Our Articles & Clinical Cases

Due to the biological and structural changes that the tooth undergoes during endodontic treatments,in principle it is mandatory that the teeth should be covered with a crown. The exceptation of this rule is mentioned in the first part of the article (direct restoration of endodontically treated teeth) In the indirect restorations we have to consider […]

The aim of endodontic treatment is to eliminate microorganism infection from the root canal system and prevent reinfection.[1] Successful Endodontic treatment depends upon Adequate knowledge about the morphology of root canal system and diagnosing the anatomic variants to avoid missed canals, Therefore, the clinician should be aware of any anatomical variations which may alter the […]

Syringe irrigation remains a widely used irrigant delivery method during root canal treatment. Unfortunately in the apical region there is always a limited liquid exchange due to physical and mechanical reasons. It means that the chemical actions of our irrigants can be limited and ineffective. Can we make the irrigant apical exchange more predictable in […]

Iatrogenic perforation can occur during different steps of the endodontic treatment which can be challenging or compromised with this procedural mishap. The purpose of this article is to report and present the nonsurgical approach to manage root perforations, located in the pulp chamber.   Root perforation is a mechanical, iatrogenic, or pathologic communication between the […]

This clinical case demonstrates how a strategy is important to approach in a proper way a difficult clinical case. MB1 scouting usually it’s easier and more predictable and only in a second time we dedicate our attention to MB2. Here instead, considering the difficulty of scouting MB1, it was decided to manage the situation  in […]

One of the main objective in case of incomplete root formation is to re-establish the blood flow allowing the continuation of the root development. Nowadays, the revascularization technique is an alternative to the traditional apexification using calcium hydroxide for a period of time in order to induce a formation of calcified apical barrier .  Infection […]

Sometimes we can be extremely conservative in endodontics: we need the right approach and conservative instruments in order to preserve dentine while correctly shaping the root canal system.  

As the Tissue engineering is a growing field ,it will probably be possible to generate a complete vital tooth from a single stem cell . Stem cells are in fact to totipotent cells , which have the capacity to proliferate and to produce cells, which are capable of differentiating into specialized cells. There are two […]

The prognosis of initial endodontic treatment is mostly favorable . Nevertheless, failure can occur due to the persistence of bacteria following initial treatment or due to inadequate disinfection, shaping and obturation of the root canal system. The possibility of a secondary infection is also not to be excluded, especially when a defective coronary reconstruction leads […]

The removal of gutta-percha and sealer from endodontically treated root canals is the first step of any retreatment of teeth obturated with these materials. Gutta-percha is the most common obturation material, used in conjunction with various sealers. The removal of gutta-percha from root-filled teeth is required not only for the retreatments, but also to prepare […]

Internal root resorption is rare in permanent teeth. The altered canal anatomy resultant from the resorptive process poses a challenge for the chemo-mechanical debridement and sealing of the root canal.  The purpose of this article is to report the successful treatment of an upper central incisor with an internal root resorption.