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The braiding technique

In this article, we are going to explain the Braiding Technique, a predictable way to remove materials from inside root canals.  For this technique, we will use Hedstroem files, and is especially indicated to remove plastic carriers during retreatments. We will see the technical procedure and some clinical cases with video, picture and X-ray. As […]

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Making apical plugs easier using a simple collagen sponge

Proper seal of the root canal system is a key factor for long term success of the endodontic treatment. In the majority of cases, the root anatomy and the apical constriction offer a reliable way to control the correct apical obturation, allowing the compaction of the obturation material and tridimensional seal. However, incomplete root formation, […]

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Deep split management, tips and tricks

Deep split, also known as Vertucci type V canal anatomy, is one of the most challenging anatomies in root canal treatment. It presents a situation where one canal leaves the pulp chamber and divides short of the apex into two separate apical foramina (1-2). Treatment of deep split could be a significant challenge for the […]

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Management of deep splitting root canals

Endodontic management of a tooth is an interesting and challenging procedure that is partly blinded, and its success depends on individual clinical expertise and skill, as well as the procedural techniques applied.  Tooth anatomy is the map on which every clinician relies upon prior to initiating root canal treatment. The vast data on tooth anatomy […]

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Pre-endodontic build up of an upper second premolar

One of the main objectives in endodontic treatment is the disinfection of the root canal system. However, most of the time we face severely destroyed teeth, which means a challenge for clinicians from the absolute isolation, the selection of the clamp, the isolation technique, etc. Therefore, we must know or resolve these situations with the […]

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Management of molarized premolar with severly calcified and curved canals

This article clarifies how to deal with extra root canal system anatomy of premolars clinically and how you can manage and shape the buccal tinny and curved canals of molarized premolar with simple technique by using an handpiece with manual files in reciprocation motion. Endodontic treatment success is dependent on thorough debridement and full obturation […]

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Treatment of obliterated root canals using Guided Endodontic technique. A case report

This article reports on an Endodontic treatment of obliterated teeth using a static guided endodontic (GE) technique. The aim is to demonstrate the benefits and limits of static guided endodontics. The process of canal obliteration (CO) is characterized by the apposition of secondary or tertiary dentin, resulting in loss of volume in the pulpal space.  […]

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Smart ledge crossing with FANTA files

During preparation ledges are inadvertently created and make further instrumentation more difficult as file tips snag in the ledge rather than progressing smoothly to the working length. Stiff instruments or drills will tend to straighten in the curved root canal. Ledges are most likely on the outer curvature either at the primary curvature or apically. […]

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External root resorption: is intentional replantation a real option? A case report

External cervical resorption (ECR) is initiated on the external aspect of the root, usually apical to the epithelial attachment. It is often aggressive in nature, resulting in significant loss of tooth structure.  The purpose of this case report is to present a multidisciplinary management of ECR in a patient. The challenge is to identify the […]

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Apicoectomy of an implant?

When the endodontic lesion involves the apex of an implant in addition to the one of the tooth, a retrograde peri-impantitis can be established. Retrograde peri-implantitis (RPI) is a primary microbial inflammatory condition that affects only the apical portion of an osseointegrated implant, which retains normal bone-to-implant contact in its coronal portion. Currently, no uniformly […]

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Direct class III restoration using Reflectys composite

The reconstruction of an anterior tooth is always a challenge, since the aesthetic requirements of our patients are high and we have to take into account several aspects, such as the shape, the macro and micro anatomy of the tooth, its color, the translucency and we also have to recreate a correct proximal contact. In […]

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Thermafil carrier retrieval using a lasso technique

Endodontic treatment failure may occur due to numerous reasons, such as missed canal anatomy and insufficient disinfection, resulting in periapical infection. The use of cone beam computed tomography is invaluable in the diagnosis of periapical pathosis and neglected canals during initial endodontic treatment.  Thermafil is an obturation material that comprises of alpha phase Gutta Percha […]

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