The use of internal bleaching in a non-vital tooth as a conservative approach
The aim of internal bleaching is to recover or improve the natural color of the teeth in a conservative management, avoiding (when possible) to make a crown preparation in dark non-vital teeth needing color improvements. Tooth discoloration varies in etiology, appearance, localization, severity and adhesion to tooth structure. It can be defined as being extrinsic […]
Guidelines for the correct selection and optimal luting of fiber posts
Most failures of endodontically treated teeth seem to be due to biomechanical or restorative rather than biological reasons. For a long-term success is very important to minimize the loss of tissue during the shaping and the post space preparation. The preparation of the post space may reduce the "ferrule effect", that is the key factor […]
Invasive Cervical Resorption Part 2: Combined Non-surgical and surgical management
For invasive cervical resorption to occur and propagate, there must be a damage in the periodontal ligament and cementum in addition to a contributing factor(s) which is assumed to sustain the osteoclastic activity. Although the etiology of ICR is poorly understood in literature and there might be some etiological factors which have not yet been […]
Root perforation management
This article is a short summary and a guideline for all dentists who want to manage different types of root perforation in an easy and predictable way. This article will emphasize the importance of the diagnosis and accessories that will be helpful during the treatment. Root perforations are one of the common complications that […]
Non surgical management of full-crown restored with symptomatic apical periodontitis: A case report
The reason for performing a primary root canal treatment or a retreatment without dismantling a full crown coverage should be very well considered. It is doubtless that any coronal restoration should be removed before undertaking any orthograde endodontic procedure if infected dentine or coronal leakage is present (Gulabivala, Ng, 2014). Moreover, performing a root canal […]
Removal of an Anatomic Post and Core A Case Report
Different types pf posts can be placed during restorative procedures; prefabricated ones such as the screw posts, the paraposts or more recently the ceramic post and fiber posts, or the anatomical post commonly called cast post and core. In cases of non surgical retreatment The removal of a post can be challenging depending on the […]
Practical Minimal Invasive Endodontics
"Minimally Invasive Endodontics" concept should be case dependent to achieve better outcome. We aim to preserve tooth structure but at the same time we should be able to do that in a repeatable and teachable manner. Minimally Invasive Endodontics (MIE) concept is becoming popular in the last years, where all of the dentists’ concern is […]
Non surgical retreatment after surgical treatment of a maxillary central incisor
Nowadays in our practices we can witness a lot of unsuccessful RCT. Sometimes we also can see surgical treatments which are failing . When planning the treatment we should keep in mind that not always surgical treatment means more aggressive treatment and that also surgical treatment can fail. Very often in our practices we have […]
An external cervical resorption managed with MTA: 5 years follow up
In this article it will be explained how to manage an external cervical resorption with MTA. A five years follow up will demonstrate that MTA was the right choice in terms of biocompatibility and sealing performance. External resorption originates in the PDL and is identified thanks to an irregular radiolucent area overlying the root canal. External […]
Radix entomolaris: Management of vital pulp therapy failure
Vital pulp therapy (VPT) are those procedures carried out to maintain the dental pulp in a healthy condition, allowing to preserve its defensive function and sustaining its ability to form dentin in response to irritation. Despite the favorable outcomes of VPT, some complications might occur as a result of improper case selection or technical factors. […]
Re-treatment of Upper right Second Premolar
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 protocol in any of the above steps can lead to failure of the endodontic treatment. Reading a preoperative periapical radiograph is of utmost importance. Though, […]
Below an old amalgam restoration. A case report
When removing large amalgam restorations we frequently observe that modifications have occurred in the pulp chamber, that often presents a diminished size, with a more difficult finding of the root canal openings. The use of ultrasonic tips, together with the knowledge of the anatomy, can help in finding the orifices without making iatrogenic damages.