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CBCT guided treatment planning and management of instrument fracture in the mesial root of a second mandibular molar
CBCT Separated instruments

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 […]

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Irrigation in Difficult Anatomical Conditions: Why IrriFlex®?
Disinfection Irrigation Tools

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 […]

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Daily Endo-Restorative
EndoResto

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 […]

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A recipe for disaster: no pre-op x-ray and wrong access cavity
Access Cavity CBCT

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 […]

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Management of a perforating internal inflammatory root resorption in a maxillary central incisor
Anatomy Root resorption

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 […]

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Management of a deep bifurcation in a lower first premolar by perfect file
Anatomy Shaping

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 […]

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Retreatment of a maxillary premolar with missed canal
Retreatments

Success of Endodontic therapy depends upon the triad of thorough cleaning and shaping, disinfection & adequate obturation up-to the calculated working length of the root canals. Failure to follow the […]

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Triple MTA apical plug in second lower molar with overextended guttapercha
MTA Retreatments

Mineral trioxide aggregate (MTA) was developed in the 1990s as a root-end filling material and has also been recognized as promising when used to form an apical barrier because of […]

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Modification in canal preparation for long and narrow canals of lower first molar
Anatomy Shaping

Molar teeth exhibit more difficulty in canal preparation, due to more complexities in their root canal system. The situation becomes more complex when the roots are long, and even more […]

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Challenging Endo-resto of a central incisor
EndoResto

A 10 yrs old female came to our office due to a trauma he had some months before. The involved tooth was a non vital immature permanent upper incisor: the […]

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Cracked tooth syndrome
Diagnosis Shaping

Cracked tooth syndrome (CTS) is where a tooth has incompletely cracked meaning without a part of the tooth breaking off. Most of the time it is an incomplete fracture of […]

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A goal in the hole
MTA

The main goal of endodontic treatment is the treatment and/or prevention of peri-radicular periodontitis aiming for a long term disease-free survival. The presence of any form of communication between the […]

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