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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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Pre-operative X-ray: suggested or obligatory

A case report showing the extent of the negative impact resulting from not performing a Pre-operative (diagnostic) x-ray before starting to treat a case. Dental radiology is the core diagnostic modality of dentistry. Dental radiographs assist in detecting hidden painful pathology,  assessing treatment options, providing intraoperative guidance, and also serve to monitor success of prior […]

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Treatment of a very important tooth. Multidisciplinary approach

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.  The patient comes to our clinic with complaints in the lower right jaw, and to resolve this situation we performed a multidisciplinary approach to resolve the problem. […]

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Treatment of a cracked tooth

One of the most undesirable situations for us dentists is the diagnosis of cracked teeth, as well as their treatment. This happens because diagnosing tooth micro-fractures, which are usually invisible (not even seen on the Xray), when they are below the level of the gums complicates our situation. If the crack reaches the pulp chamber […]

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Cracked tooth syndrome

Cracked tooth syndrome (CTS) is where a tooth has incompletely cracked meaning without a part of the tooth breaking off. Most of the time it is an incomplete fracture of a vital posterior tooth that occasionally extends into the pulp. CTS could be considered a type of dental trauma and also one of the possible […]

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Managing a maxillary second molar with C shaped anatomy

For a more predictable root canal treatment, a good knowledge of root canal systems, their anatomy and variations, serves a vital role. A failure to identify and manage a varied anatomy could lead to failure of successful endodontic treatment. The “C- shaped” anatomy was first described by Cooke and Cox in 1979. It is named […]

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Management of the complex anatomy of a lower first premolar

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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The Multidisciplinary approach

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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An inferior molar managed in two visits
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Vertical Apical Root Fracture

Vertical fractures can occur and their diagnosis is not always predictable. Will be presented here the treatment of a 2.6 with a vertical apical fracture in the mesial root.   Vertical root fractures have been described as longitudinally oriented fractures of the root, extending from the canal to the periodontium. It usually happens in endodontically […]

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The advantages of pre-operative radiograph in the diagnosis and in formulating the proper treatment plan

Correct diagnosis is the key to all predictable endodontic treatment. Root canal treatment depends largely on IOPA (Intra-oral periapical) radiographs to assess the anatomy of the tooth and periapical structures (Forsberg 1987a, b, Cotton et al. 2009, Patel at al. 2009).     A 23 years old male presented complaining of moderate dull pain in […]

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