Our Articles & Clinical Cases

An alternative method, involving the use of an irrigation needle and cyanoacrylate adhesive, allowed the removal of the fractured instrument from inside of the canal system.  During the mechanical shaping of the root canal system, the possibility of fracture of an instrument is always present. When it occurs, the first step is  dealing with our […]

A 27 years old patient came to our clinic with pain on the right upper side. After examination a root canal treatment was needed. On the pre-operative X-ray we understood that we had to deal with a non routine, very interesting and challenging case. But just a simple root canal treatment would not solve the […]

Endodontic perforation is an iatrogenic procedural error defined as a communication between the root canal system and the periodontal attachment apparatus through the root canal walls. This defect may occur on any  given tooth at any stage of root canal therapy, from access cavity to post space preparation.   Same day Emergency appointment of a 45 year old […]

When I started treating the tooth number 3.7, I understood from the beginning that the case was peculiar. During the emergency session a radix paramolaris was not detected and a SX rotary file created immediately an accidental stripping during orifice opening. The management of an unconventional anatomy and the repair of a iatrogenic error will […]

With increasing reports of aberrant canal morphology, the clinician needs to be aware of the possibility of having a middle mesial canal in mandibular first molars. The purpose of this article is to report the successful treatment of a clinical case of a mandibular molar with three mesial and two distal canals. 

Management of broken instruments beyond the curvature always presents significant challenge, even for experienced clinicians. Patient was referred for retreatment of tooth #37. Tooth was diagnosed with previously initiated therapy and asymptomatic apical periodontitis. The long broken fragment of endodontic instrument in the mesial root was evident (Figure 1). In cases of broken instruments beyond the […]

Negotiation, glide path, and preflaring are essential steps in root canal shaping. They always must be associated to a good debris removal in order to avoid accidental canal blockage or apical extrusion of debris. For this reason, a deep irrigation should be achieved since the first steps of a root canal treatment. Adequate cleaning, shaping, and […]

The goal of endodontics is to clean, shape and filling 3D the endodontic space, eliminating most of the bacterias presents in the canals. Many of the difficulties found in root canal treatment are due to variations in root canal morphology(1). Endodontic failure may be associated with the persistence of infection because of a missed canal […]

The coronary seal is just as important as the apical seal. Endodontic treatments will have good prognosis and their long life will be ensured, if we have completed treatment not only of the endodontic system but also of the restorations part. We are witnesses ourselves, but there are also have many studies that proves that […]

MTA has a broad field of use in endodontics thanks to its biocompatibility and its capability to harden in a moist environment. Several articles proved it to be effective as a pulp capping material, although most of the literature focuses on the pulp capping in young patients...but what happens when if do this in an […]

Correct diagnosis is the key to all predictable endodontic treatment. Root canal treatment depends largely on IOPA (Intra-oral periapical) radiographs to assess the anatomy of the tooth and periapical structures (Forsberg 1987a, b, Cotton et al. 2009, Patel at al. 2009).     A 23 years old male presented complaining of moderate dull pain in […]