Final rinse protocol - The Time Factor
Time is a decisive factor and is probably the most important element that can affect success in Endodontics. An Endodontist is aware of the time he will be starting a RCT, but never knows when the treatment will be finished, nor how much time is required for Glidepath or if the time dedicated to disinfection is […]
Good Manners for Good Endodontists
Not one dentist I know who doesn’t find, in his daily practice, teeth that are earmarked for RCT (e.g. emergency, destructive caries, prothesis treatment planning) or that have had an RCT and need further treatment (e.g. post-endodontic build-up, fiber post positioning, prosthetic abutment preparation, orthodontic extrusion and so on). For this reason even if Endodontics […]
Management of broken files - A clinical approach
You have a great day and you feel very relaxed while doing an endo treatment for a lower molar, everything is going well, the pulp chamber was opened correctly in a conservative manner, you found all the root canals while correctly following the floor map, then starting instrumentation, shaping, and cleaning procedures; you feel that you are playing […]
MB2 in Maxillary Molars - does it really exist?
The main objective of root canal treatment is thorough shaping and cleaning of all pulp spaces and their complete filling with an inert filling material. A major cause for post-RCT disease is the inability to locate, debride or fill properly all canals of the root canal system. Therefore a better knowledge of the root canal […]
The Style Italiano Endodontics Philosophy in Practice
The philosophy of StyleItaliano Endodontics has extensively been treated in a lot of articles previously published on this web site, by Pierre Machtou, Massimo Giovarruscio, Fabio Gorni and others. Feasible, Teachable and Repeatable techniques can make a successful endodontic practice more easy. In this article, with the help of some clinical cases, the essential steps […]
Metal Post and Core, How to Improve Aesthetics
In the last century, cast metal post represented the method of choice in the philosophy of root canal tooth reconstruction. The procedure usually involved the use of a porcelain fused to metal crown, but in the 1990s full porcelain crowns started to replace the metal base crowns and the problem of how to hide severe tooth discolourations or metal […]
Radix Entomolaris - Case series and clinical considerations
Many of the difficulties found in root canal treatment are due to variations in root canal morphology (1). Root canal morphology is limitless in its variability and clinicians must be aware that anatomic variations constitute a formidable challenge to endodontic success (2). First reported by Carabelli in 1884 (4), this extra root, that is generally shorter […]
Practical tips in ledge management
Endodontics is nowadays becoming more and more user-friendly with modern rotary or reciprocating files; however despite introducing new products, protocols are still prone to failure. One of the most common problems in endodontics is the formation of a ledge. This deviation from the original canal can be fatal for a tooth. Managing a ledge can be a […]
Confluent Canal Management
The comprehension of the anatomy of the root canal system is an important factor when using rotary nickel titanium instruments. One of the main risks in rotary instrumentation is the occurrence of instrument fracture: it is widely acknowledged that a cause for fracture is the introduction of a rotary instrument in the meeting area of two […]
Endodontic Flare-up
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 Radix Entomolaris
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 […]
Should Rotary Files be used once? Part 2
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 […]