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Four-Rooted Maxillary Molars
Anatomy

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 […]

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Rotation and Reciprocation: Synergy not rivalry
Shaping

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 […]

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FAST RETREATMENT & APICAL BLOCKAGE
Retreatments

The field of endodontic retreatment is wide and the cases are variable according to the mishaps included. This article will deal with a short filling which was condensed despite having an apical blockage.

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Non-surgical endodontic treatment of large periapical lesions
Retreatments

This article showing the method of using non-setting calcium hydroxide in case with large periapical lesion .

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Endodontic Surgery: A Conservative Solution in Some Cases for Preserving Natural Teeth
Endodontic microsurgery

A patient recently visited our clinic with a complaint of persistent pain in the upper right lateral incisor. Upon examination, we discovered a granuloma at the root of the affected tooth. After careful evaluation, we proposed endodontic surgery as the most conservative solution to address the issue. This approach aims to preserve the natural tooth […]

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RESTORATIVE OPTIONS FOR ENDO TREATED TEETH - GAINING FERRULE
Decision making Post endo restoration

In this article i am going to show an option for the ferrule gaining for badly destructed teeth.

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Selective Root Canal Re-Treatement of Lower Left Pre-Molar
Anatomy Retreatments

In retreatment cases , the clinician has to deal with many mishaps such as underfilled, missed and obstructed canals as also with iatrogenic damages as separated instruments and perforations. Underfilled and missed canals are the main reasons for endodontic failures (>30%).Especially underfilling can be a real challenge since it can strongly reduces the success rate […]

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Retreatment case: metal post removal and deep splitting canal
Retreatments

There are four options for managing a tooth with posttreatment disease: do nothing, extraction, non­surgical retreatment, or surgical treatment. Avoiding treatment may result in the progression of disease and continued destruction of supporting tissues, as well as possible acute exacerbation of systemic side effects, such as cellulitis and/or lymphadenopathy. In most cases, these options are […]

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Management of complicated crown fracture of newly erupted maxillary central incisor. Conservative approach with 3 years follow up
EndoResto Pulp capping

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available is the reattachment of the dental fragment.

This article reports on coronal tooth fracture case that was successfully treated using tooth fragment reattachment.

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Retreatment of a second upper premolar
Retreatments Tools

The patient came to my office with a big swelling and acute pain , after the pre-op X-ray the situation was clear , apical periodontitis plus a lateral lesion . The previous endodontic treatment is short and we have a perforation on middle one third of the root located on the distal aspect of the […]

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Management of anatomy in a first tricky premolar (Deep Split)
Anatomy

The clinician must be aware of the possible anatomical variations of these teeth and their relationship to adjacent anatomical structures when planning and performing endodontic procedures.

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One canal, two broken files
Retreatments Separated instruments

The position and anatomy of upper molars can make root canal treatment challenging, and instrument separation is common. In the presented case, tooth 1.6 had an abscess, and an attempt at root canal treatment was made. Unfortunately, the previous dentist encountered difficulties and broke a paste carrier approximately 4 mm beyond the apex. In the […]

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