Endodontic management of a Traumatic Maxillary Central Incisor with wide open apex and evident resorption
Pulp necrosis(mostly due to trauma) in teeth with incomplete roots can arrest root development resulting in open apices. he main challenge in performing root-canal treatment in teeth with necrotic pulps and wide-open apices is to obtain an optimal apical seal. The wide foramen requires a large volume of filling material that may extrude from the […]
External root resorption: is intentional replantation a real option? A case report
External cervical resorption (ECR) is initiated on the external aspect of the root, usually apical to the epithelial attachment. It is often aggressive in nature, resulting in significant loss of tooth structure. The purpose of this case report is to present a multidisciplinary management of ECR in a patient. The challenge is to identify the […]
Electronic Apex Locator
Successful endodontic treatment depends on the triad of shaping, thorough cleaning and 3- dimensional obturation of tooth within the confines of canals. To achieve this objective the apical constriction must be detected accurately during canal preparation and precise control over working length during the procedure must be maintained. There are many methods of working length […]
Root canal retreatment of a LR6 using MG3 File System from Perfect: a case report
Root canal retreatments always represent a hot topic. Whether the preoperative X-ray informs on a difficult retreatement or not, choosing the right armamentarium is crucial and can help the clinician in reaching the working length and remove the obturation materials. The disinfection of the endodontic system plays a key role in the treatment outcome, however, […]
Direct composite veneers
A 60 years old male came to our office due to abrasion and erosion he had on the front teeth. The involved teeth were vital and without any symtomps. The intra-oral examination showed an important abrasion of the vestibular face of the two central incisors, while radiographic examination showed no problems on the pulp and the […]
Apicoectomy of an implant?
When the endodontic lesion involves the apex of an implant in addition to the one of the tooth, a retrograde peri-impantitis can be established. Retrograde peri-implantitis (RPI) is a primary microbial inflammatory condition that affects only the apical portion of an osseointegrated implant, which retains normal bone-to-implant contact in its coronal portion. Currently, no uniformly […]
Use of C-Handle in daily practice
Having an optimal view of the operative field is one of the most obvious, but at the same times most important, aspects to keep into consideration while doing an endodontic treatment. The use of rubber dam and magnifications certainly give us an advantage, together with a correct access cavity, but often, when the clinical situation […]
Shaping with MG3 blue
“Even a dentist who is not confident with his obturation technique can easily obturate a root canal with warm gutta-percha as long as the root canal has been cleaned and shaped lege artis” Shilder 1987 This article will show the advantages of the MG3 blue instruments and how can we customize the sequence of these […]
Endo-resto management of a poorly treated premolar
The successful outcome of root canal treatment in teeth with non-infected vital pulps depends on preventing root canal infection, while in teeth with infected necrotic pulps it relies on eradication or at least reduction of bacterial counts to levels compatible with peri-radicular tissue healing. To do so, the first thing to do is to carefully […]
Root To Crown With Dentoclic Fiber Post Build Up Chapter 2: Premolar Case
Failing primary endodontic treatment on the Upper Right second premolar with large lesion. Root canal retreatment was conducted with intracanal medication with calcium hydroxide for 1 week after the cleaning and shaping.
NSRCT for lower first molar with Radix Entomolaris
Radix Entomolaris (RE) is a major anatomical anomaly in the mandibular first molar represented by a third root that is located disto-lingually. The prevalence of RE is different in different populations; ranging from 3% in African people to even more than 40% in Mongolian traits (De Moor et al. 2004). Root canal treatment of lower […]
Adhesive Direct Restoration in the Posterior Area with Subgingival Cervical Margins
Localized subgingival margins can complicate the use of direct adhesive restorations and subsequently hinder their durability and relation with the periodontal tissues. This article presents a technique involving placement of a modified matrix followed by immediate dentin sealing and coronal elevation of the deep margin to a supra- gingival position using a direct bonded composite […]