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Our Articles & Clinical Cases

Treatment of a C shaped canal of a mandibular second molar
Anatomy Obturation Scouting

Mandibular second molars are known to have a complex root canal anatomy with anastomosis, resulting in some difficulties during root canal treatment, especially for the complete debridement of organic tissues and bacteria during the shaping and cleaning process and the possibility of insuring a good 3-dimensional seal during obturation. The prevalence of such anatomy is […]

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Redefining the access in retreatments: part V of V
Access Cavity Retreatments

In the context of retreatments and re-access, very often it happens to perform a new endodontic therapy removing and sacrificing the old crown. The choice that the clinician must make in the presence of a pre-existing crown is related to a series of factors that can be summarized in the following diagram and were already […]

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Managing a maxillary second molar with C shaped anatomy
Anatomy Diagnosis

For a more predictable root canal treatment, a good knowledge of root canal systems, their anatomy and variations, serves a vital role. A failure to identify and manage a varied anatomy could lead to failure of successful endodontic treatment. The “C- shaped” anatomy was first described by Cooke and Cox in 1979. It is named […]

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Redefining the access in retreatments: Part IV of V
Access Cavity Retreatments

In the context of retreatments and re-access, sometimes it happens to perform a new endodontic therapy recovering the old prosthetic crown. A careful preoperative evaluation can allow the clinician to pick the best therapeutic choice and to address the wishes of the patient. The need to maintain the old prosthetic crown may arise from the […]

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Cavity refinement: an essentiality or extravagance?
Access Cavity Tips and tricks

Access cavity preparation is considered as the most important step in the endodontic treatment protocol. Inability of the operator to visualize anatomical requirements of the preparation may end in aggressive mishaps which complicate the treatment procedures or compromise the ultimate treatment outcomes. Being the most important step in endodontic treatment course, access cavity preparations must […]

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Three Years Follow-up of Large Lesion Treated With MTA Apical Plug
Bleaching MTA

The goal of Endodontic treatment is to cure or prevent apical periodontitis (Ørstavik & Pitt Ford 2008). Endodontic treatment does not end when the root canal being filled, but when having favourable outcomes of the treatment upon reviewing (Reit 1986), which can be achieved by the infection control management through the root canal procedure (Basrani […]

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Finding the MB2 - part 2
Anatomy

Finding the second buccomesial canal of the first maxillary molars called MB2 is a challenge for any dentist due to its localization and anatomy. The MB2 canal is usually located in a virtual line between the MB1 canal and the palatal canal, but its different positioning along this virtual line makes it even more difficult […]

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Redefining the access in retreatments: Part III of V. The crown access management
Access Cavity Retreatments

In the context of retreatments and re-access, it often happens to perform a new endodontic therapy dealing with the presence of a crown. A careful pre-operative evaluation can allow the clinician, according with the patient's wishes, to face the best therapeutic choice. The opportunities are, in fact, those related to the removal of the pre-existing […]

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Management of a retreatment case (RADIX ENTOMOLARIS) with FANTA AF F ONE ESSENTIAL KIT
Retreatments Tools

 A more reflecting practical definition of non surgical retreatment by Car was described as a procedure performed on teeth that received failed prior attempts at definitive root canal treatment, requiring further endodontic therapy to achieve a successful result. Mishaps as missed canal, ledges, incomplete filling or even loss of coronal seal can lead to root […]

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Management of Missed Canal Part 1: Lower First Molar
CBCT Decision making Retreatments

It is reported that almost 40% of retreatment with chronic apical periodontitis or symptomatic apical periodontitis are due to missed canals. Karabucak & all reported in 2016 an overall incidence of missed canals in treated teeth to be 23.04% and 41 to 46% in maxillary first molars. Teeth with a missed canal were 4.38 times […]

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Management of Iatrogenic Furcal Perforation in tooth with obliterated root canal
MTA

Perforation is a pathologic or iatrogenic communication between root canal system and the supporting tissues of teeth or the oral cavity. Root perforations are common complications of endodontic treatment or post preparation and often lead to tooth extraction. Iatrogenic root perforations occur in approximately 2‑12% of endodontically treated teeth. Successful treatment depends mainly on immediate […]

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Finding the MB2 - part 1
Anatomy Tips and tricks

The famous MB2 canal, which has been studied extensively, has become so popular that it has become a common topic among dentists, especially endodontists. Many studies have shown that not finding and treating this canal has resulted in more endodontic failures.  The methods that help in finding the second mesio buccal canal of maxillary molars […]

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