Massimo Giovarruscio

Gold Member

Dr. Massimo Giovarruscio is a highly skilled professional, with extensive experience in endodontics, restorative and aesthetic dentistry. With over 19 years experience in dentistry, he has developed his reputation within the profession as an excellent clinician, endodontist and postgraduate lecturer.
Active member of the European Society of Endodontology and active member of the Italian Society of Endodontics.
Massimo is recognized by his colleagues for his exceptional talent, professionalism and for his innovative and proactive approach.

Articles by this author

Essential kit: for majority of the cases

Root canal preparation has been considered the most important step in Endodontic therapy for dentin removal. It is a challenge for even the most experienced Endodontist to achieve optimum cleaning and shaping respecting the original anatomy. The main factor that determines the prognosis of restored pulpless teeth is preservation of sound dentin. Residual dentin thickness […]

Post endo restoration with AF Fiber Post

The use intraradicular posts in root filled teeth has been an area of much discussion and controversy. It is imperative to acknowledge that the purpose of a post is to facilitate core retention; it does not increase the strength of the root or compensate for the absence of a ferrule effect. With the evolution of […]

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. […]

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. […]

Upper molar, how to prepare the post space: from A to Z

Post space preparation is a critical step to achieve clean dentinal surfaces for adhesion of the cementing material. Therefore, complete removal of the root ﬁling materials is essential to enhance the adhesive bond to the dentine and increase post retention. Furthermore, the presence of residual gutta-percha and deﬁcient dentine hybridisation may result in poor sealing of […]

Lower canine with 2 roots and a small Medial canal on the floor chamber

Before starting any Endodontic Root Canal treatment, it is necessary to know the anatomy and morphology of the tooth as best as possible. The anatomy of root canal morphology plays a decisive role in determining the conditions under which Endodontic treatment can be performed effectively.

Post endodontic restoration of Class I cavities

The loss of tooth structure caused by the Endodontic access cavity results in a decrease of rigidity by 5%. After root canal treatment the remaining tooth structure could be restored using different restorative options. The simplest cavity is “Class I. A molar with a “Class I” cavity should be restored with conservative approach and the […]

Itena Glass Fiber Post Restoration Step by Step

Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such as residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration […]

The advantage to use Extendo in removing Thermafil Plastic Carrier on retreatment case

In this article I am going to describe and show how we can use Extendo in daily practice. It is an instrument of SMART ENDO KIT, from DEPPELER. The kit has 5 instruments and an endo ruler.

Smart Endo Kit and Sandwich Technique

It was lovely to use my Smart Endo kit on a difficult Endo case. An External/Internal resorption on upper central incisor was treated using the MTA Sandwich Technique.

Essential kit: how to use it in practice

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

Lower second molar: carrier based obturation...through the furcation

Perforations are defined as artificial communications between the root canal space and the surrounding tissues. Endodontic perforations represent an interruption of the continuum between the endodontic space and the periradicular tissues, periodontal tissues or oral cavity. In the presence of perforation, studies report a 10 to 12% increase in the failure rate of endodontic procedures. […]

How to remove Eugenate-based cements and gutta-percha

The removal of gutta-percha and sealer from endodontically treated root canals is the first step of any retreatment of teeth obturated with these materials. Gutta-percha is the most common obturation material, used in conjunction with various sealers. The removal of gutta-percha from root-filled teeth is required not only for the retreatments, but also to prepare […]

External cervical resorption and new bioactive materials

Effective management of external cervical resorption (ECR) depends on the accurate assessment of the true nature and accessibility of ECR. The aim of this article is, based on the available evidence, to describe a strategy for the management of ECR with a new bioactive material. In cases where ECR is supracrestal, superficial and with limited circumferential spread, […]

Print & Try - Endodontic management of a rare case of dilacerated maxillary first molar: case report and clinical strategy

How much technology can support us? Print&Try technique represents a really useful method in order to simulate the root canal treatment. Using CBCT Scan images, it is possible to extrapolate file that can be transformed into an STL model and then printed with a high definition 3d printer. Clinicians can train on a 3D printed […]

Restore the Natural: A complex horizontal fragment reattachment

A common trauma of anterior teeth is a coronal fracture. In according with the other article of Fabio Gorni on the same topic, also In this case we report a new conservative approach of a complex double reattachment associated to root canal therapy followed by fixing the fragments with a post. Due to the young patient age, the only […]

Glide Path Management: tips and tricks

“…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 […]

Scouting The Root Canal

As discussed on the previous article, the manual preflaring creates a glide path for safer use of hand files and NiTi rotary instrumentation. Canal scouting is the first phase of canal instrumentation, during which procedural difficulties or errors might more frequently occur.

Coronal Preflaring

After access cavity, Preflaring, Canal Scouting and Glyde Path are the first phases of canal instrumentation and it has also been noted that, during these phases, the clinician might more frequently encounter procedural difficulties. These problems include instrument fracture, ledge formation, canal zipping or canal straightening, strip perforation, apical perforation, elbow formation and apical blockage. […]