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In retreatment cases , the clinician has to deal with many mishaps such as underfilled, missed and obstructed canals as also with iatrogenic damages as separated instruments and perforations. Underfilled and missed canals are the main reasons for endodontic failures (>30%).Especially underfilling can be a real challenge since it can strongly reduces the success rate […]

The clinician must be aware of the possible anatomical variations of these teeth and their relationship to adjacent anatomical structures when planning and performing endodontic procedures.

Root perforations were the second greatest cause of failure accounting for 9.62% of all unsuccessful cases. Seltzer et al. also attributed 3.52% of all endodontic failures to perforation. This perforation if left untreated leads to act as a pathway for microorganisms either from periodontal tissues or perforation site, results in secondary periodontal infection, suppuration, fistula […]

Modern endodontic treatment is based on optimal cleaning,disinfection and high-quiality obturation of the root canal system.Anatomy is considered as a key factor in the healing process.That is why a clinician have to be aware of all normal,possible and abnormal variations in the teeth anatomy for achieving a maximum clinical success.In the article presents clinical example that demonstrate the complexity of endodontic retreatment of the maxillary left premolar

A 23 years old, female patient, was referred to my practice for an endodontic treatment on tooth 11. Patient complained of pain above the root and was concerned of the discoloration. Patient reported  previous trauma (15 years ago) and an attempted endodontic treatment (5 years ago).

Premolars are the most versatile teeth in regards of anatomy. One of the most challenging anatomical variations we have to face is dilaceration. Abrupt curvatures complicate the RCT especially when we have more than one. 

A periapical pathology, could be a result of caries, trauma, periodontally compromised oral cavity or even a thermal and chemical insult to the tooth. Effective cleaning, shaping and disinfection is the key to a successful endodontic treatment. A deep understanding of the anatomy of a root canal system, is of high value while performing a non-surgical root canal treatment. We often come across mandibular premolars with aberrant root canal anatomies. They often present with multiple canals, splits and accessory canals.
This article describes a case of NSRCT of a mandibular premolar with 1-2 configuration and it presented with a big peri-apical radiolucency.

Dens invaginatus (DI) is one of the rare malformations of teeth which results from an infolding of the dental papilla during the development of teeth. This defect gives rise to a possible communication between the pulp and oral environment, thereby increasing the susceptibility to caries, pulpitis, and pulp necrosis.

The Zoning Technique is an innovative approach in endodontics that aims to optimize root canal treatment by dividing the root canal system into distinct zones and applying specific instruments and techniques tailored to each zone's unique characteristics. This technique enhances procedural efficiency, increases treatment precision, and improves the overall success rates of endodontic therapy. In this article, […]

The C-shaped root canal configuration is an anatomical variation which is caused by the fusion of the mesial and distal roots either on the buccal or lingual root surface (1). The term ‘‘C-shaped canal’’ was firstly used by Cooke and Cox in 1979 (2). Numerous studies have reported that the incidence of C-shaped canals is […]

This article demonstrates the protocols followed on two teeth with unique anatomical features in a conservative, feasible, teachable and repeatable way. 

With increasing number of reports and studies of unusual root canal morphology, It is of utmost importance that the clinician must have detailed knowledge of the pulp canal anatomy to achieve effectively proper cleaning and shaping of the root canal system. Failure to recognize the aberrant root canal anatomy will lead to an unsuccessful treatment and thus failure of the endodontic therapy.
This case report describes a very rare scenario of a mandibular right first molar with five root canals (three in distal root and two in mesial root) and a maxillary left second molar with also five root canals (three in the mesial buccal root, one in the distobuccal root, and one palatal) in the same patient.