Our Articles & Clinical Cases

Root canal retreatment seems to be one of the biggest challenges in the Endodontic therapy, in the retreatment episodes we will review different scenarios with different cases. In Endodontics we are dealing  with a lot of challenges such as anatomy, mishaps, instrument separation, etc. but one of the biggest challenges is to deal safely with cases of […]

From a recent Randomized clinical trial (Comparison of the Effect of Two Endodontic Irrigation Protocols on the Elimination of Bacteria from Root Canal System: A Prospective, Randomized Clinical Trial) it was demonstrated that "there was no statistical difference between irrigation methods. Each protocol resulted in a high frequency of negative cultures. This high frequency of negative […]

With introduction of mineral trioxide aggregate and other bioactive materials in endodontics possibilities of saving compromised teeth have improved significantly.    

A tooth perforation is a pathologic or iatrogenic communication between the root canal space and the periodontal apparatus. To clinically determine if an endodontically perforated tooth should be extracted or saved, the clinician must first understand the prognosis and treatment. The biologic response of a perforated tooth is inflammatory and can cause a breakdown of […]

The fiber post removal is always a challenge and the clinician should be as conservative as possible. Different techniques have been suggested, but two of them are the most common: Ultrasonics and counter-angle burs.   The removal of posts from endodontically treated teeth can be a major obstacle in the retreatment of teeth. The goal […]

Traumatic dental injuries (TDIs) occur frequently in children and young adults, comprising 5% of all injuries. Twenty‐five percent of all school children experience dental trauma and 33% of adults have experienced trauma to the permanent dentition, with the majority of the injuries occurring before age 19. Luxation injuries are the most common TDIs in the […]

Instrument fracture can be a very frustrating complication in Endodontics. Many factors determine whether a separated instrument should be removed or not from the root canal system. The aim of this case report is to highlight the usefulness of LFOV CBCT in the treatment planning of a second lower molar with a fragment in the […]

IrriFlex® has appeared on the market to change our current irrigation protocols. Its main advantages like its flexibility, its ability to reach the apical part of the root canal system adapting to any curvature, its size and its simplicity to use it have made from this needle a revolution in disinfection if compared to traditional […]

As dentists 70% of the cases that come to us daily in our clinics are routine cases., cases too often underestimated where avoidable mistakes are made, making them complex In my work I share and apply a multidisciplinary approach, dealing not only with the endodontic part but also with the restorative and in some cases […]

Endodontic success often depends on canal debridement, disinfection, and canal obturation. Access to the canal is one key to debridement, in fact an appropriately designed access cavity assures unobstructed straight-line access to the apical third of the root canal. The endodontic treatment of maxillary incisors, especially the lateral incisors, was reported as the last successful […]

Internal root resorption is an inflammatory condition that produces the destruction of hard dental tissues. For the resorptive process to take place, two conditions have to occur simultaneously. First of all, predentine layer has to be damaged and expose the mineralized structures of the tooth to the osteoclastic cells and secondly, there is a need […]

Mandibular premolars have been considered to be the most challenging teeth to be treated endodontically, especially when they present with multiple roots or canals. Their propensities for anomalous variations, narrow mesiodistal dimensions and the ensuing narrow access to canals, lack of visibility, and  bifurcations and deltas are factors that further compound the difficulty for clinicians. Preoperative […]