ENDO TRIBUNE
The Worlds Endodontic Newspaper U.S. Edition
APRIL 2008
So many rotary systems, so little time: how do I choose?
10 questions to ask before making a decision
Are you a new endodontic ro-
tary user or a seasoned rotary
user? If you are a seasoned en-
dodontic rotary user, do you hy-
bridize? Whether a novice, junior
or senior rotary user we always
have the same two endodontic
questions: Which rotary system is
Inside this issue
SybronEndos
new Twisted File
Dr. Richard E. Mounce describes
the definitive competent manage-
ment of a severe apical third curva-
ture using the new Twisted File
from SybronEndo. The practitioner
can negotiate the curvature and do
so without ledging and blockage or
other iatrogenic event; enlarge the
canal space and yet keep the canal
in its original position as well as
keep the minor constriction (MC) of
the apical foramen at its original
position and size; and create a final
prepared taper that optimizes both
irrigation and the hydraulic forces
of obturation.
Instrumentation, Page 9
Mark VII
apex locator
Dr. Roman Borczyk describes a
study conducted to determine the
accuracy of X-ray root apex location
compared to Mark VII apex locator
accuracy.
Working Length, Page 16
Relationship-based
dentistry
Dr. Peter Barry discusses the human
side to dental treatment from fix-
ing teeth to helping people.
Practice, page 19
www.endo-tribune.com
for me? And what is the right
thing for me to do? To help find
the answers, Dr. John West, one of
the developers of the ProTaper sys-
tem, tackles 10 key questions. He
has divided his paper into three
parts: Context, Questions and
Conclusion.
Roots Summit offers endo education
The Roots Summit was held for
the first time eight years ago in
Toronto. Its purpose was to create a
real-time environment where the
members of the Roots Online Com-
munity, founded by Dr. Ken Serota,
who met online every day, could
meet face-to-face and showcase for
one another what they had learned
on Roots University.
This year, Dental Tribune Interna-
tional (DTI) and the Global Institute
Endodontic success and working
length: thinking 3-dimensionally
By E. Steve Senia, DDS, MS, BS
In the article Endodontic success:
its all about the apical third (Endo
Tribune, March 2008, pages 8-11),
we introduced the term working
width (WW). Dont be surprised if
you have never heard this term
its quite new and warrants a brief
description. WW is the canals pre-
instrumented diameter, adjacent
and coronal to the apical constric-
tion (Fig. 1). I like this term very
much, because it is a valuable re-
minder that canals are three-dimen-
sional. Instrumentation should ad-
dress a working length and a work-
ing width. My last article focused on
working width, this article focuses
on working length.
Definition of working length
There is considerable disagree-
ment regarding exactly where work-
ing length (WL) should terminate.
Lets explore the reasons and try to
make sense of it all. The American
Association of Endodontists Glos-
sary of Endodontic Terms states:
working length is the distance from
a coronal reference point to the
point at which canal preparation and
obturation should terminate.1
Where is the disagreement? The def-
inition doesnt tell us where WL
should terminate. Exactly where
By John West, DDS, MSD
Context
Regardless of your rotary level ex-
perience, most of you probably have
read last months Endo Tribune,
for Dental Education (gIDE) will
conduct the Miami Masters, featur-
ing the Roots Summit and the Im-
plant & Esthetics Summit, May
2931 at the Deauville Beach Resort
in Miami Beach.
Roots is an established global on-
line discussion and collaboration
forum, which many dental profes-
sionals trust for relevant endodon-
tic information. gIDE is known as
the premiere provider of online
instrument is required to clean this area.
VOL. 3, NO. 4
which featured eight rotary instru-
mentation systems. Lets say you
were looking for the answer, some
secret recipe so that you could make
your shaping simple, safe and super-
efficient.1 You wanted to find the
missing link that would take you
from rotary mistakes to rotary mas-
tery.2,3 I read the issue cover to cover
three times. Even after doing en-
 ET page 4
dental education worldwide, with
customers in over 100 countries
and a faculty of world renowned
teachers and clinicians from the
United States, Europe, Australia
and Asia.
This year, the Miami Masters will
amalgamate the eighth annual
Roots Summit and gIDEs yearly
 ET page 2
Fig. 1: Root-end anatomy. Working Width
(WW), outlined in blue, is the canal width
coronal to the constriction. If the average
size of a constriction is #30, a larger
Note that the CDJ (black arrows) is
co-located with the constriction.
should it be? Our forefathers hotly
debated the question for many years,
and the issue appeared to be re-
solved. Unfortunately, WL is once
again embroiled in controversy.
Our forefathers concluded that
instrumentation should end at the
cementodentinal junction (CDJ)
(Fig. 1), which is approximately co-
located with the apical constriction.
Most agree with that location, be-
 ET page 13
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2 From ENDO | APRIL 2008 ENDO TRIBUNE
The Worlds Endodontic Newspaper U.S. Edition

