Dr. Harsh Haren Shah

Dr. Harsh Haren Shah Dr. Harsh Haren Shah is a passionate endodontist & aesthetic dentist. He is a teacher and clinician

17/05/2026

What is a Truss Access Opening

Instead of one large traditional access cavity, you prepare:
Separate small access openings (usually for mesial and distal canals)
Leave a dentinal bridge (truss) in between
This preserves structural integrity of the tooth.

Where it’s commonly used:
Mandibular molars
Maxillary molars
(Only when canals are well separated)

Purpose / Advantages:
Preserves pericervical dentin (PCD) - critical for fracture resistance
Maintains tooth strength - reduced risk of vertical fracture
Fits into minimally invasive endodontics philosophy
Better long-term prognosis in structurally compromised teeth

Limitations / Concerns:
Reduced visibility & straight-line access
Higher chance of:
Missed canals
Inadequate debridement
More technique-sensitive

Requires:
Magnification (loupes or microscope)
Good pre-op imaging (CBCT ideally)
Clinical judgment is key
A truss access is not for every case. Avoid in:
Calcified canals
Retreatment cases
Complex anatomy
Limited visibility situations

In simple terms
Think of it like:
Instead of removing the entire roof of the pulp chamber, you create two small windows and keep a “bridge” in between.

18/04/2026

Why the "Just in Case" script is failing your patients

We cannot treat a local infection with a systemic solution.

A necrotic pulp is a non-vascularized space. Without a functional blood supply to the root canal system, systemic antibiotics cannot reach the biofilm within the canal. We are essentially sending a message to a house with no mailbox.

The Modern Protocol
Loading Doses: If systemic involvement is present (fever, lymphadenopathy, cellulitis), move to a high-dose, short-duration regimen to reach therapeutic levels rapidly and reduce the risk of resistance.

It’s time to stop over-prescribing in Endodontics.

Cleaning and shaping is the gold standard. The prescription pad is secondary.

Clinical Checklist for Antibiotics:
✅ Fever > 38°C
✅ Diffuse Swelling (Cellulitis)
✅ Trismus/Malaise
✅ Immunocompromised status

28/03/2026

Don’t compromise your irrigation protocol.
2% chlorhexidine isn’t the same as diluted mouthwash — and in endodontics, that difference matters.
2% chlorhexidine provides broad-spectrum antimicrobial activity and substantivity, making it particularly valuable in retreatment cases and persistently infected canals.

Chlorhexidine acts by disrupting bacterial cell membranes and precipitating intracellular contents, offering sustained antimicrobial action due to its substantivity.

In retreatment and heavily infected cases, you need maximum antimicrobial efficacy, not convenience.
Precision in irrigation = success in outcomes.



[endodontic irrigation tips, chlorhexidine vs mouthwash, root canal protocol, dental education, infected root canals, dental disinfection, endodontic practice]

26/03/2026

Saline alone doesn’t clean canals — it only flushes debris.
Effective irrigation requires chemistry, not just volume.
If you’re still relying heavily on saline, you’re leaving behind what matters most.


endodontic irrigation, sodium hypochlorite, EDTA, root canal cleaning, smear layer removal, biofilm disruption, canal disinfection, irrigation techniques, dental practice tips, microscopic endodontics

09/02/2026

RUBBER DAM KIT | PART 2 🦷
Isolation is not complete without the retention and stabilization components.
In Part 2, we cover the instruments and accessories that make rubber dam placement secure, efficient, and clinically predictable 👇
▫️ Clamp – retention and cervical seal
▫️ Clamp Forceps – controlled and safe placement
▫️ Floss – safety ligature & clamp retrieval
▫️ Wedges – stabilization and tissue control
▫️ Frame – proper dam tension and visibility
▫️ Gingival Barrier – sealing gaps and enhancing isolation
When these components work together, rubber dam placement becomes faster, safer, and stress-free—for both the dentist and the patient.
Strong isolation = better dentistry.

[Rubber Dam Kit] [Rubber Dam Clamp] [Clamp Forceps] [Dental Wedges] [Rubber Dam Frame] [Gingival Barrier] [Dental Isolation] [Endodontic Essentials]

03/02/2026

Not all endodontic files are created equal.
Low-quality, non-standardized files—commonly seen in cheap imported (Chinese) systems—often show poor cutting efficiency, inconsistent taper, and dimensional inaccuracies, which means they do not fit the canal anatomy properly.
🚫 This leads to compromised canal shaping, increased risk of ledging and transportation, higher instrument stress, and ultimately unpredictable endodontic outcomes.
Precision, standardization, and metallurgy matter in endodontics.
Saving on instruments can cost you control, efficiency, and long-term success.
[Endodontic Files] [File Standardization] [Canal Shaping] [Poor Cutting Efficiency] [Chinese Files] [Root Canal Instruments] [Endodontic Tips] [Clinical Dentistry]
ClinicalDentistry DentistLife EndoTips RotaryFiles CanalPreparation DentistryIndia DentalReels QualityMatters
DentistInNerulRoad CrownsAndRoots CrownsAndRootsDentalSolutions DentalEducation

23/01/2026

An amazing hands-on session on Porcelain Laminate Veneers at the Madhya Pradesh State Dental Conference, Modern Dental College, Indore.
Great participation, enthusiastic clinicians, and some beautiful smiles in the making.

Nothing beats the joy of learning, sharing, and elevating clinical dentistry together.
See you at the next one.

Address

Crowns And Roots Dental Solutions, 101, Sai Anand Plaza, Opp. Old Golden Nest, Mira Bhayander Road, Mira Road East
Mumbai
401107

Telephone

+919833428989

Website

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