EndoFiction

28/07/2026

Endodontics is where precision meets biology.
The objective isn't just a beautiful postoperative radiograph—it's long-term healing.

12-month review ✔️
Healthy periapical tissues ✔️
Tooth retained ✔️

Art. Science. Healing.

Endodontist

25/07/2026

Retreatment Isn't Failure... It's Sometimes the Path to the Right Decision.

Healing isn't guaranteed by perfect orthograde treatment.

This case reinforces an important principle in endodontics: technical excellence alone does not always resolve persistent apical disease.

• Initial orthograde retreatment performed to a high standard.
• 12-month review demonstrated persistent apical periodontitis with no evidence of healing.
• Surgical endodontics undertaken following appropriate case selection.
• 10-month review showing complete osseous healing.

The challenge isn't just delivering excellent treatment—it's recognising when biology requires a different approach.

01/07/2026

Consistency is the key.

🔑

29/06/2026

26/06/2026

Prevalence of Radix Entomolaris:
Caucasian populations:

25/06/2026

Not every tooth that appears hopeless is truly unrestorable.

This mandibular molar presented with deep caries extending to the root level, leaving minimal remaining coronal tooth structure. Many clinicians may consider extraction in cases like this, while others may choose to restore it.

This post is not about suggesting that I achieved something others cannot. Many dentists have the skills to restore a tooth like this. Rather, it highlights the importance of clinical decision-making. Every case should be assessed individually, taking into account factors such as the ferrule effect, occlusion, periodontal status, restorative prognosis, strategic value of the tooth, and—most importantly—the patient's wishes.

After careful assessment, this tooth was considered to have a predictable prognosis, and the decision was made to preserve the patient's natural dentition with endodontic treatment as part of the overall restorative plan.

Clinical excellence is not only about performing treatment well—it's about knowing when a tooth can be predictably saved and when it cannot.
The best dentistry is evidence-based, patient-centred, and guided by sound clinical judgment.

22/06/2026

In endodontics, clinician always needs to be switched on to be ready to spot uncommon and unexpected root canal anatomy. In this case even with magnficiation, it is challenging to visualise and spot the type V palatal root canal; master cone x-ray is the only way to know that there is something wrong there and that a second cana in P root is more likely present.