Our Articles & Clinical Cases

During primary treatment, even in simple cases, many root canal anatomy alterations and errors can occur such as access cavity over enlargement, perforations, blocage or file breakage. Sometimes, many iatrogenic issues combine and complicate the decision making. Central incisors retreatments are particular because of the esthetic aspect of these teeth that will motivate the practitioner […]

The main goal of root canal treatment is to eliminate the infection in the complex root canal system for the long-term preservation of a functional tooth. Proper debridement of the root canal system, especially in the apical portion, is essential for successful root canal treatment. The complexity of the canal anatomy in the apical region […]

Usually, first mandibular molars have one mesial and distal root but in some cases there are anatomical variations. Presence of an additional lingual root distally in mandibular molars is called radix entomolaris (RE). If present, an awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of root canal treatment. The article describes the endodontic management of mandibular molar with RE.

We often need to retreat teeth where the initial treatment was short from the radiographic terminus of the root. Many times, when we remove the existing filling our files cannot proceed because of an impediment. The impossibility to gain the patency can lead to the failure of the root canal treatment.

Retrieval along with Retreatment is one of the most challenging procedures in the endodontic therapy,  This article showcases the management of a lower first molar with swparatedinstrumemnt and a periapical lesion.  In Endodontics, we are dealing  with a lot of challenges such as anatomy, endodontic mishaps, instrument separation. One of the biggest challenges is an instrument retrieval […]

The restoration of a severely compromised tooth represents a challenge for the clinician, not only due to a significant loss of structure of the element but also due to the invasion of the supracrestal tissue attachment, with consequent compromization of periodontal health.
The technique of deep margin elevation can be applied when the healthy margin of the tooth needing restoration is localized within the sulcular epithelium or at the level of the junctional epithelium.
On the other side, the presence of lesions of the dental element involving the space for the supracrestal connective attachment and/or the bone crest makes the surgical intervention necessary. The following article aims to describe the indications and surgical procedures for clinical crown lengthening from a biological, periodontal and biomechanical point of view. 
Therefore, the operational steps of the clinical crown lengthening surgical procedure (bone-resective surgery) and the sub- sequent endodontic/restorative clinical phases will be illustrated.

We know that treating a tooth involves different phases or stages, but it is important to know the internal anatomy, in order to approach the case in the best possible way. I present 2 cases in 1 where we can observe how complex a treatment can be if we cannot approach it correctly, a lower […]

Calcified canals are always a challenge for the clinician because they can be difficult to find and even more difficult to negotiate and shape. A new sequence of files has been introduced in the market with the goal of simplifying the treatment of narrow, calcified and curved canals. This sequence is called Harmony, by FANTA […]

The new calcium silicate based cements have many positive features compared to classic MTA, including a fast setting that could be used to speed up the process of perforation repair

Curved canals can be difficult to manage because of the risk of creating ledges, wrong paths or to block the file inside of the curvature, with subsequent file separation. A correct approach, together with a sequence of files combining good cutting efficiency and flexibility, can lead to a successful management of those cases. Low taper […]

The purpose of this clinical article is to highlight possible root canal treatment error due to a misinterpretation of root canal morphology using 2 dimensional digital X-rays (Peri Apical Xray) Patient presented to the clinic with shooting pain on his lower left side. Tooth 37 was diagnosed with a pulpits and root canal treatment was […]

Root fracture is a situation that may happen and is generally associated to these symptoms: Depending on the conditions, the symptoms referred by the patient may vary and, in some cases, painkillers are not able to help managing the pain.