Dealing with root filling residuals in root canal re-treatment
Non-surgical root canal re-treatment is one of the most dental procedures that practitioners face in routine daily work. Though, it remains one of the most challenging procedures, as we are dealing with root canal complexities, different root filling materials, and most importantly, infection.
Management of Immature Permanent Incisors with wide open apex
A major problem associated with treating traumatized teeth with necrotic pulps and open apices, is achieving an acceptable seal in the apical area. Apexification has traditionally formed an integral part of the treatment of teeth with necrotic pulps with open apices. Apexification is defined as “a method to induce a calcific barrier across an open apex of an immature, pulplesstooth”. […]
Management of deep splitting root canals
Endodontic management of a tooth is an interesting and challenging procedure that is partly blinded, and its success depends on individual clinical expertise and skill, as well as the procedural techniques applied. Tooth anatomy is the map on which every clinician relies upon prior to initiating root canal treatment. The vast data on tooth anatomy […]
Management of severe trajectories: a clinical perspective
The curved and dilacerated roots in the posterior teeth often present the major challenge to the clinicians during the endodontic treatments. Failure to secure a safe glide path in order to achieve an optimum biomechanical preparation may lead to complications which will jeopardize the final outcome of the treatment due to : Planning should start […]
A Perfect Re-RCT
The use of CBCT at the diagnostic and treatment planning stage allows to detect presence of refractory endodontic pathology root by root in multicoated teeth. Teeth affected by pathology in one root only due to the presence of missed anatomy cannot be re-treated surgically and a selective orthograde re-rct approach can be opted for. The […]
Root perforations: from breakdown to breakthrough
In retreatments, one of real endodontic challenges comes when disassembly is complete and what remains is a root canal system that has been perforated. What is the critical thinking required to solve such impediment to success? In this article, I am describing the management of a root perforation using absorbable collagen membrane as an internal […]
How to deal with EIAE? A case report
EIAE (Endodontic interappointment emergencies) is a complication commences a few hours or days after root canal procedures and it is characterized by the development of pain and/or swelling. Despite the advances in the endodontic field, the inter-appointment flare up remains a true nightmare that encounters every dentist. This article will report a case of inter-appointment […]
Pre-endodontic build up of an upper second premolar
One of the main objectives in endodontic treatment is the disinfection of the root canal system. However, most of the time we face severely destroyed teeth, which means a challenge for clinicians from the absolute isolation, the selection of the clamp, the isolation technique, etc. Therefore, we must know or resolve these situations with the […]
Intentional replantation - forgotten tooth saving procedure?
Intentional replantation or reimplantation is purposeful removal of a tooth and its reinsertion into the socket almost immediately after sealing the apical foramina. It is a one-stage treatment that would maintain the natural tooth successfully. Grossman calls it as one of the tooth saving procedure which is ‘the act of deliberately removing a tooth and […]
Radix entomolaris- a case series
Endodontic treatment entails thorough chemo-mechanical debridement and disinfection of the pulp spaces, followed by placement of an inert biocompatible material to allow hermetic sealing of the root canal system. Inability to meet either of these objectives can inadvertently lead to endodontic failure. Concomitantly, an awareness of normal and aberrant root canal morphology is a key […]
Management of a Type III Radix Entomolaris in a first lower molar
Understanding the anatomical variations of the root canal system is a must to achieve the main goals of our treatment. The radix entomolaris is the most common variation in mandibular molars. With the help of CBCT we can measure and see the original shape of the additional root, thus creating a predictable strategy for cleaning, […]
Retrieve and repair
As Endodontists our daily work is an adrenaline fuel because we face new challenges on a daily basis and each case requires a strategy to fix it. Strategy before any retreatment consists of reading very carefully the preoperative X-Ray, in order to explain to the patient what is the problem, prognosis ,number of visits, possibility […]