Management of deep split in mandibular premolar
A thorough knowledge of the root canal anatomy and its variation is required for achieving success in root canal therapy, along with diagnosis, treatment planning and clinical expertise. Outcome of endodontic therapy depends on the complete disinfection of the entire root canal system followed by a three-dimensional obturation. One of such variation of the root […]
Harmonised Multidisciplinary Endodontic treatment/Re-treatment
Endodontic treatment is considered one of the most complicated dental treatments. Although we have a general idea about the number of major canals and outline of the roots, but we are dealing with a complex three dimensional system which sometimes happen to be torturous, so we may face difficulties. However, root canal re-treatment would add more difficulties, as more surprises may exist from previous treatment. For that reason, we should gather as mush as possible of information before prompting the treatment, including a comprehensive history taking, thorough clinical examination, proper radiographs, and cone beam CT if needed.
How To Manage A Ledge - A case report
Among all the difficulties we encounter during the reconstruction of an incongruous root canal therapy, a very difficult challenge is always represented by overcoming false paths and ledges mistakenly created during the primary treatment(1). A 26-year-old patient comes to my attention due to a fracture at element 4.7. The patient reports recurrent episodes of pain […]
The American Association of Endodontists (AAE) Glossary of Endodontic Terms defines perforations as mechanical or pathological communications between the root canal system and the external tooth surface (2003). Root perforations are severe complications and are associated with compromised endodontic treatment outcomes, especially when bacterial infection is allowed to establish. Perforations may occur due to pathological […]
Management of an upper second molar with a restorative approach
Adhesive procedures have changed the way of restoring endodontically treated teeth. Postless approaches have been proposed to improve and restore teeth. The preservation of the dental structure of endodontically treated teeth is essential for this. Before performing any endodontic procedure, one must know how the final restoration of that tooth will be handled and whether […]
Clinical Tips for Managing Calcified Canals
One of the causes of endodontic treatment failure is calcification in the canal pathway, which prevents complete access to proper working length. In some cases, the dentist is unable to open the calcified canal and an extraction might be suggested then. Therefore, once calcified canals are identified, the clinician should keep in mind the following […]
ReTreaty kit for conservative retreatments
There is a great trend of interest in minimally invasive treatments in endodontics. Is it possible to apply the same concept in Retreatments, where the previous therapy has failed?Can we change in some way our mindset?Is it possible to use as much as possible just a sequence like ReTreaty kit instead of many different files?
Management of Mandibular Incisor Tooth With Calcified Root Canal Anatomy
Calcified root canals are frequently seen nowadays. The management of calcified root canal is a little easier thanks to the current developing technologies. In this regard, these cases can be overcome more quickly and in a controlled manner with dental operating microscope, CBCT and ultrasonic tips.
Challenges with retreatment of Russian red aka Resorcinol-formaldehyde teeth
Retreatment is considered a difficult manipulation that requires the knowledge, experience and technical equipment from the doctor. Resorcinol-formaldehyde therapy is no longer used as a medical material, but since the 1960s it was widely used in different countries, which increases the chance of such a patient getting into your daily practice. The article discusses the clinical scenarios developed because of the use of the mentioned material and ways to deal with it.
Management of a separated instrument beyond the apex
One of the common mishaps that may occur during shaping of the root canals is separated instrument which can hinder the proper cleaning and disinfection leaving residual tissues behind.
Different treatment modalities in a molar
Before performing any root canal treatments you should have knowledge on how to face any problems you face during treatment. In this case we switched treatment plan in the middle of the case due to uncontrolled inflammation in this tooth. Diagnosis is the very first step of any endodontic treatment. To diagnose the degree of […]
Dens Evaginatus - A case report
Dens evaginatus (DE) is a relatively rare developmental anomaly that occurs more often in people of Asian descent than European descent. DE appears as a cusplike elevation of enamel, referred to as a tubercle, and is located in the central groove or on the buccal or lingual cusps of premolars or molars and the palatal […]