TIP#22: Tips for Endodontic Access with Dr Matthew Youssef – What I Wish I Knew

We can’t do good endodontics without having a good access, and we can’t have a good access without being able to see where we are going.

Dr Matthew Youssef from ARIA Dental Education is better known for his skills with implants however he is also an exceptional general dentist and today on the podcast he shares some tips on how to better visualise and systemise our endodontic access cavities to ensure we are doing low stress, thorough and efficient endodontics

TIP#17: Endodontic Treatment Planning with Dr Omar Ikram – What I Wish I Knew

Imagine the beautiful new deck you just added to your house. Freshly oiled, beautiful view, the perfect place to relax. Yet at the same time your bedroom and bathroom are falling in.

Starting RCT or sending a patient to an Endodontist without properly assessing their mouth and treatment planning both the micro factors of this tooth and the macro factors of their mouth is the equivalent mistake.

Today Dr Ikram shares his thoughts on this absolutely critical step in all aspects of dentistry.

I know I learnt a lot in my chat with Omar, and really hope you do too. Let us know what you think about the new podcast!

TIP#8: Managing Endodontic Instrument Fracture with Dr Omar Ikram – What I Wish I Knew

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TIP#2: Finding Calcified Canals with Dr Omar Ikram – What I Wish I Knew

You’re emergency slot fills with a patient in pain. You find a tooth with irreversible pulpitis and need to extipate to get the patient out of pain. Yet on the PA, the canal is almost unrecognisable!

This episode Dr Omar Ikram leads us on a discussion about finding these elusive canals and shares a few tips and techniques that will help you locate, navgvate and extirpate!

How To Keep Access when Temporising an Endo Tooth

Caries into the pulp. Clearly, endo is indicated, but how do you build up you temporary prior to extirpation and canal preparation?

One method is to pop a little cavit in the chamber then restore as normal and reaccess through the restoration. This works fine when you feel confident you can easily reproduce the access cavity with little risk of deviation.

To be honest, endo access for calcified or thin teeth makes my cortisol spike. So when there is clear caries to the pulp chamber and I’ve got access, I prefer not to completely close it, only to need to reaccess again.

To keep patency, try placing a large paper point in the Canal. Then your free to get a well sealed temporary in, easily maintaining your conservative access. Once the temp is done, ensure your isolation is still ideal and get on with the endo without wasting time finding that access again!

#9 – Dr Omar Ikram on Endodontics and Sharing knowledge

For most graduates, Endodontics can send a chill through the spine. It’s a challenging thing, done mostly by feel and when our experience is limited there are plenty of unknowns.

For this episode we have a social media dental titan. You’ve probably heard of him, he’s probably taught you a thing or two on Facebook. Dr Omar Ikram is a Specialist Endodontist, practice owner at Specialist Endo Crows Nest (based in Sydney’s lower North Shore), Specialist Endodontist at Sydney Dental Hospital and is a prolific teacher on Facebook.