Our Articles & Clinical Cases

The occurrence of pain and/or swelling after an endodontic treatment is not uncommon in endodontic practice, and can be a frustrating event for dentists and a disappointing surprise for patients. As stated by the American Association of Endodontics Glossary, a flare up is defined as an “acute exacerbation of asymptomatic pulp or periradicular pathosis after […]

The final objective of endodontic procedures should be the total obturation of the root canal space. Biologic necessity requires the elimination of the protein degradation products, bacteria and bacterial toxins which produced from necrotic and gangrenous root canals. These can be achieved by thorough mechanical and chemical cleansing of the entire pulp cavity and its […]

This article is the second part of our review to determine if rotary files should only be used once. In our first article looking at the mechanical properties of rotary files, it was determined that: Surface changes are seen on a microscopic level after a few uses or after several sterilization cycles, but that these […]

Several studies have highlighted how crucial an effective coronal restoration is to the success of the endodontic treatment.

Root perforation repair has historically been a treatment with a low success rate; however, recent techniques and materials utilized in root perforation repair, have dramatically improved the prognosis of both surgical and nonsurgical procedures. Root perforation is defined as an artificial communication between the root canal system to the supporting tissues of teeth often caused by using rotary […]

Nickel-titanium (Ni-Ti) alloy was first used for endodontic files by Walia in 1988 (1) as an alternative to stainless steel for hand files.  The first Ni-Ti rotary files came to the market a few years later in the early 1990s.  These new instruments revolutionized root canal therapy but also greatly increased the cost of material […]

Traumatic injuries are increasing in the last few years, particularly in young people. When the trauma causes a pulpal exposure, it’s mandatory to avoid pulpal necrosis, particularly in teeth that have an open apex. The pulp capping procedures are quite simple and easy to accomplish but a proper coronal protection by adhesive restoration should be considered […]

Thermafil obturation technique was designed and presented by Dr. Ben Johnson ("A new gutta-percha technique. J Endod 1978), as a simple method for the delivery of thermoplasticized gutta-percha to the prepared root canal. Initially, this system relied on metallic carriers covered by a uniform layer of α phase gutta-percha, intended to be heated over an […]

Introduction Treatment of young permanent teeth with pulp involvement is an endodontic and restorative challenge. When pulp vitality is lost, the formation of dentin stops, resulting in a tooth with thin dentin walls that is prone to fracture. Traditionally, apexification was performed with calcium hydroxide.  It was a lengthy procedure requiring 5-20 months (1) and […]

The restoration of endodontically treated anterior teeth presents several different mechanical and esthetic challenges. Before choosing the best treatment solution, several aspects have to be considered, such as: Patient age and esthetic demands vs. conservative treatment Functional loads, type of occlusion Remaining tooth structure influencing biomechanical resistance Presence or absence of periodontal and periapical pathology. We have […]

Developed in 1987, the Continuous Wave of Condensation Obturation Technique was born out of Stephen Buchanan desire to simplify warm gutta-percha downpacking of Schilder's Warm Vertical Condensation.

As a continuity to previous article (Mandibular Premolars:Teeth not to underestimate), Today writing about maxillary premolars and challenges which might be faced during locating root canals and possible anatomic variation in such root canal treatment cases. Hence root canals are the main component of the root canal system so exploration and detection of root canals […]