Our Articles & Clinical Cases

The size of pulp exposure and the presence of spontaneous pain were significant criteria for treatment decisions in traditional direct pulp capping procedures. Direct pulp capping was considered viable when the pulp exposure size was 1 mm or less, and the patient did not experience spontaneous pain. Root canal treatment was routinely treatment choice in cases that did not meet these criteria. However, in light of contemporary insights from the literature, a new classification of pulp conditions has emerged. Consequently, this has led to a shift in our range of indications, predominantly favoring vital pulp treatments.

A periapical pathology, could be a result of caries, trauma, periodontally compromised oral cavity or even a thermal and chemical insult to the tooth. Effective cleaning, shaping and disinfection is the key to a successful endodontic treatment. A deep understanding of the anatomy of a root canal system, is of high value while performing a non-surgical root canal treatment. We often come across mandibular premolars with aberrant root canal anatomies. They often present with multiple canals, splits and accessory canals.
This article describes a case of NSRCT of a mandibular premolar with 1-2 configuration and it presented with a big peri-apical radiolucency.

One of the main objectives of dentistry is the preservation of the natural dentition.1 Carious lesions, dental trauma, root resorptions or iatrogenic procedures such as root perforations can cause the loss of healthy dental tissue. When the loss of dental tissue occurs at the subgingival level; the restorability of these teeth is seriously compromised.2 In […]

Dens invaginatus (DI) is one of the rare malformations of teeth which results from an infolding of the dental papilla during the development of teeth. This defect gives rise to a possible communication between the pulp and oral environment, thereby increasing the susceptibility to caries, pulpitis, and pulp necrosis.

The Zoning Technique is an innovative approach in endodontics that aims to optimize root canal treatment by dividing the root canal system into distinct zones and applying specific instruments and techniques tailored to each zone's unique characteristics. This technique enhances procedural efficiency, increases treatment precision, and improves the overall success rates of endodontic therapy. In this article, […]

A simple step by step technique of separated instrument removal, gaining patency and perforation repair.

The C-shaped root canal configuration is an anatomical variation which is caused by the fusion of the mesial and distal roots either on the buccal or lingual root surface (1). The term ‘‘C-shaped canal’’ was firstly used by Cooke and Cox in 1979 (2). Numerous studies have reported that the incidence of C-shaped canals is […]

The goal of an endodontic treatment is to disinfect the root canal system. This will facilitate the resolution of inflammation and the alleviation of symptoms. Failure to achieve this goal means that parts of the root canal system will not be thoroughly cleaned and will carry on containing a significant population of bacteria. This fact […]

A 32-year-old man with a symptomatic maxillary right central incisor came to the private clinic. The patient reported that the incisor had been traumatized previously. The medical history was nonsignificant, and extraoral evaluation revealed normal soft-tissue structures with no apparent pathosis. Upon oral examination, no mobility or probing defect was observed. The tooth was sensitive […]

Pre-endo build-up is an essential part of the endodontic procedure. It has 4 main purposes. First of all, it confirms that the tooth is restorable by means of isolating the healthy dental tissue. It ensures that there is no microbial leakage in the endodontic space. It allows the correct use of electronic apex locator, preventing […]

This article demonstrates the protocols followed on two teeth with unique anatomical features in a conservative, feasible, teachable and repeatable way. 

With increasing number of reports and studies of unusual root canal morphology, It is of utmost importance that the clinician must have detailed knowledge of the pulp canal anatomy to achieve effectively proper cleaning and shaping of the root canal system. Failure to recognize the aberrant root canal anatomy will lead to an unsuccessful treatment and thus failure of the endodontic therapy.
This case report describes a very rare scenario of a mandibular right first molar with five root canals (three in distal root and two in mesial root) and a maxillary left second molar with also five root canals (three in the mesial buccal root, one in the distobuccal root, and one palatal) in the same patient.