Search results

The mechanical preparation of the root canal system is generally acknowledged as one of the most crucial stages in root canal treatment (1). Many in vitro studies, including those of Weine et al. and Glickman & Dumsha, have described that the instrumentation of root canals can result in iatrogenic errors such as instrument fractures, transportation, […]

How often is this anatomical variation of maxillary first premolars? How can we detect it? How to treat such anatomy? In this article I will try to address these considerations.

A 32-year-old man with a symptomatic maxillary right central incisor came to the private clinic. The patient reported that the incisor had been traumatized previously. The medical history was nonsignificant, and extraoral evaluation revealed normal soft-tissue structures with no apparent pathosis. Upon oral examination, no mobility or probing defect was observed. The tooth was sensitive […]

Narrow canals
Calcified canal
Conservative preparation
C files
Fanta
Maxillary Central incisor

Having an optimal view of the operative field is one of the most obvious, but at the same times most important, aspects to keep into consideration while doing an endodontic treatment. The use of rubber dam and magnifications certainly give us an advantage, together with a correct access cavity, but often, when the clinical situation […]

In this clinical case I want to emphasize the importance of the instruments and the impact they give us during endodontic treatments, which are often complicated where the help of specific instruments makes the difference. To achieve a successful endodontic treatment, we must meet three conditions : knowledge, experience and the proper instruments.  The chois […]

The success of Endodontic retreatment is multifactorial and will depend on the degree of root canal morphology alteration. Irreversible iatrogenic errors such as large perforations or canal transportation will decrease drastically the good prognosis of the treatment.  In cases where it is possible to regain the original anatomy and shape, clean and fill the entire […]

“Simplexity” is a possible relation between complexity and simplicity. The ultimate sophistication in Endodontics using a Simplified Multiple File Technique

Mandibular second molars are known to have a complex root canal anatomy with anastomosis, resulting in some difficulties during root canal treatment, especially for the complete debridement of organic tissues and bacteria during the shaping and cleaning process and the possibility of insuring a good 3-dimensional seal during obturation. The prevalence of such anatomy is […]

After the last articles, by Fabio Gorni, Massimo Giovarruscio and Enrico Cassai, it is important to make a point of preflaring, scouting and glide-path preparation, the first phases of canal instrumentation. We have proposed a new classification of endodontic instruments based upon their clinical use, depending on the distinct phases of the endodontic treatment, namely: […]

“…I’ve often said on stage that I have two things to teach for the rest of my life and one is Endodontic Access Cavity Preparation and the other is Glide Path Management…” (Cliff Ruddle) Has been described on previous articles that canal preparation consists of three distinct stages: initial canal negotiation (Scouting and Preflaring), creation […]

After having realized a minimally invasive access cavity and removed the coronal interferences (preflaring) the next step is passed to the scouting of the apical third canal as described in the two preceding articles of Dr Massimo Giovarruscio (http://styleitaliano.hime.host/scouting-the-root-canal) The advantages of the apical third scouting only after a preflaring in summary are: - Best […]