Your Endodontics Questions Answered! - PDP217

When Your Size 10 File is not going to length, what is happening? Your apex locator isn’t giving you a zero reading. Your file is stuck. You’re wondering—have you ledged? Or could something else be at play?

In this must-listen follow-up episode, Dr. Samuel Johnson returns to tackle the biggest endodontic dilemmas left unanswered from part one. If you haven’t checked that out yet, go back and listen—it’s packed with insights on working lengths, apex locators, and even the role of consent in endodontics.

Now, in part two, we go deeper. We’re talking blockages, ledges, portals of exit, and the mysterious phenomenon of file gripping. Plus, Dr. Johnson takes on your burning questions from the Protrusive community—like how he responds to biological dentists claiming root canals should be avoided entirely. (Yep, we’re addressing that controversy head-on!)

Protrusive Dental Pearl: For a more visual learning experience, dive into the Pre-Endo Build-Up on Protrusive Guidance and see Jaz and Samuel’s insights in action.

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Key Takeaway:

- General dentists often overlook the importance of taper.

- Removing too much dentine can weaken the tooth.

- GP cones can be unstable and affect the procedure.

- Reshaping GP cones can often resolve length issues.

- Pre-bending GP cones can help navigate tight curves.

- Biological dentists have controversial views on root canals.

- It's essential to prioritize the patient's best interest.

- Using endo frost can aid in manipulating GP cones.

- Consent should be informed and comprehensive.

- Communication between referring dentists and specialists is vital.

- Continuous learning is essential for dental professionals.

- Ultrasonic activation improves endodontic outcomes.

- Pulpotomy and root canal treatments have distinct indications.

- Building a supportive community can alleviate feelings of isolation in dentistry.

- Dentists should charge for their time and expertise.

Highlight of this Episode:

0:00 Introduction

01:03 Protrusive Dental Pearl

01:49 Common Scenarios and Tips for Young Dentists

05:30 File Gripping and Canal Anatomy

08:30 Master Apical File: The Common Dilemma

11:18 GP Cone Issues and Solutions

17:03 Addressing Root Canal Myths

23:35 Cracks in Teeth: Prognosis and Treatment

25:44 Ninja Access Cavities: Pros and Cons

28:21 Common Mistakes in Emergency Endodontic Treatments

33:51 Obturation: Overextended vs Short

34:41 UltraSonic vs Sonic Irrigants

36:15 Pulpotomy and General Dentistry

39:25 Building a Dental Community

As promised, here are the ESE Guidelines on managing cracked teeth.

https://protrusive.app/ posts/protrusive-vault-