2 Folio The Worlds Endodontic Newspaper U.S. Edition

Publisher
Torsten R. Oemus
Publisher
t.oemus@dtamerica.com

Roots Summit in Miami Beach Torsten R. Oemus

President
t.oemus@dental-tribune.com
Eric Seid
President
e.seid@dtamerica.com
Eric Seid

offers valuable endo education

Group Editor
e.seid@dental-tribune.com
Robin Goodman
Group Editor
r.goodman@dtamerica.com
Robin Goodman
Editor-in-Chief Endo Tribune
r.goodman@dental-tribune.com
Frederic Barnett, DMD
Editor-in-Chief Endo Tribune
 ET page 1
BarnettF@einstein.edu
Frederic Barnett, DMD
International Editor Endo Tribune
BarnettF@einstein.edu
Prof. Dr. Arnaldo Castellucci
Implant and Esthetic Summit into International Editor Endo Tribune
Managing
Prof. Editor
Dr. Arnaldo Endo Tribune
Castellucci
one event. There will be two sepa- Mr. Fred Michmershuizen
Managing Editor Endo
f.michmershuizen@dtamerica.com Tribune
rate and parallel curriculums an Fred Michmershuizen
endo program and an im- Managing Editor Dental Tribune
f.michmershuizen@dental-tribune.com
Matt Connor
plant/esthetic program and the Managing Editor Dental Tribune
m.connor@dtamerica.com
two groups will join for all breaks Matt Connor
Managing Editor Implant Tribune
m.connor@dental-tribune.com
and evening events. Clinicians Sierra Rendon
from all over the world will be able Managing Editor Implant Tribune
s.rendon@dtamerica.com
Sierra Rendon
to come together and learn about Managing Editor Ortho Tribune
s.rendon@dental-tribune.com
the latest techniques, products and Joanna Farber
Managing Editor Ortho Tribune
j.farber@dtamerica.com
innovations in the fields of en- Joanna Farber
Managing Editor Show Dailies
j.farber@dental-tribune.com
dodontics, implantology and es- Kristine Colker
thetics. Managing Editor Show Dailies
k.colker@dtamerica.com
For the endodontic track, the fol- Kristine Colker
News Editor
k.colker@dental-tribune.com
lowing speakers from around the John Hoffman
News Editor
j.hoffman@dtamerica.com
world will lecture: Dr. John Schoeffel John Hoffman
Dr. Arnaldo Castellucci Dr. Philippe Sleiman Production & Distribution Director
j.hoffman@dental-tribune.com
Dan Barrett
Dr. Stephen Cohen. (See the table above for specific lec- Production & Distribution Director
d.barrett@dtamerica.com
Dr. Markus Haapasalo ture topics.) Dan Barrett
Product & Account Manager
d.barrett@dental-tribune.com
Dr. Eric Herbranson In addition to the intellectually Humberto Estrada
Dr. Constantinos Laghios stimulating presentations, the Product & Account Manager
h.estrada@dtamerica.com
Humberto Estrada
Dr. John T. McSpadden Miami Masters will also give atten- Advertising & Event Coordinator
h.estrada@dental-tribune.com
Dr. Richard Mounce dees the opportunity to relax and Anna Wlodarczyk
Advertising & Event Coordinator
a.wlodarczyk@dtamerica.com
Dr. Barry Lee Musikant enjoy themselves. A poolside Wel- Anna Wlodarczyk

