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Dealing with lower premolars

The first step to reach the success of root canal therapy is o have a good knowledge of the root and root canal morphology. This helps us to locate all the canals and properly clean, shape, and obturate the canal spaces in all dimensions. Slowey has suggested that mandibular first premolars, often called as “Endodontist's […]

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Endo-resto management of a poorly treated premolar

The successful outcome of root canal treatment in teeth with non-infected vital pulps depends on preventing root canal infection, while in teeth with infected necrotic pulps it relies on eradication or at least reduction of bacterial counts to levels compatible with peri-radicular tissue healing. To do so, the first thing to do is to carefully […]

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Identifying & managing varied anatomy of palatal canal in a maxillary molar- a case report with two year follow up of retreatment of tooth number 16 with trifurcation in palatal canal.

Being aware of variations in the anatomy and configurations of root canal system is important in order to treat a tooth effectively endodontically. In 1967, the notion of a hermetic seal was introduced by Grossman. (1) When a canal or a split is missed, it may lead to unsuccessful treatment. The palatal root canal system […]

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Fully Calcified Canals : Is it a Challenge ??

A 30 years old female patient been referred to retreat her lower first molar patient was suffering from food packing in the area between  Molar and second premolar Clinical examination showed that there was very bad amlgam Restoration with missing walls Radiography examination show that the tooth was fully  calcified . So we start to treat this tooth Since people are living longer and […]

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The importance of the tube shift technique of radiography, during root canal treatment of mandibular anterior teeth.

One of the leading reasons for an unsuccessful root canal treatment of mandibular anterior, is missing out the presence of a second canal, thus leaving it untreated. (4). In endodontics, parallax technique is preferable for mandibular anterior teeth, to avoid superimposition of canals over each other (1). This article explores the importance of a tube […]

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MOLARIZED PREMOLAR Management of three rooted premolar

Maxillary first premolars are commonly known by having two canals in one or two separate roots (60-65%), meanwhile Maxillary second premolars are known by having one canal in one root (38-48%).  Three separate roots in Maxillary first premolar has shown very rare incidence (2.5-5%), even rarer are reported to Maxillary second premolars  This article describes […]

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Dental Adhesives: a 10 years story

An article by dr. Salvatore Sauro Overview and basic commentary  Before any discussion about adhesion to crown and root dentine, it is imperative to state that there is no substantial scientific research evidence-base that can support a specific bonding approach rather than another. Said that, there are several in vitro studies showing that multi-step bonding […]

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Management of a C-Shaped Canal in wisdom tooth

The C-shaped root canal is considered an anatomical variation and was firstly documented in endodontic literature by Cooke and Cox in 1979. The main cause of a C-shaped root is due to the failure of the Hertwig’s epithelial root sheath to fuse on the lingual or buccal root surface . The roots of molars with […]

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Retreatment of a three rooted maxillary second premolar

The goal of endodontics is to clean, shape and filling 3D the endodontic space, eliminating most of the bacterias presents in the canals. Many of the difficulties found in root canal treatment are due to variations in root canal morphology. Endodontic failure may be associated with the persistence of infection because of a missed canal […]

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Endodontic management of a mandibular first molar with pulp stone obliterating the floor of pulp chamber – a case report.

The goals of an endodontic treatment are to prevent and intercept the process of pulpal/ peri radicular pathosis and to also prevent its reinfection after the treatment. For achieving this, a good diagnosis of the case, followed by chalking out a feasible and appropriate treatment plan and its execution is important. Starting from good clinical […]

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Retreatment Series: Episode 2

Root canal retreatment seems to be one of the biggest challenges in the Endodontic therapy, in the retreatment episodes we will review different scenarios with different cases. In Endodontics we are dealing  with a lot of challenges such as anatomy, mishaps, instrument separation, etc. but one of the biggest challenges is to deal safely with […]

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Non surgical retreatment of a mandibular first molar with C-shaped canal system

The C-shaped canal, which was first documented in  endodontic literature by Cooke and Cox in 1979,  is so named for the cross-sectional morphology of the root and root canal. C shaped canals are mostly present in the mandibular second molars, while they are really rare in the first mandibular molars. The cause of forming C shaped canals is the Hertwig’s epithelial […]

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