Our Articles & Clinical Cases

Healing of big periapical lesion is a real challenge. But with the use of contemporary devices, techniques, tools and materials, have increased the outcomes of such situations

Amongst the different stages of endodontic retreatment, filling material removal may be performed by using manual files and rotary instruments. Further, desobturation may be associated with ultrasonic activation and different types of solvents, although they are currently used with less frequency. However, no retreatment technique is reliable enough to clean root canal system completely after reinstrumentation.

The purpose of this article is to explain all the phases to do in a correct way an apical plug. Today on the market there was a lot of material that perform wery well like MTA or Bioceramic material in putty consistency. It’s important to know not only the technique but also when it is […]

Abiding by the styleitaliano philosophy Retreaty kit allowed a more conservative way in retreatment cases by having 3 different alloys to help in managing the cases in feasible, teachable & repeatable approach

Endodontic cases involving broken instruments are among the most challenging and stressful in the field. Even the top experienced endodontists will agree that removing broken tools demands unwavering calm and exceptional self-control. This procedure isn't for everyone, as a rushed decision or improper removal can lead to failure. It's important to remember that any attempt […]

Perforation is an iatrogenic communication that is formed between the tooth and supporting tissues.
It is important to manage perforations as soon as they are diagnosed.
An ideal peforation repair material is Mineral Trioxide Aggregate.

Middle mesial canal (MMC) is an additional canal found in mandibular first molars. The knowledge of its presence and its detection, negotiation, disinfection and sealing plays paramount importance in the overall endodontic success. 

The primary objective in endodontics, whether primary treatment or retreatments, is the treatment of apical periodontitis as well as prevention of its recurrence. When we address retreatments, incomplete disinfection of the root canal system is considered as one of the most common causes of post treatment failures.  This article will discuss non-surgical retreatment of a […]

As endodontists we often encounter retreatment cases with procedural errors such as canal blockages, ledges, instrument fractures and perforations.  The ledge is defined as an iatrogenic deviation from the original canal path that does not communicate with the periodontal ligament. The presence of a ledge prohibits the files from reaching the canal terminus, resulting in […]

Dentistry is all about combining clinical art & science of diagnosis to improve the quality of patient’s life.

Here we will talk about a patient with a molar needed to be retreated and instead she was misdiagnosed with trigeminal neuralgia.

The maxillary first molar typically exhibits complex root canal anatomy, commonly presenting with three roots—two buccal and one palatal. However, anatomical variations, such as the presence of a fourth root, can occur and significantly impact endodontic treatment. Recognizing these variations is crucial for successful root canal therapy. This article discusses the endodontic management of four-rooted […]

Many times we hear about rotation and reciprocation as rival movements and feel like we have to choose one or the other. In reality both are very important and helpful to achieve a predictable result. Let’s dive into the main characteristics of each movement Rotation: + Removes easily the debris that are created and are […]