Our Articles & Clinical Cases

Obtaining a proper seal in immature teeth is a difficult task because of the wide apical delta it presents. But regernerative endodontics gives us the chance to create pulp in the root canal out of nothing, using only common materials to ensure that the tooth continue its development in order to support its function and […]

This case details the non-surgical retreatment of tooth 46 in a 40-year-old female presenting with symptomatic apical periodontitis. Clinical and radiographic evaluation revealed a poorly adapted crown, metallic posts, secondary caries, and tenderness. During retreatment, four canals were located, and a stripping perforation was identified in the mesiolingual canal—an area predisposed due to root concavity […]

Dental trauma is a significant public health concern, often resulting from accidents, sports injuries, or falls. Among the various types of dental injuries, avulsion and extrusion represent severe forms of trauma that require immediate and precise management to ensure optimal outcomes. Avulsion refers to the complete displacement of a tooth from its alveolar socket, while […]

Endodontic treatment aiming to cure and prevent apical periodontitis to retain tooth as long as possible, functioning without symptoms. In order to achieve this, we must performed root canal preparation to reduce bacteria to the level that necessary, this mean we shape and clean the root canal system to its terminus.
But we need to bear in mind that in order to achieve long term predictability we also need to save tooth structure specially the PCD area in order tooth to withstand occlusal force for period of time

External inflammatory resorption (EIR) is present on the external surface of the root of majority of the teeth diagnosed with chronic apical periodontitis. EIR also affects teeth that suffer severe dental traumatic injury (for example, avulsion and luxation). In dental trauma injury cases, EIR occurs as a result of injury to the root surface and […]

Cracked teeth have always been a difficult problem. The rate of cracked teeth increased during the initial outbreak of the COVID-19 pandemic; several studies provided evidence on the association between the COVID-19 pandemic and changes in the rate and presentation of endodontic etiologic factors. Patient: Female , aged 37 years Chief complaint: Hot and cold […]

The primary goal of root canal shaping is to create a continuously tapered, funnel-shaped canal while preserving the original anatomy. This is significantly harder to achieve in a curved canal without altering its natural shape.  As a file is pushed through a curve, it naturally wants to follow the path of least resistance, which is […]

The incidence of MB2 and MB3 in upper first molars is low (Ronald Ordinola-Zapata et al., 2020), however one of the most common reasons for endodontic failures is missed anatomy (Tabassum and Raza Khan, 2016). It is therefore very important to investigate every potential groove, and locate all canals, as demonstrated in this case. 

Three-rooted maxillary first premolars represent a significant anatomical variation and a considerable challenge in Endodontic practice. This article aims to analyze the clinical management strategies pertaining to this specific tooth morphology, using a new reciprocation file: R-One Mini Kit. The reported prevalence of three-rooted maxillary first premolars ranges from 0% to 9.2%. In all documented […]

A referral case for maxillary first molar.

The introduction of implant dentistry, in some cases, eliminated the need for non-surgical endodontic retreatment as well as the need for apical surgery. Proverb says: «When you have a hammer, everything around seems to be nails.» It’s well accepted that non-surgical retreatment of case of previously failed endodontic therapy provides good results.Success rates between 70% […]

This clinical case presents the nonsurgical endodontic retreatment of a mandibular first molar initially obturated with silver points. The tooth exhibited persistent periapical pathology and contained a missed, partially calcified canal, contributing to endodontic failure. The retreatment strategy involved the careful retrieval of silver points followed by meticulous canal negotiation and shaping using a modern […]