Revascularization of Immature Permanent Teeth With Apical Periodontitis
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 removal of filling material during retreatments
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 […]
How to remove Eugenate-based cements and gutta-percha
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 inflammatory root resorption: a case report
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.
Endo - Resto Relationship
The predictors of success and failure in endodontically treated teeth depends on several factors: Apical Pathosis, Bacterial status of the canal prior to obturation, Extent and quality of the obturation and Quality of the coronal restoration, Torabinejad 2008(1). These need to be emphasised since majority of endodontically treated teeth have a badly compromised tooth structure […]
External cervical resorption and new bioactive materials
Effective management of external cervical resorption (ECR) depends on the accurate assessment of the true nature and accessibility of ECR. The aim of this article is, based on the available evidence, to describe a strategy for the management of ECR with a new bioactive material. In cases where ECR is supracrestal, superficial and with limited circumferential spread, […]
The Sandwich Technique: A Convenient and Predictable method for Root Perforation Repair
Root perforations are defined as communications between the root canal space and the periodontium. These communications may be caused by a pathological process (as: external or internal resorption) or as a result of an iatrogenic error (as: misdirection/improper size of the post space drill, drilling through the chamber floor or improper root canal instrumentation)1. According […]
Redefining the access in retreatments: Part I of V
One of the most important step of endodontic therapy is the execution of the access cavity. Very often the failure of the therapy arises from an incorrect realization of this initial step with consequences that can lead to the missing of canals, improper detersion and shaping of the root canal system until the fracture of […]
Vertical Apical Root Fracture
Vertical fractures can occur and their diagnosis is not always predictable. Will be presented here the treatment of a 2.6 with a vertical apical fracture in the mesial root. Vertical root fractures have been described as longitudinally oriented fractures of the root, extending from the canal to the periodontium. It usually happens in endodontically […]
Alternative method for removing fractured instrument: a case report
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 […]
Endo-resto treatment Management of confluent canals
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 […]
Mid-Root Perforation Repair : A Case Report
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 […]