success, not growth factors. Thanks for this great question! 👍

[@dr.endude]

This is a really interesting topic. Thanks for sharing! I'm curious, how long do you usually wait for a sinus tract to close before considering the treatment a failure?

[@AANasseh]

@@dr.endude I would wait 4-6 weeks… also you have to rule out healing by scarring as it may heal leaving a bumpy scar that can be confused for a persistent sinus tract. If you see a scar Confirm it has no opening and nothing is expressing out. 👍

[@dr.endude]

@@AANasseh Thank you so much for your answer! I have a follow-up question: In one of your videos, I saw a resident performing microsurgery through the sinus tract. I'm wondering, do you recommend curettage through the sinus tract for persistent cases?

[@AANasseh]

@@dr.endude Persistemt cases are different than what the resident was doing in that video, in which he was washing out and removing large overfill of sealer past the apex and into the lesion and through the sinus tract before the material had set (washing out through the sinus tract.) In persistent lesions/cases apico would be the better option than washing through the sinus tract. Otherwise, I generally don’t manipulate the sinus tract and let natural healing take place after conventional treatment/retreatment and then triage based on follow up. Cheers.

[@dr.endude]

@@AANasseh Thank you so much for the comprehensive answer🙏🏻

[@adentdr.ayman977]

❤،،🖤💚🤍❤️💚💚❤️🤍🖤❤️‍🔥