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Dealing with MM canal in a lower first molar
Anatomy

After conducting a lot of studies of the internal anatomy of the first
mandibular molar, it was found that there is a lot of diversity in the
internal anatomy of the tooth, and taking advantage of the studies
that were conducted, it was found that the main reason of the failure of endodontic treatment occurs due to missing canal
of the first molar.
Therefore, one must understand and bear in mind the difference in
the internal anatomy of the teeth when you need to do endodontic
treatments.

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Curvy Wisdom Management 
Anatomy

Third molars, or, more popularly, wisdom teeth usually erupt in most patients after the age of 17. Abnormal eruption patterns make them more susceptible to dental decay, as well as gingival and periodontal diseases.  If there is insufficient anatomic space to accommodate normal eruption, extraction of third molars is the preferred option, to prevent acute […]

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Management of a C-Shaped canal in second lower molar
Anatomy

Anatomical variation of canals is well documented in the literature and C-shaped canal anatomy was first reported in literature by Cooke and Cox in 1979. This anatomical variation mostly found in mandibular second molars with prevalence between 2.7–52% in different populations.  C-shaped canals have rarely been found in other teeth, maxillary first molars, mandibular first […]

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Conquering complex Anatomy with MG3
Anatomy Shaping Tools

A complex anatomy is considered a real nightmare to any clinician. Lack of attention to the complex anatomy by the clinician can lead to a series of unfortunate events during treatment, such as; Altered anatomy “ledges”, Perforations or Separated instruments.

Therefore; pretreatment evaluation of the case as well as a sound shaping strategy are essential to address the anatomy & avoid mishaps.

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Extraction or try retention?
Decision making

The management of cracked teeth represents a difficulty because their diagnosis is complex and there is no consensus concerning their treatment

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Endo-restorative treatment of discolored upper incisor
Bleaching EndoResto

Every patient wants a functional, healthy, and esthetically appealing smile.

This article describes a patient with discolored and fractured composite resin restorations with improper endodontic treatment on the anterior teeth in whom substitution was indicated.

This treatment improves the endodontic and restorative aspects.

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Direct pulp capping with MTA: 6 years follow-up
MTA Pulp capping

Minimally Invasive Dentistry refers to the philosophy of preserving the maximum amount of original dental tissue through a systematic approach. In this paradigm, the fundamental principle is to minimize the removal of dental structure. Therefore, in cases where the pulp is exposed, we should prioritize vital pulp treatments rather than root canal treatments.

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Endodontic surgery of the lower incisor: how important is it to verify the presence of a lingual canal?
Anatomy Endodontic microsurgery

The surgery of lower incisors should be performed carefully, assessing the possible presence of lingual canals, and avoiding the mistake of underpreparation by not adequately evaluating the clinical situation

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Separated file dilemma
Separated instruments

Separated files at different levels require different approaches

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Dens invaginatus
Anatomy CBCT

Dens invaginatus is malformation of teeth probably resulting from an infolding of the dental papilla during tooth development. Affected teeth show a deep infolding of enamel and dentine starting from the foramen coecum or even the tip of the cusps, and which may extend deep into the root. Teeth most affected are maxillary lateral incisors and bilateral occurrence is not uncommon. The malformation shows a broad spectrum of morphologic variations and frequently results in early pulp necrosis. Root canal therapy may present severe problems because of the complex anatomy of the teeth.  

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The tricky lower first premolar with 4 canals
Anatomy Separated instruments

The mandibular first premolar can be considered one of the most challenging teeth for the endodontist during endodontic procedures; because of the complexity of its root canal morphology and increased incidence of multiple canals. The knowledge of internal anatomy of root canals and their possible variations as well as use of magnification, operating microscope, radiographic examination and illumination, can increase the chances of finding additional canals and contribute to the success of endodontic treatment.

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MB3 in second maxillary molar
Anatomy MB2

A case presentation of maxillary second molar with 3 mesio buccal (MB) canals.

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