Endodontic management of tooth 2.5 in a patient taking bisphosphonates.
Bisphosphonate-related osteonecrosis of the jaws (BRONJ) is seen occasionally in bisphosphonate-receiving patients for several medical conditions such as osteoporosis, Paget’s disease or metastatic cancer. The term BRONJ was later changed to MRONJ (medication-related osteonecrosis of the jaws), including the growing number of gnathic osteonecrosis cases associated with other antiresorptive (denosumab) and antiangiogenic medications. Pre-existing pathological […]
Clinical Insights into the Middle Distal Canal of Mandibular Molars: A Case Report.
The middle distal canal in mandibular molars is a rare but clinically significant anatomical variation. Its prevalence varies from 0.26% to 9.6%, influenced by population differences and detection methods like CBCT or micro-CT. Challenges in detection arise due to its location in the isthmus, small diameter, and potential calcification. Effective treatment involves careful canal negotiation, […]
Navigate the curve: the Rising protocol
Shaping narrow and curved canals remains one of the most complex challenges in endodontics, particularly when dealing with coronal and multiplanar curvatures.These anatomical variations increase the risk of procedural errors such as ledging, transportation, or even file separation.Effective canal preparation in such scenarios demands well planned treatment approach and instruments that combine flexibility, strength, and […]
Deep challenges: splits remastered
Whenever root canal anatomy is discussed, variability is the rule!!
This requires careful attention of the clinician to anticipate such variation
Endodontic Management of a Curved Upper Left Molar using the Rising Files
To perform an endodontic treatment and achieve a favorable outcome it is crucial that we eliminate the bacterial infection from the internal complex anatomy through proper shaping and cleaning.
In order to achieve this outcome we need a proper diagnosis, an appropriate treatment plan, a correct protocol approach and of course a set of files with great cutting efficiency and flexibility to deal with the challenges of the internal anatomy.
R One Mini Case Study
The R-One Mini System from Fanta Dental is an advanced reciprocating file system designed for efficient and conservative root canal shaping.It features a hybrid heat treatment short Sequence for enhanced flexibility and resistance to fatigue, ensuring safer and more predictable shaping.The regressive taper preserves more cervical dentin, while the double S cross-section maximizes cutting efficiency.With […]
External resorption Part II
Root resorption is the loss of hard dental tissue due to the action of osteoclastic cells. External resorptions present a challenging clinical situation; often, lesions are misdiagnosed and confused. Therefore, we will briefly present the classification of tooth resorption: Thats why we will se briefly the classification of the tooth resorption: A - Internal tooth […]
Tooth Autoreplantation of 1.6 with stripping
Tooth Replantation to approach the stripped Mb root on tooth 1.6 that was not possible to treat with a conventional conservative approach
Dealing with intricate root canal system
In Endodontics, while managing curved canals , an exception to dealing with the intricate canal system could be when using advanced technology like rotary instruments or nickel-titanium files.
These tools can help simplify the process by efficiently cleaning and shaping the canals, making it easier to navigate through complex canal anatomy.
By utilizing such modern techniques, Endodontist can overcome the challenges posed by intricate canal systems more effectively.
The curve you don’t expect
Patient has been referred due to symptoms on Upper Right Second Premolar. The tooth is tender to percussion and does not respond positively to vital test. Diagnosis is apical periodontitis and root canal is required.
Internal root resorption in permanent mandibular molar: A rare entity
Internal resorption is usually uncommon thing which starts from the root canal & destroy the tooth structure. It usually occurs as a result of a continuous chronic inflammatory process . Patient might come with a dull pain in that area .
Management of C shaped canal in mandibular second molar
C shaped root canal configuration is an aberrant canal anatomy, common in the mandibular second molars with prevalence ranging from 2.7% to 45.5% in different populations. Failure of fusion of Hertwig’s epithelial root sheath (HERS) onto the buccal or lingual root surface results in a conical or prism shaped root. This, together with thin inter-radicular ribbon-shaped […]