Our Articles & Clinical Cases

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.

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

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 […]

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 […]

To obtain good results in endodontic treatment it is important to remove all microorganisms from root canal system, three dimensionally sealing and the placement of a good coronal seal to prevent communications between oral cavity and the periradicular tissues. Preoperative radiograph identification, root canal access opening, intraoperative identification, location, instrumentation, debridement, disinfection, obturation are improtant […]

     The purpose of root canal treatment is to clear pathogenic microbes and infected pulp in the root canal, prevent it from producing toxic products, and protect the periapical tissue. The presence of root canal variation increases the difficulty of this treatment. It has been reported that 42% of retreatment cases are due to missing […]

Large apices and root canal perforations are always challenging to seal with traditional root filling materials, for many reasons like shrinkage, toxicity, inflammatory response, and sealing ability of those materials. Since it was first introduced (Torabinejad et al. 1995), MTA (Mineral Trioxide Aggregate) been widely used in many clinical applications in Endodontics. In this article, […]

Bacterial infection of the dental pulp may lead to periapical lesions. They are generally diagnosed either during routine dental radiographic examination or following acute pain in a tooth. Most periapical lesions (>90%) can be classified as dental granulomas, radicular cysts or abscesses. The incidence of cysts within periapical lesions varies between 6 and 55%. The […]

The use of solvents helps removing the filling material form the canals, however it may as well slow down the retreatment process.
A case report

The role of  endodontics is to save as many teeth as possibile. Today thanks to technology (Microscope, CBCT, New instruments) we are able to manage very difficult cases. It’s very important manage different situation because sometimes first endodontics treatments and also retreatments fails.  Today thanks micro-endodontic surgery we are able to give a “new life”to […]

A case report of endodontic retreatment or I can say revision of lower second left premolar with anatomical challenge of deep split root canal at the apical third.

The in-depth knowledge of root anatomy and its possible variations is absolutely fundamental for the long-term success of our therapies. Sometimes, despite the aid of strong surgical magnification and despite good anatomical knowledge, one may come across particular anatomies in an unpredictable way. A correct operating protocol can protect us from errors, giving us the way to correct them without consequences.