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Pulpotomy in mature permanent teeth

Irreversible pulpitis is an inflammatory condition of the dental pulp that is characterized by spontaneous, lingering pain that persists for minutes to hours and can lead the pulp tissue to a state where it is incapable of self-healing. In an era of minimally invasive dentistry, where the paradigm of dental care is shifting toward conservative […]

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Post endodontic restoration of Class I cavities

The loss of tooth  structure caused by the Endodontic access cavity results in a decrease of rigidity by 5%.  After root canal treatment the remaining tooth structure could be restored using different restorative options.  The simplest cavity is “Class I. A molar with a “Class I” cavity should be restored with conservative approach and the […]

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Treatment of an extensive radicular fracture: the pre-endodontic restoration of a structurally compromised tooth. Part 1

Trauma related fractures are one of the most common types of dental injury in the permanent dentition.  The purpose of this case report is to present a multidisciplinary management of a sub-gingival crown- root fracture in a patient. Management of traumatic dental injuries (TDI) should involve a multidisciplinary approach to optimize healing while maintaining function […]

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Root To Crown With Dentoclic Fiber Post Build Up Chapter 1: Molar Case

Failing primary endodontic treatments are retreated to enhance the cleaning and shaping of the entire root canal space. Reshaping usually tends to eliminate more tooth structure from the canal walls. Furthermore endodontically treated teeth are already susceptible to mechanical failure due to de-roofing of the pulp chamber. For all these reason special care should be […]

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Build up and onlay preparation of an endodontically treated tooth with QuickBond adhesive system and Dentocore core build up composite

Rehabilitating endodontically treated teeth that have partially maintained coronal structure with overlay is nowadays the gold standard. Adhesive dentistry has changed the way we approach these cases: the goal is to maintain the coronal structure that has not been removed during caries removal and during root canal therapy. Adhesives and composites have permitted more conservative […]

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Itena Glass Fiber Post Restoration Step by Step

Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such as residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration […]

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Cervical margin relocation of endodontically treated teeth

Adhesive dentistry changed the way we approach the rehabilitation of endodontically treated teeth. Adhesives and composites have permitted more conservative protocols for repairing severely damaged teeth by reducing the invasiveness that was historically involved with the ‘’classic’’ prosthetic approach. The limit of the adhesive approach lies in our ability to be able to isolate the […]

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Use of Itena Dentoclic Glass Fiber Post in the Restoration of endodontically treated tooth

Endodontically treated teeth (ETT) are more susceptible to biomechanics failures compared to vital teeth, mostly due to the amount of internal tooth structure that is removed during endodontic treatment and the loss of coronal hard tissue.  The prognosis of ETT is based not only on the quality of the endodontic treatment, but also on the […]

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Management of Middle Mesial Canal in a lower Molar

Knowledge of both normal and abnormal anatomy of the root canal system dictates the parameters for execution of root canal therapy and can directly affect the outcome of the endodontic therapy. Missed extra roots and root canals are a major reason for failure of root canal treatment. The lower mandibular first molar normally has two […]

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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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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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External resorption

Tooth resorptions can be classified as: (1) trauma induced; (2) infection induced; or (3) hyperplastic invasive. Some transient trauma induced resorptions require no treatment but must be carefully monitored to check that there are no complicating issues such as infection. In cases of trauma induced replacement resorption, a multidisciplinary approach is usually necessary to ensure […]

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