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One of the most common complications after dental trauma is pulp necrosis, which is often associated with apical periodontitis. The management of these teeth is challenging due to large root canals, open apices, and thin dentinal walls. 1
Long-term irritation leads to periapical lesions and cysts in the apical region. If left untreated, necrotic and infected pulp causes inflammatory lesions in the periapical tissues to grow over time, leading to structural changes in the bone. In some cases, root canal treatment may be required later during follow-up of injuries, due to subsequent pulp necrosis and infection of the root canal system. 2-3

The aim of the article is not to introduce a new technique, but to combine existing and consolidated ones in order to maximize the ergonomics, quality and predictability of our treatments; the proposed protocol was designed to satisfy the work mantra "the best work, in the shortest time, in the greatest comfort" and therefore entirely focused on reducing chair time and maximum operational facilitation.

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available is the reattachment of the dental fragment.

This article reports on coronal tooth fracture case that was successfully treated using tooth fragment reattachment.

One of the main objectives of dentistry is the preservation of the natural dentition.1 Carious lesions, dental trauma, root resorptions or iatrogenic procedures such as root perforations can cause the loss of healthy dental tissue. When the loss of dental tissue occurs at the subgingival level; the restorability of these teeth is seriously compromised.2 In […]

A pre-eruptive intra-coronal resorption (PIER) is a defect located in the dentin of an unerupted tooth, just beneath the dentin-enamel junction.  The depth of the lesion is variable and may also reach the pulp, like in this 13 years old patient.  In the past, these lesions were confused with caries, and were therefore called “hidden” […]

Every patient wants a functional, healthy, and esthetically appealing smile.

This article describes a patient with discolored and fractured composite resin restorations with improper endodontic treatment on the anterior teeth in whom substitution was indicated.

This treatment improves the endodontic and restorative aspects.

Among all the difficulties we encounter during the reconstruction of an incongruous root canal therapy, a very difficult challenge is always represented by overcoming false paths and ledges mistakenly created during the primary treatment(1). A 26-year-old patient comes to my attention due to a fracture at element 4.7. The patient reports recurrent episodes of pain […]

Adhesive procedures have changed the way of restoring endodontically treated teeth. Postless approaches have been proposed to improve and restore teeth. The preservation of the dental structure of endodontically treated teeth is essential for this. Before performing any endodontic procedure, one must know how the final restoration of that tooth will be handled and whether […]

Ergonomics in dentist refers to designing tools, equipment, and workspaces to reduce health risks for operators and patients while improving posture and movement and optimizing the results for the patients.an ergonomic way. Choosing the optimal restoration for a root filled tooth requires consideration of a number of interrelated factors. When deciding on the most appropriate […]

One of the main objectives in endodontic treatment is the disinfection of the root canal system. However, most of the time we face severely destroyed teeth, which means a challenge for clinicians from the absolute isolation, the selection of the clamp, the isolation technique, etc. Therefore, we must know or resolve these situations with the […]

Understanding of the root canal anatomy is crucial prerequisite for predictable successful long-term results. (1-5) Although basic applications of root canal therapy through biomechanical preparation of the entire root canal system to obturation and final restoration, it has been reported in the Literature that 42% of retreatment cases are due to missing canals. (2) Therefore, […]

Aim of endodontic therapy is to maintain or restore the periapical health of teeth through shaping, cleaning and filling tridimensionally the root canal system. Root canal treatment has proven to be a predictable procedure with a high success rate. Nevertheless, failures occur in 14-16% of primary endodontic treatments and retreatments account for approximately 30% of […]