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Four canals maxillary second molars
Anatomy

Maxillary molars have one of the most complex root canal anatomies. 
It is very important for this reason to correctly understand the anatomy before starting endodontic therapy. Correct planning starting from the diagnostic evaluation through the aid of x-rays and CBCT (if necessary) will allow the clinician to formulate a correct endodontic treatment plan and a correct choice of materials and equipment during the access cavity and cleaning and shaping and obturation steps. 


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Orthodontic Extrusion For proper Endodontic therapy 
Post endo restoration

The major problem with sub-gingival fracture is absence of adequate coronal ferrule and a compromised biological width. This usually complicates the application of the rubber dam during endodontic treatment. The primary objective of tooth extrusion or forced eruption is to provide both a sound tissue margin for ultimate restoration and to create a periodontal environment […]

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Deep split in lower first premolar
Anatomy

Mandibular first premolar usually have a one root and one root canal but it shows a wide variety of abnormal root canal anatomy.

The occurrence of three canaled mandibular first premolar with deep apical split  is very rare, but it does occur.

The incidence of a three-canaled mandibular first premolar is approximately 0.2%, making such teeth most difficult to manage endodontically.

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MTA apical plug and internal bleaching for Upper Central Incisor
MTA

MTA (Mineral Trioxide Aggregate) apical plug is a technique used in endodontic treatment to create a barrier at the apex of the tooth. This innovative solution has revolutionized endodontics by providing excellent sealing ability and biocompatibility. When combined with internal tooth bleaching, the MTA apical plug technique offers an aesthetically pleasing and predictable outcome for […]

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Endodontic microsurgery sometimes is the only way
micro-surgery

Apical microsurgery is a powerful tool that can help when good ortograde endodontics fails.

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ReTreaty: the unboxing
Retreatments Tools

Let's get a closer look to the ReTreaty kit by Perfect Endo with Francesca Cerutti

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Locating entrance - managing blockage
Scouting Shaping Tools

Narrow canals
Calcified canal
Conservative preparation
C files
Fanta
Maxillary Central incisor

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Retreatments and ReTreaty
Retreatments

In this article i am highlighting the way i’ve dealt with this syptomatic upper Premolar with 2 instruments separated.

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Everything changes except for anatomy!
Anatomy

As the complex anatomy of maxillary first molars is one of the major challenges in endodontic therapy, knowledge of the complicated root canal anatomy and configuration is crucial to ensure the success of endodontic treatment and prognosis. This article presents an endodontically managed maxillary first molar with special anatomy.

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Triple trouble
Access Cavity Separated instruments Shaping

In this article we are going to share management of a pulp stone associated with c-shaped canals in a lower second molar.

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Middle mesial canal (MMC) in lower molars
Anatomy

The main canals in the mesial root of lower molars are the mesiobuccal and mesiolingual canals.  A middle mesial canal (MMC) sometimes is present in the developmental groove between the other mesial canals.  The presence of middle mesial canal in the range of 4-28 % is recorded and divided into three types: INDEPENDENT, CONFLUENT, AND […]

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Endodontic management of immature central incisor by apexification
Apical Gauging MTA Obturation

Trauma or caries in young children or adolescents can cause pulp necrosis, which may arrest root development in permanent teeth. This in turn results in thin dentinal walls, wide-open apices or sometimes divergent configuration or reverse anatomy, and inadequate crown-root ratio. Treatment of necrosed permanent teeth with immature apices mainly revolves around Apexification and Regenerative […]

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