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A complex trauma with pulpal exposure: the digital alternative
CAD-CAM

Traumatic injuries are increasing in the last few years, particularly in young people. When the trauma causes a pulpal exposure, it’s mandatory to avoid pulpal necrosis, particularly in teeth that have an open apex. The pulp capping procedures are quite simple and easy to accomplish but a proper coronal protection by adhesive restoration should be considered […]

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THERMAFIL: The technique step by step
Filling

Thermafil obturation technique was designed and presented by Dr. Ben Johnson ("A new gutta-percha technique. J Endod 1978), as a simple method for the delivery of thermoplasticized gutta-percha to the prepared root canal. Initially, this system relied on metallic carriers covered by a uniform layer of α phase gutta-percha, intended to be heated over an […]

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Treatment of a dens invaginatus with an apical plug of calcium silicate cement
MTA

Introduction Treatment of young permanent teeth with pulp involvement is an endodontic and restorative challenge. When pulp vitality is lost, the formation of dentin stops, resulting in a tooth with thin dentin walls that is prone to fracture. Traditionally, apexification was performed with calcium hydroxide.  It was a lengthy procedure requiring 5-20 months (1) and […]

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Nonvital tooth bleaching and composite restorations
Bleaching

The restoration of endodontically treated anterior teeth presents several different mechanical and esthetic challenges. Before choosing the best treatment solution, several aspects have to be considered, such as: Patient age and esthetic demands vs. conservative treatment Functional loads, type of occlusion Remaining tooth structure influencing biomechanical resistance Presence or absence of periodontal and periapical pathology. We have […]

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Continuous Wave of Condensation
Filling

Developed in 1987, the Continuous Wave of Condensation Obturation Technique was born out of Stephen Buchanan desire to simplify warm gutta-percha downpacking of Schilder's Warm Vertical Condensation.

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Maxillary Premolars - Part 2
Anatomy

As a continuity to previous article (Mandibular Premolars:Teeth not to underestimate), Today writing about maxillary premolars and challenges which might be faced during locating root canals and possible anatomic variation in such root canal treatment cases. Hence root canals are the main component of the root canal system so exploration and detection of root canals […]

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Management of Internal Root Resorption
Root resorption

Root resorption is the loss of dental hard tissues as a result of clastic activities. There are two types of root resorption in dentistry that we know, one is physiologic and the other is pathologic. Root resorption in the primary dentition is considered a normal physiologic process except when the resorption occurs prematurely. On the […]

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Restore the Natural: A complex horizontal fragment reattachment
Post endo restoration

A common trauma of anterior teeth is a coronal fracture. In according with the other article of Fabio Gorni on the same topic, also In this case we report a new conservative approach of a complex double reattachment associated to root canal therapy followed by fixing the fragments with a post. Due to the young patient age, the only […]

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Root canal disinfection during retreatments: a cordless revolution
Retreatments

The ultimate goal in endodontics is the complete removal and disinfection of the root canal space. The question is if that goal is truly achievable utilizing the conventional techniques we are currently taught. And what about retreatments? Retreatment of endodontic failures is a significant portion of endodontic specialty practice and failure might occur in case of […]

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Root Canal Filling Systems: Warm Vertical Condensation
Filling

Root canal filling systems represents the culmination and of a series of procedural steps. All dentists show a lot of interest when endodontic post-treatment radiographs exhibit puffs, filled accessory canals or shown a particular anatomy, like a isthmus or an accessory canal; cleaned but not shaped. The vertical compaction technique of warm gutta-percha, conceived and described by Schilder […]

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Obturation, Step No. 1: Cone Fit
Filling

Cone fit is the first step and a good starting point for a perfect 3D obturation of the root canal system. During this phase, we need: gutta-percha cones, a dedicated caliper and a blade or micro-scissors. Guttapercha cones are available in three different categories: 1) Non Standardized, with 0.20 tip and available in 9 size: […]

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Apical Gauging: measuring the Control Zone
Apical Gauging

Apical gauging is a mechanical term which clinically indicates the measuring of the apical diameter prior to obturation of the root canal system. This technique envisages the need to confirm that apical continuity of taper exists and that the tapered preparation, made with the last instrument, extends all the way to the end of the […]

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