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How To Manage A Ledge - A case report

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 […]

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Management of an upper second molar with a restorative approach

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 […]

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Fiber post placement with new tools

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 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 […]

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Pre-endodontic build up of an upper second premolar

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 […]

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Management of a mandibular first premolar with four canals

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, […]

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Retreatment of a central incisor with Essential Kit

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 […]

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Treatment of obliterated root canals using Guided Endodontic technique. A case report

This article reports on an Endodontic treatment of obliterated teeth using a static guided endodontic (GE) technique. The aim is to demonstrate the benefits and limits of static guided endodontics. The process of canal obliteration (CO) is characterized by the apposition of secondary or tertiary dentin, resulting in loss of volume in the pulpal space.  […]

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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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Post-Endo conservative fiber post build up

Core build up using adhesive materials has become very popular due to many advantages of this technique. Better aesthetics in the front region and better mechanical force distribution compared to metal posts are some of the advantages. Another enhancement would be the conservative preparation or even no post preparation for root canal treated teeth, where […]

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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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Root To Crown With Dentoclic Fiber Post Build Up Chapter 2: Premolar Case

Failing primary endodontic treatment on the Upper Right second premolar with large lesion. Root canal retreatment was conducted with intracanal medication with calcium hydroxide for 1 week after the cleaning and shaping.  

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Adhesive Direct Restoration in the Posterior Area with Subgingival Cervical Margins

Localized subgingival margins can complicate the use of direct adhesive restorations and subsequently hinder their durability and relation with the periodontal tissues. This article presents a technique involving placement of a modified matrix followed by immediate dentin sealing and coronal elevation of the deep margin to a supra- gingival position using a direct bonded composite […]

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