Management of Missed Canal Part 1: Lower First Molar
It is reported that almost 40% of retreatment with chronic apical periodontitis or symptomatic apical periodontitis are due to missed canals. Karabucak & all reported in 2016 an overall incidence of missed canals in treated teeth to be 23.04% and 41 to 46% in maxillary first molars. Teeth with a missed canal were 4.38 times […]
Management of Iatrogenic Furcal Perforation in tooth with obliterated root canal
Perforation is a pathologic or iatrogenic communication between root canal system and the supporting tissues of teeth or the oral cavity. Root perforations are common complications of endodontic treatment or post preparation and often lead to tooth extraction. Iatrogenic root perforations occur in approximately 2‑12% of endodontically treated teeth. Successful treatment depends mainly on immediate […]
Finding the MB2 - part 1
The famous MB2 canal, which has been studied extensively, has become so popular that it has become a common topic among dentists, especially endodontists. Many studies have shown that not finding and treating this canal has resulted in more endodontic failures. The methods that help in finding the second mesio buccal canal of maxillary molars […]
Management of a retreatment case with multiple endodontic mishaps
Endodontic mishaps can interfere with the healing process of the body and can result in failure of the root canal treatment if not taken care of. Perforation, if present should be handled immediately and adequate materials to be used for better results. Fracture of an instrument results in improper cleaning and shaping of the remaining […]
The Multidisciplinary approach
During our daily treatments we often face different situations where many disciplines of dentistry intertwine with each other, in some treatments we have the need for secondary treatments. In this case what I am presenting to you as primary treatment is the endodontic treatment, while surgical and restorative treatments as secondary treatments. The patient comes […]
Looks like a bullet: An iatrogenic mishap cause by tool misuse
Proper clinical practice in Endodontics requires careful and detailed knowledge on the know how of using different instruments, tools and devices used in the treatment course. Even in the simplest cases, violating the limitation of some instruments or misusing/misplacing those instruments may lead to severe iatrogenic errors which may act as a barrier against providing […]
Fiber post removal: don't miss the post
Fiber post removal is a first necessary step in order to gain the access to the root canals and retreat them. Many techniques have been suggested, but in this article we will consider the first analytical considerations in order to avoid procedural iatrogenic errors. The removal of fiber posts from endodontically treated teeth can be […]
Deep bifurcation in the palatal canal of an upper molar
This clinical case shows the need of being very careful while we approach the palatal canal in Upper first molars, especially in the apical part . Of course some studies have reported the presence of two canals in palatal root, but in this case there is one canal with apical bifurcation. In this case I […]
How to manage ledges using rotary files
Ledge creation is one of the most common iatrogenic damages during the shaping. As Clinicians we do prevent ledge creation using a “sweet” approach to the Endodontic anatomy during the shaping, but we also know how to manage the ledge when it is present, as there is a strong and scientific recognized relationship between presence […]
Unusual anatomy in upper second molar
The hard tissue repository of the human dental pulp takes on numerous configurations and shapes. A thorough knowledge of tooth morphology, careful interpretation of angled radiographs, proper access preparation and a detailed exploration of the interior of the tooth are essential prerequisites for a successful treatment outcome. CBCT, Magnification and illumination are aids that must […]
Endo-resto treatment of a lower molar in a patient with aligners. Modified stamp technique
The stamp technique is a well known way to reproduce accurately the occlusal anatomy of the tooth. It allows to restore quickly and in a predictable way even class II cavities and anterior teeth (as shown in this article by Giuseppe Marchetti https://www.styleitaliano.org/fast-single-shade-anterior-restorations-flowable-composite-the-stamp-technique). In the following case report I adapted the stamp technique to the […]
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 […]