Our Articles & Clinical Cases

Narrow canal is a great challenge to Endodontist, When combined with calcified entrance the difficulty doubled. Preoperative assessment to the periapical radiograph would help in avoiding many errors that could happen if case is underestimated. CBCT has a great role in assessment and planning for management of canal calcification and blockage and it’s considered of […]

Single file instrumentation has to some extent ease the root canal preparation in both primary root canal treatments and retreatments. However, the variety of clinical situations does not agree with the optimistic approach of having one instrument to fit all circumstances. All clinicians should carefully conduct their preoperative assessment as well as their constant intraoperative […]

The final objective of endodontic treatment as described by Schilder in 1967 is ‘‘the total obturation of the root canal space’’ and since then many materials and techniques have been developed for obturating the radicular system (1). In the last decade, the development of bioceramic or calcium silicate-based (CSB) sealers has led to the re-introduction […]

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 […]

Modern endodontic treatment is based on optimal cleaning,disinfection and high-quiality obturation of the root canal system.Anatomy is considered as a key factor in the healing process.That is why a clinician have to be aware of all normal,possible and abnormal variations in the teeth anatomy for achieving a maximum clinical success.In the article presents clinical example that demonstrate the complexity of endodontic retreatment of the maxillary left premolar

A 23 years old, female patient, was referred to my practice for an endodontic treatment on tooth 11. Patient complained of pain above the root and was concerned of the discoloration. Patient reported  previous trauma (15 years ago) and an attempted endodontic treatment (5 years ago).

Perforation repair with MTA

Premolars are the most versatile teeth in regards of anatomy. One of the most challenging anatomical variations we have to face is dilaceration. Abrupt curvatures complicate the RCT especially when we have more than one. 

As modern dentistry continually strives for excellence, we frequently face the challenge of dealing with complications from older endodontic treatments, which often present unexpected difficulties. Calcifications, perforations, and stubborn obturation materials that are difficult to remove pose significant challenges in treatment. To effectively manage these cases, careful and thorough planning is essential. This involves a […]

A retreatment can represent an issue for every practitioner. It is always unpredictable due to many unforeseen elements like intracanal obstacles, iatrogenic errors and complicated anatomies. Recently the Retreaty Kit has been launched: it consists in a sequence of files made with the idea of providing the clinician with a predictable sequence to follow since […]

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.