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Deep Margin Elevation and Clinical Crown Lengthening: Biological considerations and clinical procedures
EndoPerio EndoResto

The restoration of a severely compromised tooth represents a challenge for the clinician, not only due to a significant loss of structure of the element but also due to the invasion of the supracrestal tissue attachment, with consequent compromization of periodontal health.
The technique of deep margin elevation can be applied when the healthy margin of the tooth needing restoration is localized within the sulcular epithelium or at the level of the junctional epithelium.
On the other side, the presence of lesions of the dental element involving the space for the supracrestal connective attachment and/or the bone crest makes the surgical intervention necessary. The following article aims to describe the indications and surgical procedures for clinical crown lengthening from a biological, periodontal and biomechanical point of view. 
Therefore, the operational steps of the clinical crown lengthening surgical procedure (bone-resective surgery) and the sub- sequent endodontic/restorative clinical phases will be illustrated.

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Management of complex anatomy in the first mandibular premolar, 2 cases in 1
Anatomy

We know that treating a tooth involves different phases or stages, but it is important to know the internal anatomy, in order to approach the case in the best possible […]

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Shaping calcified canals with Harmony files
Shaping Tools

Calcified canals are always a challenge for the clinician because they can be difficult to find and even more difficult to negotiate and shape. A new sequence of files has […]

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The Internal Isolation Technique: simplifying coronal perforation repair
Perforation Tips and tricks

The new calcium silicate based cements have many positive features compared to classic MTA, including a fast setting that could be used to speed up the process of perforation repair

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Endo resto treatment of a lower left molar with Harmony files
Shaping Tools

Curved canals can be difficult to manage because of the risk of creating ledges, wrong paths or to block the file inside of the curvature, with subsequent file separation. A […]

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Correcting own errors:  missed canal on lower left second molar
Anatomy CBCT Decision making

The purpose of this clinical article is to highlight possible root canal treatment error due to a misinterpretation of root canal morphology using 2 dimensional digital X-rays (Peri Apical Xray) […]

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Root fractures: clinical scenarios
Diagnosis

Root fracture is a situation that may happen and is generally associated to these symptoms: Depending on the conditions, the symptoms referred by the patient may vary and, in some […]

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Surgical management of Chronic Apical Periodontitis Due to an untreated Lateral Canal: A case report with 6-Month Radiographic Follow-Up 
Endodontic microsurgery

Surgical treatment of apical periodontitis caused by a lateral canal, highlighting CBCT planning and bioceramic sealing for complete healing

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RETREATY: A Dynamic Sequence For Different Cases
Retreatments Shaping Tools

Success in non-surgical retreatments requires strategic planning rather than application of procedural steps. The clinician must be able to modify the strategy in different cases and adapt the utilized tools, according to encountered anatomy as well as the case difficulty.

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Post Endo Resto - Minimal Invasive Approach
Post endo restoration

Morphology Driven Preparation Technique

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Single, rare and fabulous
Anatomy

A thorough and detailed knowledge of root canal anatomy is a crucial requirement for a successful endodontic treatment outcome. Due to each tooth singularity a vast number of morphological variations […]

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Micro Rescue
CBCT micro-surgery

Endodontic Microsurgery is one of the most important ways to save teeth rather than extracting and placing implant.

Here we will talk about a tooth that failed multiple trials of endodontic treatment, endo-surgery was made and follow ups shows complete healing.

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