A patient came to my attention complaining about impossibility to chew on the right side of the mouth. A defective restoration was found on the first upper molar, with a […]
Retreatment and post endo restoration with Overfibers post
A patient came to my attention complaining about impossibility to chew on the right side of the mouth. A defective restoration was found on the first upper molar, with a […]
Endodontic Management of a Mandibular Molar with Iatrogenic Perforation, Ledges and Missed Canals
Successful endodontic therapy begins with a properly designed access cavity, which is the foundation for locating, cleaning, and shaping the root canal system. Inadequate or misdirected access can lead to […]
When Anatomy Fights Back: retreatment of a C-shaped mandibular second molar
Re-treatment of C-shaped mandibular molars demands 3D cleaning and sealing beyond files; a stepwise strategy improves predictability.
Biological Approach to Revitalization in Immature Permanent Teeth: No-instrumentation Technique
Treatment for immature, necrotic permanent teeth is showing a paradigm shift in moving from a non-biological, barrier-creating approach (apexification) to a biological, tissue-regeneration approach. Conventional root canal treatment has a […]
Transforming a Non-Visible Separated File into a Visible Fragment: A Conservative Retrieval Approach
Instrument separation is a well-recognized complication in endodontic practice, and its management can significantly influence the long-term prognosis of the tooth. While some fractured instruments are readily visible and accessible, others remain hidden, particularly when located beyond canal curvatures. Non-visible fragments pose a greater challenge, as blind retrieval attempts risk excessive dentin removal, perforation, or structural weakening of the root.
C-shaped molars
The c-shaped canal is an antomical variation that was first reported by Cooke & Cox in 1979 and mostly seed in mandibular molars, although it can occur also in mandibular premolars and maxillary molars
A challenging referral a previously initiated therapy complicated by a separated file in the mesial root and a multiplanar curvature.
Endodontic–restorative management of a periapical lesion involving tooth 25: diagnosis, treatment, and clinical outcome
Endodontic–restorative management of tooth 25 with periapical lesion: confirmed necrosis and 11 -months radiographic healing.
Detection and Management of a Missed Middle Mesial Canal: CBCT and Operating Microscope-Guided Retreatment. A Case Report
Mandibular molar retreatment due to an missed middle mesial canal. CBCT and Operanting Microscope are essential to identify the etiology and achieve three-dimensional disinfection. A Case Report
SEALING COMPLEXITY. Bioceramic use in Advanced Root Canal Anatomy. A true Middle Mesial & Middle Distal Canals Management!.
Variations in root canal anatomy, particularly the presence of middle mesial and middle distal canals, pose a significant clinical challenge.
Complex canal anatomies demand advanced strategies for effective cleaning, shaping, and obturation.
This article demonstrates how meticulous canal exploration, enhanced disinfection protocols, and bioceramic-based obturation can successfully manage such complexities, achieving a predictable three-dimensional seal.
Mini Sequence - Mega Performance: That’s R One Mini
Narrow long canals
Shaping challenges
Grasping tools
Conservative preparation
R one mini
Multiplannner curvature
Root - Crown -Tissue: The Tooth Salvage Concept
An interdisciplinary approach to dental treatment enables successful clinical outcomes and allows for the long-term functionality of seemingly hopeless teeth. A crucial stage in tooth preservation is the development of […]