ET
come Reception will be held May 28 Marketing & Sales Assistant
a.wlodarczyk@dental-tribune.com
Lorrie Young
Calendar at Deauville Beach Resort. Dinner Marketing & Sales Assistant
l.young@dtamerica.com
and entertainment will be provided, Lorrie Young
Director E-publishing & E-learning
l.young@dental-tribune.com
offering attendees an opportunity to Ovidiu Ciobanu PhD, MBA, DMD
May 1-4 meet, catch up, unwind and have Director E-publishing & E-learning
ovidiu@doctor.com
Ovidiu Ciobanu PhD, MBA, DMD
2008 Spring Scientific Session some fun. Design Support
ovidiu@doctor.com
California Dental Association On May 30, a Beach Cookout with Yodit Tesfaye
Design Support
y.tesfaye@dtamerica.com
Anaheim, Calif. live music will be held at one of Yodit Tesfaye
Information: (916) 443-3382; Miamis hot spots, presenting the y.tesfaye@dental-tribune.com
Dental Tribune America, LLC
www.cda.org opportunity to meet with old friends 213 West 35th Street, Suite #801
and make new ones from across the Dental
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May 29-31 world. The $75 fee for this special New York, 244-7185
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Roots Summit and portation to and from the Deauville Fax: (212) 244-7185
Esthetic/Implant Summit) Beach Resort.
Deauville Beach Resort By participating in the Miami Mas-
Miami Beach, Fla. ters, you will be demonstrating your When they visit Miami Beach, partici-
Information: (416) 907-9836; dedication to be at the forefront of pants at the Miami Masters will gain
www.rootssummit.com dental technology. You have the fresh inspiration in the fields of
endodontics, implatology and Published by Dental Tribune America
unique opportunity to reach hun- esthetic dentistry. (Photo courtesy
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Julia Wehkamp, (416) 907-9836, best reasons to come to Miami is to Questions about registration may be product news accurately,
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sponsibility
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juliawehkamp@gmail.com (North experience its rich history as a trend directed to Julia Wehkamp, event for typographical
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Opin-
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ET Corrections
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not reflect madeTribune
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America.Opin-
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ET
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contact); www.zeiss.ch/kurse ern South Beach. The city of Miami
Endo Corrections
Tribune strives to maintain the Editorial Advisory Board
Beach has an identity that is intrinsi-
utmost accuracy in its news and clini-
August 1 - 3 cally linked to the arts, and today its Endo Tribune strives to
cal reports. If you find a
maintain
factual
the
error
Editorial Advisory Board
Frederic Barnett, DMD (Editor-in Chief)
Roman Borczyk, DDS
American Association of entertainment, production and arts utmost accuracy in its news and clini- Frederic
L. Stephen Barnett, DMDDDS,
Buchanan, (Editor-in
FICD, Chief)
FACD
or content
reports. that requires clarification,
Endodontists APICES communities are stronger than ever. cal If you find a factual error Roman
Gary B.Borczyk,
Carr, DDS DDS
please report
thatthe details clarification,
to Mr. Fred L. Stephen
Prof. Buchanan,
Dr. Arnaldo DDS, FICD, FACD
Castellucci
(Advanced Programs in Its restaurants, shops, theaters, and or content requires
Gary B. S.
Carr, DDS DDS, MS, PC
Michmershuizen, Managing Editor, at Joseph Dovgan,
Clinical Endodontics its people hold the key to a unique please report the details to Fred Mich- Prof.
UnniDr. Arnaldo
Endal, DDSCastellucci
f.michmershuizen@dtamerica.com. Joseph S. Dovgan, DDS, MS, PC
Symposium) visitor experience. mershuizen, Managing Editor, at Fernando Goldberg, DDS, PhD
Unni Endal,
Vladimir DDS
Gorokhovsky, PhD
Boston University, Boston For more information and to regis- f.michmershuizen@dtamerica.com. Fernando
Fabio G.M.Goldberg,
Gorni, DDS DDS, PhD
Information: (800) 872-3636; (866) Vladimir Gorokhovsky,
James L. Gutmann, DDS,PhD
PhD (honoris causa),
415-9020; www.aae.org; Fabio G.M. Gorni,
Cert Endo, DDS FADI
FACD, FICD,
James
William L.Ben
Gutmann, DDS,DDS
Johnson, PhD (honoris
info@aae.org causa),
KennethCert Koch,Endo,
DMDFACD, FICD, FADI
DoDoyouyou
havehave general
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Sergio Kuttler, DDS DDS
Aug. 1924
Canadian Academy of
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