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Root canal treatment and direct restoration

Tooth restoration after an endodontic treatment is a very important part of the endodontic treatment because the prognosis of treatment as a whole depends on it. Many endodontic failures come exactly from an inadequate restoration after the endodontic treatment.  The vital teeth are different  from non-vital teeth in terms of physico-chemical, structural, and biological aspect. […]

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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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Endo-resto treatment. Management of confluent canals - Part II

Case evaluation before treatment In endodontic treatments of teeth with more than one canal, we must allways think about the presence of possible confluences between the canals, there are several methods for their determination. In this clinical case I will present only one among others, which is performed by inserting a gutta percha and a […]

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Daily Endo-Restorative

As dentists 70% of the cases that come to us daily in our clinics are routine cases., cases too often underestimated where avoidable mistakes are made, making them complex In my work I share and apply a multidisciplinary approach, dealing not only with the endodontic part but also with the restorative and in some cases […]

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Challenging Endo-resto of a central incisor

A 10 yrs old female came to our office due to a trauma he had some months before. The involved tooth was a non vital immature permanent upper incisor: the intra-oral examination showed swelling and an unaesthetic restoration, while radiographic examination showed open apex with incomplete root formation.  One of the main objective in case […]

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Corono-radicular fractures: a new conservative approach

Traumatic lesions of permanent dentition have a percentage of incidence which ranges from 26-76%: the most frequent causes are falls, accidents occurred during sports or as a consequence of violent episodes. Upper incisors are the most frequently affected teeth, even if, when there are traumatic lesions of the chin, as a rebound effect, it is […]

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Endo-resto treatment of a lower molar in a patient with aligners. Modified stamp technique

The stamp technique is a well known way to reproduce accurately the occlusal anatomy of the tooth. It allows to restore quickly and in a predictable way even class II cavities and anterior teeth (as shown in this article by Giuseppe Marchetti https://www.styleitaliano.org/fast-single-shade-anterior-restorations-flowable-composite-the-stamp-technique). In the following case report I adapted the stamp technique to the […]

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Guidelines for the correct selection and optimal luting of fiber posts

Most failures of endodontically treated teeth seem to be due to biomechanical or restorative rather than biological reasons. For a long-term success is very important to minimize the loss of tissue during the shaping and the post space preparation. The preparation of the post space  may reduce the "ferrule effect", that is the key factor […]

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The use of CAD/CAM technology
in the restoration of endodontically treated teeth


Due to the biological and structural changes that the tooth undergoes during endodontic treatments,in principle it is mandatory that the teeth should be covered with a crown. The exceptation of this rule is mentioned in the first part of the article (direct restoration of endodontically treated teeth) In the indirect restorations we have to consider […]

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An inferior molar managed in two visits
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Endo-resto treatment of upper right first premolar.

The coronary seal is just as important as the apical seal. Endodontic treatments will have good prognosis and their long life will be ensured, if we have completed treatment not only of the endodontic system but also of the restorations part. We are witnesses ourselves, but there are also have many studies that proves that […]

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Microbrush X - Extended Reach Applicator

Before Microbrush Adhesion is a technique-sensitive procedure. Depending upon the type of adhesive used, a number of variables are known as critical for the final result. This variables can be a risk for the longevity of the restorations performed every day by every dentist, and thus, a risk for professional success. Moist or dry dentine, […]

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