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01/08/2025

Can AI help diagnose your root canal infection before you feel a thing?

This new study from the Journal of Endodontics says YES — with over 85% accuracy using only X-rays.
The AI platform went head-to-head with 3 endodontists and even compared to CBCT scans as the gold standard.
📊 The result? A powerful new diagnostic assistant that could level up dental diagnostics in general practice—especially where CBCT isn’t available.

AI isn’t replacing your endodontist…
But it is changing the game.

Study: Diagnostic Accuracy of a Commercial AI-based Platform for Radiographic Detection of Periapical Lesions – JOE, July 2025.

⸻

18/07/2025

“Root canals don’t hurt!”

It’s just a filling — but in the root.
Nothing more, nothing less.

If you’ve been scared off by horror stories or outdated info, here’s the truth: a root canal done right is painless and predictable.

🦷 No drama. Just dentistry. dentistry.


11/07/2025

Classic Endo Lit: The Birth of the “Zip”

Ever wonder where terms like apical transportation, zip, and elbow came from?

In 1975, Weine et al. used resin block models to show exactly what happens when we don’t respect canal curvature during instrumentation. When stiff files are forced down a curved canal, they straighten—cutting the outer wall and shifting the apex 😬

This study didn’t just identify the problem. It gave us the vocabulary, the visual evidence, and the impetus for safer shaping techniques like anti-curvature filing, balanced force, and eventually NiTi rotary systems.

Without Weine, we’d still be zipping canals blind.

📚 Weine FS, Kelly RF, Lio PJ. J Endod. 1975;1(8):255–262.

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20/06/2025

Endodontic Quick Tip: Does Diluting Bleach Kill Its Power?
In 1981, Harrison & Hand asked a simple but crucial question: how much does diluting sodium hypochlorite (NaOCl) affect its ability to dissolve pulp tissue?
Using porcine pulp samples, they compared full-strength 5.25% NaOCl to lower concentrations like 2.5%, 1%, 0.5%, and even saline. The results were clear: dilution drastically reduces effectiveness.
▫️ 5.25% = complete dissolution in ~4 minutes
▫️ 0.5% = over 2 hours
▫️ Saline = no dissolution at all
🧼 Higher concentration = faster, more complete tissue breakdown.
🔥 Heating the solution helped even more.
This study remains a cornerstone of why many clinicians stick with full-strength NaOCl — especially for necrotic cases where tissue dissolution is key.
Citation: Harrison JW, Hand RE. The effect of dilution on the necrotic tissue dissolution property of sodium hypochlorite. J Endod. 1981;7(3):128–132.

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