Prime Endodontics’ Newsletter #1

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Nestor Cohenca, D.D.S., FIADT

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10/27/2022

Welcome to the first issue of Prime Endodontics’ Newsletter. I am very excited to launch this newsletter which will inform and inspire you on a quarterly basis with clinical information to keep you updated within the world of Endodontics.

Zahran et al. J Endod 2022;48:479–486 Assessing the Iatrogenic Contribution to Contamination During Root Canal Treatment

Asepsis in endodontics aims to control all potential sources of infection. Inadvertent introduction of bacteria into the root canal system may occur when the aseptic chain is breached during treatment. This study aimed to assess potential bacterial contamination and the potential risk of iatrogenic introduction from 7 sites comprising surfaces, instruments, and files acquired during the treatment of 30 vital teeth with irreversible pulpitis.

Materials & Methods: Bacterial samples were collected from access burs, files, endodontic rulers, rubber dam surfaces, gloves, and instruments. Genomic DNA was extracted and quantified by quantitative polymerase chain reaction. Bacterial types were determined using next generation sequencing.Results: Thirty-eight percent of the initial files introduced into the root canal had significant levels of bacteria at the point of obturation, including endodontic pathogens. Around half of the rubber dam surfaces were contaminated with substantial bacterial loads at the time of obturation, and bacteria were also detected in 20-30% of gloves, instruments and rulers before obturation. Conclusions: Gloves, rubber dams, instruments, and files acquire bacterial contamination during treatment at high frequencies and loads. This highlights the potential risk of iatrogenic contamination at the clinically vulnerable point of canal obturation. Measures to address these may improve clinical outcomes.

This is the only place to go if you need to get a root canal, it took less than an hour and he did an outstanding job. The staff there is spot on and they know what they’re doing. Highly recommend this place.

J.S. Google

I had an apicoectomy with Dr. Cohenca and his team at Prime Endodontics, and honestly… wow. I was nervous going in (because surgery 😬), but they completely put me at ease. From the moment I walked through the door, I felt taken care of.The place is spotless, calm, and comforting. They wrapped me in a warm blanket (yes, that little touch made such a difference), explained everything so clearly, and were just so kind. Dr. Cohenca is not only an expert at what he does, but also incredibly thoughtful and attentive.The surgery itself went super smoothly, and recovery has been way easier than I expected. I never thought I’d say this about a dental procedure, but the whole experience was actually… comforting? I left feeling genuinely grateful.If you’re anxious or unsure, this is the team you want by your side. 10/10.

A.M. Google

I had the best experience. First of all the staff is accommodating and really caring as I was in so much pain they gave me earliest appointment which was next morning. I did my paper work before hand. Dr. Cohenca is an amazing doc. He evaluated me first to confirm that for sure root canal is required and then 1.5 hour around it took for while procedure. After 2 hours of root canal when my anesthesia was gone I had literally no pain.They even gave me headphones to listen to music so that I don’t have to hear that drilling noise and become anxious.100% recommend !!!

S.G. Google

If you're suffering from tooth pain and don't know where to go, don't waste your time and money. Visit Prime Endodontics in Kirkland and see Dr. Nestor Cohenca, D.D.S. He’s not just an endodontist — he’s like an angel when it comes to fixing root canals.The office is clean, the atmosphere is welcoming, and the staff is incredibly friendly. I highly recommend this clinic. Thank you so much for helping me get rid of my pain!

R.G. Google

Dr. Cohenca has saved several teeth for me with root canals. He is the BEST!

M.G. Google

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