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The perfect fiber post removal

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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Corono-radicular fractures: a new conservative approach

Traumatic lesions of permanent dentition have a percentage of incidence which ranges from 26-76%: the most frequent causes are falls, accidents occurred during sports or as a consequence of violent episodes. Upper incisors are the most frequently affected teeth, even if, when there are traumatic lesions of the chin, as a rebound effect, it is […]

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Cavity refinement: an essentiality or extravagance?

Access cavity preparation is considered as the most important step in the endodontic treatment protocol. Inability of the operator to visualize anatomical requirements of the preparation may end in aggressive mishaps which complicate the treatment procedures or compromise the ultimate treatment outcomes. Being the most important step in endodontic treatment course, access cavity preparations must […]

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Finding the MB2 - part 1

The famous MB2 canal, which has been studied extensively, has become so popular that it has become a common topic among dentists, especially endodontists. Many studies have shown that not finding and treating this canal has resulted in more endodontic failures.  The methods that help in finding the second mesio buccal canal of maxillary molars […]

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How to manage ledges using rotary files

Ledge creation is one of the most common iatrogenic damages during the shaping. As Clinicians we do prevent ledge creation using a “sweet” approach to the Endodontic anatomy during the shaping, but we also know how to manage the ledge when it is present, as there is a strong and scientific recognized relationship between presence […]

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Endo-resto treatment of a lower molar in a patient with aligners. Modified stamp technique

The stamp technique is a well known way to reproduce accurately the occlusal anatomy of the tooth. It allows to restore quickly and in a predictable way even class II cavities and anterior teeth (as shown in this article by Giuseppe Marchetti https://www.styleitaliano.org/fast-single-shade-anterior-restorations-flowable-composite-the-stamp-technique). In the following case report I adapted the stamp technique to the […]

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Guidelines for the correct selection and optimal luting of fiber posts

Most failures of endodontically treated teeth seem to be due to biomechanical or restorative rather than biological reasons. For a long-term success is very important to minimize the loss of tissue during the shaping and the post space preparation. The preparation of the post space  may reduce the "ferrule effect", that is the key factor […]

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Last check of the working length

Working lenght (WL) is a controversial topic in Endodontics but, fortunately, Clinicians and Authors agree about respecting it as much is possible during the entire endodontic treatment.  WL is the distance from a coronal reference point to the point at which canal preparation and filling should terminate. The respect of an accurate WL determination during […]

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Alternative method for removing fractured instrument: a case report

An alternative method, involving the use of an irrigation needle and cyanoacrylate adhesive, allowed the removal of the fractured instrument from inside of the canal system.  During the mechanical shaping of the root canal system, the possibility of fracture of an instrument is always present. When it occurs, the first step is  dealing with our […]

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Our choice for the Obtura Spartan Endodontics US tips

Ultrasonics in Endodontics has improved the quality of treatment and represents an important adjunct in the treatment of conventional and difficult cases. Since its introduction, Ultrasonics has become increasingly more useful in applications such as access cavity refinement, canal orifices scouting, removal of intracanal materials and obstructions, and endodontic surgery. This is a guide and […]

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Good Manners for Good Endodontists

Not one dentist I know who doesn’t find, in his daily practice, teeth that are earmarked for RCT (e.g. emergency, destructive caries, prothesis treatment planning) or that have had an RCT and need further treatment (e.g. post-endodontic build-up, fiber post positioning, prosthetic abutment preparation, orthodontic extrusion and so on). For this reason even if Endodontics […]

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