Prime Endodontics’ Newsletter #1

Nestor Cohenca, D.D.S., FIADT

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.

I had my second root canal in a week performed by a very caring and skilled Dr. Cohenca. I can honestly say the experience was much easier and painless than I feared. In fact it was a lot like getting a cavity filled, just takes longer, about an hour. I was able to leave the office and go for a pain-free cold smoothie on the way home! The Dr. clearly explained the procedure with images, and I could see the before and after X-rays. He was assisted by skilled and compassionate professionals who made sure I was comfortable throughout the procedure. The front desk staff is very competent as well.

D.O. Yelp

If you need a root canal, look no further. Dr Cohenca is the only endodontist I will go to for root canals. I have had so many traumatic ones over the years, but for my last 2(which were repairs of old root canals), he fixed me right up. So professional, yet so sweet and caring. I believe him to be the best out there! He is honest and lets you know exactly what is going on, as well as having a dental office with the latest and greatest technology so you can even watch your own procedure.

H.M. Google

Was able to visit this clinic in two different occasions and I recommend Prime Endodontics, very professional staff, very caring, they made sure I was comfortable and my dental procedure was excellent, I Receive a post-op call after each visit to check on my progress, that is something I really appreciate. My dentist informed me that he refer me to this clinic because of the good comments and excellent ratings, I can confirm that it is true and I do recommend this clinic.

D.R. Google

Dr. Cohenca is so highly skilled & excellent at what he does. I had a very challenging root canal, and was very anxious. I needn’t have been - I experienced very minimal discomfort during and after the procedure. His staff was great - just couldn’t have asked for more. I would recommend Dr. Cohenca highly!!

D.K. Google

I have had nothing but positive experiences at Prime Endodontics. Dr.Sahrd Nawari was especially adept at explaining the procedures and monitoring my comfort level and anxiety. have seen both doctors and they provide gentle care and my comfort came first. I highly recommend them.

A.C. Google

262

Total Reviews

5

Average Rating

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