Our Articles & Clinical Cases

In retreatments the phase of the disassembling can be difficult and time consuming. When gutta percha is too soft, for example, removing it by means of ultrasonics devices or rotary systems becomes more difficult, that’s why I stopped using solvents many years ago. In general, my approach in non surgical retreatment is to try to […]

A case report with 10 months follow up showing the effect of good irrigation protocol on the final result of the root canal treatment.  The aim of root canal treatment is to prevent and treat apical periodontitis , with the objective of eliminating microorganisms and necrotic pulp through chemo-mechanical debridement, and providing an adequate root […]

In this article we are getting in depth with SMART ENDO KIT from DEPPELER with each instrument Individually. During Endodontic Treatments we are always looking for smart choices , Sharp tools so here we are treating this Lower First Molar using the SMART ENDO KIT. The kit is composed mainly of 5 instruments with 6 […]

Canal negotiation sometimes can be very difficult or challenging, especially with narrow, secondary, or calcified canals. In this case of a maxillary molar, pulp chamber and canals were extremely calcified. A 35 years old female patient been referred to restore her upper right teeth. Pt complains of discomfort when food get trapped between her upper […]

Dens evaginatus (DE) is an unfrequent anomaly of the occlusal central groove or lingual ridge of the buccal cusp of posterior teeth described as an abnormal tubercle. Although its occurrence is rare, this entity is more prevalent in asian patients. Due to the anatomy of the tubercle (which contains pulp tissue), occlusal interferences can cause […]

The most common reason for fracture of rotary NiTi files are flexural and/or torsional fatigue.  Even single use of instrument, can reduce the fracture incidence by only 0.9%. Unfortunately, even with advancements in metallurgy, file breakage could not be entirely overcomed due to the fact that the more the flexible the instruments, the more they […]

Mirror and Multiplo can be attached and work as a combined tool. An authentic 3 in 1 with a Relax Mirror + Endodontic Ruler + Sealer Mixer. All on the handle of your mirror.

The lower first right molar diagnosed with acute irreversible pulpitis. In this case we want to show the importance of activation of irrigation in Endodontics. Among the many activation methods here we have used the sonic activation method using sodium hypochlorite 2.5% with  sonic activation. At the end the tooth was restored with an Endocrown […]

This article shows the managment of a difficult retreatment. An irregular anatomy can put the clinician in front of different procedural difficulties and an improper retreatment could compromise definitively the prognosis of the tooth. For this reason it has been decided to do some practice on the 3d printed version of the same tooth, thanks […]

Endodontic treatment major goal is to treat and prevent apical periodontitis. And this goal can be achieved through shaping and cleaning of the root canal systems to eliminate microorganisms. But beforehand, an entrance has to be prepared to gain access to the root canals. This access cavity undeniably is the first step of every endodontic […]

Mostly in the molar teeth crown down technique is the most effective one in the terms of the root canal debridement. However in simplier cases combination of crown-down, rotary glide path and single length can be also very effective. This technique can be called a hybrid technique and will be described in this article.  Crown-down […]

The success of Endodontic retreatment is multifactorial and will depend on the degree of root canal morphology alteration. Irreversible iatrogenic errors such as large perforations or canal transportation will decrease drastically the good prognosis of the treatment.  In cases where it is possible to regain the original anatomy and shape, clean and fill the entire […]