Tag Archive: Restorative

The RWE “Lid Technique” for retrofilling during apicoectomy

December 12, 2014 4:29 am Published by

Saving teeth is the primary goal of all endodontic therapy. However, when conventional, non-surgical root canal therapy does not work and the tooth has good coronal restoration and periodontal conditions, apicoectomy and retrofilling can be considered as a viable way to save teeth that would otherwise be extracted through a single procedure. In this video, Dr. Nasseh explains this procedure and how the modern “Lid Technique” developed by RWE is more efficient and effective than the historical apicoectomy procedure. …

CBL #10: The use of ESX In molars or Advanced Cases

October 17, 2014 7:50 pm Published by

The ESX File is unique in the way that it has different algorithms of use for different kinds of canals. This allows minimum use of files depending on the case at hand and what makes ESX a modular instrumentation technique. 

This is why 2 ESX files can be used as a minimum to complete a Basic Canal and 4-5 ESX files is needed to complete an Advanced canal. 

This differentiation helps practitioners use the minimum number of files in a given case and yet provide responsible, safe instrumentation for their patients. 

In this tutorial Dr. Nasseh demonstrates the use of ESX files and the Advanced protocol  in a mandibular second molar. 

Please see PDF attachment below.


Case Based Learning #8: Basic ESX Premolar

September 19, 2014 3:34 am Published by

In this video, Dr. Nasseh demonstrates the use of the ESX instrumentation and bioceramic obturation in a maxillary premolar and discusses the ramificaitons of a small puff of sealer with ESX....

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CBL #6: Intentional Replantation of Mandibular second molar

June 14, 2014 9:33 pm Published by

Intentional replantation of teeth with conical roots and no periodontal disease where a failed RCT can not have either a non-surgical retreatment or a surgical apicoectomy is a viable option for some patients. In this video, Dr. Nasseh will discuss this technique through a tooth demonstration. 


Silver Point Retreatment

August 22, 2013 7:44 pm Published by

Although most silver points treated teeth in the 60’s, 70’s, and the occasional case in the early 1980’s have already been retreated or extracted, there are some cases that are still functional and in the patients’ mouth. Occasionally, these cases fail due to coronal leakage and primarmily due to recurrent decay or old, leaking restoration. The leakage results into an apical infection since the apical leakage is usually present due to the use of ZOE based sealers to cement such cones that were resorbable and washed out of the canals after a certain amount of time.

This tutorial demonstrates such case. Due to decay that was at one point repaired on the buccal aspect of the crown in a silver point treated tooth #5, the apex was failing and a periapical radiolucency with an associated sinus tract was present. The patient was originally referred for apicoectomy; however, apicoectomy in such cases has a poor long term success since the source of the lesion is the unaddressed coronal leakage.

This tutorial shows the retreatment of such cases through the crown. A new crown is always needed following successful retreatment given the original leakage.…