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The alternative use of ExtEndo in non surgical retreatment

In retreatments the phase of the disassembling can be difficult and time consuming. When gutta percha is too soft, for example, removing it by means of ultrasonics devices or rotary systems becomes more difficult, that’s why I stopped using solvents many years ago. In general, my approach in non surgical retreatment is to try to […]

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Wide and Wild: how to manage in a predictable way an open beveled apex

This article shows the managment of a difficult retreatment. An irregular anatomy can put the clinician in front of different procedural difficulties and an improper retreatment could compromise definitively the prognosis of the tooth. For this reason it has been decided to do some practice on the 3d printed version of the same tooth, thanks […]

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An endodontic retreatment case with multiple challenges

A complex case can be diagnosed pre-operatively with radiographs and cone-beam computed tomography systems (CBCT) that provide the exact root canal configuration allowing a deep understanding of the canal anatomy as well as other complications from previous treatments. Endodontic specialists usually treat complex cases which needed advanced materials and techniques. Also is expected that a […]

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Retreatment of a Maxillary First Molar using MG3 files

Correct endodontic treatment has to follow several parameters: proper diagnosis, isolation of operating field, full chemo-mechanical preparation of the complex endodontic system, three-dimensional obturation of the root canals and finally the post endodontic restoration. Respecting all these parameters, short- and long-term success can be achieved. Failure to follow the protocol in any of the above […]

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Retreatment of a three rooted maxillary second premolar

The goal of endodontics is to clean, shape and filling 3D the endodontic space, eliminating most of the bacterias presents in the canals. Many of the difficulties found in root canal treatment are due to variations in root canal morphology. Endodontic failure may be associated with the persistence of infection because of a missed canal […]

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Retreatment cases simplified with MisurEndo & Explora

DepplerSmartEndo Kit is a complet set of hand instrument for daily Endodontic treatment.  

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Huge Perforation!

Retreatment is one of the biggest challenges for the clinician due to the unexpected surprises, prognosis and diagnosis which may be tricky in many situations. In this case, this female patient was complaining about pain during biting, related to a previously treated tooth.

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Save the bride: retreatment of a second upper molar with large lesion and sinus tract

Success of endodontic treatment depends upon thorough mechanical and chemical disinfection of the entire root canal system. When the endodontic treatment is of poor quality, apical periodontitis might occur. Numerous studies have investigated the prevalence of apical periodontitis in root filled teeth and its potential risk factors: beyond the substandard quality of the treatment, one of […]

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Retreatment series: Episode 3

The Root canal treatments is a way full of challenges, that may be the ANATOMY and also it may be The Dealing with the “PROCEDURAL ERRORS” in this article i will describe how I managed this Treatment Mishap. I have described in two Episodes before different approaches for Non-Surgical Root Canal Retreatment this time i […]

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Thermafil Retreatment of a right upper first molar

The Thermafil Obturation technique was first introduced by Dr. W.B. Johnson in an article published in the Journal of Endodontics in 1978 as a simple method for the delivery of thermo-plasticized gutta-percha (GP) to the prepared root canal space.  Many studies proved that it was an efficient, easy and reproducible obturation technique with a high […]

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A Multi-Disciplinary Approach in Non-Surgical Re-treatment of Mandibular Right First Molar

Endodontic re-treatment is a usual scenario in daily practice. Though, it can be challenging due to many related factors. Therefore, it requires good assessment of the case through systematic approaches in terms of diagnosis, treatment plan, and the execution of the procedure.  A 40 years old male patient presented complaining of discomfort and food impaction […]

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Retreatment Series: Episode 2

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 […]

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