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 am delighted to share my experience. Dr. Cohenca performed a root canal Treatment From the moment I arrived, the care and attention provided by the entire team were outstanding. Dr. Cohenca ensured that I was comfortable and well-informed throughout the procedure. The pre-operative care was thorough, making me feel at ease and confident in the treatment plan. I highly recommend Dr. Cohenca and their practice to anyone seeking top-notch dental care. Their dedication to patient comfort and successful outcomes is truly commendable.

S.M. Google

Dr. Cohenca might look like a regular endodontist, but in reality he is a magician. Knowledgeable and personable, he created a great atmosphere. With expert hands, he delivers the best dentist experience that you can live through. The staff lives up to the expectations and the office gives you a sense of harmony. You won't be disappointed. Thank you Dr.

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D.C. Google

We had the greatest experience with Dr Cohenca. He explained everything ahead so clearly and kept giving details during the treatment, so my daughter felt calm and relaxed. The stuff is friendly and supportive, Loved this place, surely recommend it

I.O. Google

Entire process was quick, professional and better than expected. Thank you Dr. Cohenca and your entire team.

S.K. Google

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