Trend or trap?!
An endodontic access cavity is an important first step in successful endodontic treatment. Lately, strongly constricted endodontic access cavities have become quite popular, the idea of which serves to save tissue and thereby increase the tooth's resistance to fracture. Although there is insufficient data to fully support this hypothesis (1), many different modalities have an […]
Poor prognosis?...
A case presentation of hemisectioning of the distal root of a LR6 due to fracture, and 6-year review. The clinical aspects and considerations are discussed. Occasionally, during our practice, we are required to offer patients a less common treatment modality. Knowing all the possible treatment options available to us, we can provide our patients with […]
Management of ledge formation
The ledge, which is a deviation from the original canal curvature without communication with the periodontal ligament, is created when the working length can no longer be negotiated, and the original pathway of the canal has been lost. Ledge formation might lead to incomplete instrumentation and shaping, inadequate disinfection, and inadequate three-dimensional obturation of the root canal […]
Post endo restoration with AF Fiber Post
The use intraradicular posts in root filled teeth has been an area of much discussion and controversy. It is imperative to acknowledge that the purpose of a post is to facilitate core retention; it does not increase the strength of the root or compensate for the absence of a ferrule effect. With the evolution of […]
Blue under the bridge
Non surgical endodontic treatment of teeth with prosthodontic works can present some difficulty mainly due to the necessity to disassemble the existing restoration and to the loss of the anatomic references that guide the clinician to find the root canal openings. When getting ready to treat a crowned tooth, the clinician must read carefully the […]
Denticles/Pulp stones- A hinderance or not?
Pulp stones are defined as foci of calcifications that form within the pulp chamber, more frequently in the coronal pulp cavity and sometimes in radicular pulp space. In the year 1921, Norman and Johnson first mentioned about dental pulp calcifications and called them dental pulp nodules. These were later termed as denticles. Kronfeld and Boyle […]
Endodontically treated tooth dyschromia: causes and solutions
The discoloration of a dental element can create a strong aesthetic discomfort and can often be the first clinical sign of an ongoing pulp disease. The causes of dyschromias are many and, as always, a correct diagnosis is the cornerstone of solving the problem. The causes that can lead to a chromatic variation of a […]
Retreaty... The Retreatment Avengers
Nowadays the number of retreatment cases are increasing in front of primary treatments. That’s why we need some innovative tools to help us achieving our rationale in non-surgical retreatments. In this article, I will describe various aspects of the New Retreaty instruments designed by styleitaliano endodontics team and manufactured by Perfect Endo. Similar to primary […]
Management of molarized premolar with severly calcified and curved canals
This article clarifies how to deal with extra root canal system anatomy of premolars clinically and how you can manage and shape the buccal tinny and curved canals of molarized premolar with simple technique by using an handpiece with manual files in reciprocation motion. Endodontic treatment success is dependent on thorough debridement and full obturation […]
Root canal treatment of an immature permanent mandibular first molar
The root canal treatment of immature permanent teeth poses many challenges, one of which is the obturation technique. These teeth come with wide apices and sometimes even a divergent configuration (or reverse anatomy) in the apical third. The difficulty in such cases is to avoid overextending the filling material into the periapical tissues. (1,2) In […]
Management of broken file in atresic canals
Fracture or separation of endodontic instruments is one of the main complications in our clinical practice in root canal treatment. This eventuality can negatively affect the outcome of treatment, as the blockage caused by the instrument fragments will prevent correct debridement and removal of pulp tissue, bacteria or smear layer. The prognosis in these cases […]
Danger zone in C-shaped root canals
The danger zone is an area of the root canal where the primary thickness of dentin before preparation is under 1 mm. In general, the danger zone is located 4 to 6 mm below the canal chamber orifice. A danger zone can appear in the buccal root of maxillary premolars and molars and in the […]