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Finding the MB2 - part 2

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 the complex anatomy of a lower first premolar
Anatomy Diagnosis Retreatments

An accurate diagnosis of the morphology of the root canal system is crucial in order to obtain a successful root canal treatment.  The prevalence  of three canals with three separate foramina in mandibular premolars is very rare like in the case that will be shown in this report: one canal leaves the pulp chamber, and […]

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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

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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Management of a retreatment case with multiple endodontic mishaps

Endodontic mishaps can interfere with the healing process of the body and can result in failure of the root canal treatment if not taken care of. Perforation, if present should be handled immediately and adequate materials to be used for better results. Fracture of an instrument results in improper cleaning and shaping of the remaining […]

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The Multidisciplinary approach
Decision making Diagnosis

During our daily treatments we often face different situations where many disciplines of dentistry intertwine with each other, in some treatments we have the need for secondary treatments. In this case what I am presenting to you as primary treatment is the endodontic treatment, while surgical and restorative treatments as secondary treatments. The patient comes […]

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Looks like a bullet: An iatrogenic mishap cause by tool misuse
Separated instruments

Proper clinical practice in Endodontics requires careful and detailed knowledge on the know how of using different instruments, tools and devices used in the treatment course. Even in the simplest cases, violating the limitation of some instruments or misusing/misplacing those instruments may lead to severe iatrogenic errors which may act as a barrier against providing […]

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Fiber post removal: don't miss the post
Post endo restoration Retreatments

Fiber post removal is a first necessary step in order to gain the access to the root canals and retreat them. Many techniques have been suggested, but in this article we will consider the first analytical considerations in order to avoid procedural iatrogenic errors. The removal of fiber posts from endodontically treated teeth can be […]

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Deep bifurcation in the palatal canal of an upper molar

This clinical case shows the need of being very careful while we approach the palatal canal in Upper first molars, especially in the apical part . Of course some studies have reported the presence of two canals in palatal root, but in this case there is one canal with apical bifurcation.  In this case I […]

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