Our Articles & Clinical Cases

The removal of separated files is favourable when the file is visible, located in a relatively straight canal and there is a significant portion of the file protruding in the pulp chamber above the canal orifice.
Gentle teasing with Stieglitz Forceps usually represents the best approach in this situations similarly to silver points’ removal.
Unfortunately in the presented case the use of grasping action and pull was not sufficient due to engagement of the file past the apical foramen.
A tailored trial and error approach is required for each individual case.

For me, there is nothing better than being able to manage endo and resto of a tooth in a single visit

Periodontium and pulpal spaces represent the two primary modes of dental infection from oral bacteria.
At the clinical level, compound dentoalveolar infections involving both tissues are common and present challenges for diagnosis and treatment. The complex lesions presenting the characteristics of both endodontic and periodontic infections are referred to as endo-periodontal lesions (EPLs).

In this article i am presenting a case with a separated Instrument and missed anatomy. The patient had symptoms while biting

The restoration of endodontically treated teeth must be planned before initiating root canal treatment. Because  Microbial contamination of the root canal system and peri-apical tissues is the most common reason of endodontics failure (Saunders and Saunders, 1994; Torabinejad et al., 1990). Therefore, the root canal system should be sealed both apically and laterally with appropriate […]

The primary goal of successful endodontic therapy is to perform a proper cleaning and shaping of the root canal system. In clinical practice, this cleaning and shaping, performed with the aid of endodontic files manufactured from stainless steel or nickel titanium (NiTi) alloy, is not always easy due the complex anatomy of the root canal […]

The piezoelectric ultrasonics have the potential to become routinely incorporated into almost every component of endodontic treatment, re-treatment, and apical microsurgery.
It is already indispensable as a precise tool with which the most challenging clinical situations, such as finding hidden root canals and
removing root canal obstructions, can be done with relative ease, predictability, and conservancy.
In this article, I will explain some of the uses of ultrasonics in conventional nonsurgical endodontics.

Achieving glide path in retreatments by removing safely the gutta percha and sealer from within the root canal is always a difficult step. The instruments used in endodontic retreatments have to meet many requirements that enables the clinician to be efficient, secure and conservative at the same time. When choosing the first file to start […]

The failure of root canal treatment is a problem encountered by every dentist. A large number of studies have shown that teeth may continue to have previous periapical lesions or even develop new periapical lesions after root canal treatment. The reasons for root canal treatment failure, the site to be debreached, the method to be repaired, and the communication with the patient are all very important factors in retreatment.

INSTRUMENT FRACTURE IS A COMMON COMPLICATION IN ENDODONTICS THAT WE MUST BE PREPARED TO SOLVE IN A PREDICTABLE WAY. IN THIS CASE WE SHOW HOW TO SUCCESSFULLY RESOLVE THIS COMPLEX SITUATION

One of the most common complications after dental trauma is pulp necrosis, which is often associated with apical periodontitis. The management of these teeth is challenging due to large root canals, open apices, and thin dentinal walls. 1
Long-term irritation leads to periapical lesions and cysts in the apical region. If left untreated, necrotic and infected pulp causes inflammatory lesions in the periapical tissues to grow over time, leading to structural changes in the bone. In some cases, root canal treatment may be required later during follow-up of injuries, due to subsequent pulp necrosis and infection of the root canal system. 2-3

Matching the color of dental crowns to discolored tooth abutment is a tough challenge in modern dentistry. When a tooth abutment is discolored—due to staining, injury, or previous treatments—it can be hard to make a crown that looks natural and blends well with the surrounding teeth.
The difficulty comes from several factors: the original color of the tooth, the type of discoloration, and the materials used for the crown. Although new materials and techniques have made it easier to match colors, getting a perfect match is still not always possible. This can affect the overall look of the dental work.