Retreatment and modern post endo resto
In this article i am highlighting the way i’ve dealt with this syptomatic lower 1st molar from the Retreatment to the final Restoration. Lack of knowledge in the endodontic field may lead to some errors during the treatment if we are not having the right techniques combined with the right tools and it is so important […]
Retreatment of a first mandibular molar with three independent mesial canals
One of the most common causes of failure in endodontics is missing canals.
The middle canal in lower molars is not an exception and has been studied by numerous authors in the literature.
Its prevalence ranges from 0,28% to 53,8% and it’s specially presents in the mesial root.
Using different X-ray angulations or with the help of CBCT we can confirm its existence.
Understanding the anatomy of the teeth is a key factor for the success of our treatment.
In this case we are treating a previously treated lower molar with some hidden anatomy.
MTA apical plug
MTA has several desirable properties that makes it an excellent choice for apical plug formation . Firstly , biocompatibility to the surrounding tissues . This is crucial for achieving successful healing . Secondly , MTA has sealing capability when properly placed and condensed , it creates a tight seal , prevent the ingress of bacteria […]
AF F One Essential Kit in the treatment of a lower left first molar in a patient with periodontal disease
Multidisciplinary in dentistry is essential in order to treat correctly our patients. When for a clinician it is not possible to manage all of the branches of dentistry, the possibility to work in a team is the key to give the patient the best treatment. When I see a patient for the first time, apart […]
Vital pulp therapy
Endodontic treatment is the most common procedures that performed in daily clinic routine the aim of endodontic therapy is to treat the infectious situation caused by bacteria from carious lesion which reached to the pulp chamber causing necrosis and lesion formation. Since pulp is the most important part of the tooth, in this article we […]
The braiding technique
In this article, we are going to explain the Braiding Technique, a predictable way to remove materials from inside root canals. For this technique, we will use Hedstroem files, and is especially indicated to remove plastic carriers during retreatments. We will see the technical procedure and some clinical cases with video, picture and X-ray. As […]
Making apical plugs easier using a simple collagen sponge
Proper seal of the root canal system is a key factor for long term success of the endodontic treatment. In the majority of cases, the root anatomy and the apical constriction offer a reliable way to control the correct apical obturation, allowing the compaction of the obturation material and tridimensional seal. However, incomplete root formation, […]
MG3 let's shape calcified and moderately curved root canals
The process of root canal treatment involves the meticulous elimination of bacterial remnants within the canal through biomechanical techniques, encompassing thorough cleaning and precise shaping, all aimed at averting any potential reinfection1. The intricate nature of root canal anatomy necessitates the deployment of well-designed tools to effectively navigate and cleanse these intricate passages2. This endeavor […]
Management of large floor perforation
Perforation (often of the floor) is one of the problem to solve that can happen when we start to do a retreatment. There is a lot of confusion and question when we spoke about the management and the phases to solve this type of problem. In this article I am describing all the phases step […]
Management of C-shaped canal system
A thorough knowledge of the root canal anatomy and its variations is required for achieving success in root canal therapy, along with diagnosis, treatment planning and clinical expertise, One such variation of the root canal system is the C-shaped canal configuration. It is termed so because of the C-shaped cross-sectional anatomical configuration of the root […]
Little molars
The presence of 3 rooted premolars called, little molars, is pretty infrequent. Found in only 1-4% of cases with regional variation. The two morphological types involve either two buccal and one palatal root or two palatal and one buccal root. Managing these cases is demanding due to the rarity and challenges in diagnosis, access, instrumentation, […]
Deep split management, tips and tricks
Deep split, also known as Vertucci type V canal anatomy, is one of the most challenging anatomies in root canal treatment. It presents a situation where one canal leaves the pulp chamber and divides short of the apex into two separate apical foramina (1-2). Treatment of deep split could be a significant challenge for the […]