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Amongst the different stages of endodontic retreatment, filling material removal may be performed by using manual files and rotary instruments. Further, desobturation may be associated with ultrasonic activation and different types of solvents, although they are currently used with less frequency. However, no retreatment technique is reliable enough to clean root canal system completely after reinstrumentation.

Perforation is an iatrogenic communication that is formed between the tooth and supporting tissues.
It is important to manage perforations as soon as they are diagnosed.
An ideal peforation repair material is Mineral Trioxide Aggregate.

The primary objective in endodontics, whether primary treatment or retreatments, is the treatment of apical periodontitis as well as prevention of its recurrence. When we address retreatments, incomplete disinfection of the root canal system is considered as one of the most common causes of post treatment failures.  This article will discuss non-surgical retreatment of a […]

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 […]

This article is about showing the way of bypassing SI from both inner and outer wall, and which is correct in order to obtain satisfying outcome away from any unnecessary complications.

Sinus tract tracing, proper diagnosis, and patient education are all the big players involved in this tooth story!

It is no surprise that I find all of advanced diagnostic techniques, i.e.; cone beam scans for example, extremely useful to figure out the source of pain plaguing my patients, it’s worth investing my time and energy into the latest technology.
But keeping things old-school has its value too. Therefore, I would like to show you a case where a classic diagnostic method—sinus tract tracing—proved invaluable in my endodontic diagnosis.

Fracture of root canal instruments used in root canals is a common complication in endodontics. In this article, I will demonstrate the creation of a custom loop that can be used to retrieve a broken root canal instrument

This article clarifies how to to bend gutta-percha cone and preserve this bending even if the temperature of the body can straighten the master cone in deep apical splitting of the canals.

During a root canal treatment, sometimes we need to remove liquids from the canals, for example during the irrigation procedure, in cases with abundant drainage o before to dry the canals with paper points.
The use of a microcanula connected to the equipment could help us to aspirate inside the canals.
This can be useful even to remove materials from root canal.

One of the causes of endodontic treatment failure is calcification in the canal pathway, which prevents complete access to proper working length. In some cases, the dentist is unable to open the calcified canal and an extraction might be suggested then. Therefore, once calcified canals are identified, the clinician should keep in mind the following […]

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 […]

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, […]