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Our Articles & Clinical Cases

Mechanical bypass of separated instruments
Retreatments Separated instruments

Check this case to see how it is possible to bypass separated instruments using FANTA Glider ST in reciprocating motion.

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Treatment of a cracked tooth
Decision making Diagnosis EndoResto

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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Lower second molar: carrier based obturation...through the furcation
MTA Obturation

Perforations are defined as artificial communications between the root canal space and the surrounding tissues. Endodontic perforations represent an interruption of the continuum between the endodontic space and the periradicular tissues, periodontal tissues or oral cavity.  In the presence of perforation, studies report a 10 to 12% increase in the failure rate of endodontic procedures.  […]

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How to evaluate the debris on flutes
Anatomy Apical Gauging Outcomes

The primary objective of the entire root canal treatment procedure is to eliminate microorganisms and pathogenic debris from the root canal system and to prevent its reinfection: mechanical instrumentation accompanied by irrigation could be considered as the most essential component that aids in reaching this goal. To understand if the instrumentation of the endodontic space has […]

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Vital Pulp Therapy: Part 1: Direct Pulp Capping for A Traumatic Exposure of Permanent Maxillary Right Central Incisor
MTA Pulp capping

Pulp inflammation or exposure may occur as a result of many reasons like carries, trauma, or over-zealous preparation. However, if left untreated, this may lead to pulpits, pulp necrosis, and then apical periodontitis, which means more cost and chair-time spent. In addition, more tooth structure loss would jeopardise the survival rate and the outcomes of […]

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Mechanical Management of Calcified & Curved Apical Third of Upper Premolar
Shaping

Calcified Canals always represent a challenge in root canal treatment, specially when the calcified canal is curved (either moderate or severe curvature). Once the case is identified as a calcified one, either at apical third or the whole length of the canal, we should bear in mind that dealing with such cases requires lots of […]

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

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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Retreatment episodes, series 1
Retreatments

Root canal retreatment seems to be one of the biggest challenges in the Endodontic therapy, in the retreatment episodes we will review different scenarios with different cases. In Endodontics we are dealing  with a lot of challenges such as anatomy, mishaps, instrument separation, etc. but one of the biggest challenges is to deal safely with cases of […]

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Does anatomy represent a limit for root canal disinfection?
Anatomy Irrigation

From a recent Randomized clinical trial (Comparison of the Effect of Two Endodontic Irrigation Protocols on the Elimination of Bacteria from Root Canal System: A Prospective, Randomized Clinical Trial) it was demonstrated that "there was no statistical difference between irrigation methods. Each protocol resulted in a high frequency of negative cultures. This high frequency of negative […]

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Saving hopeless tooth: case report
MTA

With introduction of mineral trioxide aggregate and other bioactive materials in endodontics possibilities of saving compromised teeth have improved significantly.    

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Perforation repair: step by step
MTA Retreatments

A tooth perforation is a pathologic or iatrogenic communication between the root canal space and the periodontal apparatus. To clinically determine if an endodontically perforated tooth should be extracted or saved, the clinician must first understand the prognosis and treatment. The biologic response of a perforated tooth is inflammatory and can cause a breakdown of […]

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The perfect fiber post removal
Retreatments Tips and tricks

The fiber post removal is always a challenge and the clinician should be as conservative as possible. Different techniques have been suggested, but two of them are the most common: Ultrasonics and counter-angle burs.   The removal of posts from endodontically treated teeth can be a major obstacle in the retreatment of teeth. The goal […]

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