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Pulp calcifications, a nightmare for the endodontist
Access Cavity Anatomy Diagnosis

Pulp calcifications are one of the main challenges faced by endodontic professionals. Pulp stones are defined as calcified foci that are observed in the coronal or, less frequently, radicular pulp […]

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Diagnosis and treatment of External Root Resorption: a case report
Decision making Diagnosis Root resorption

ECR is a pathologic root resorptive process with an unclear aetiology. Beginning in a point of entry in the cervical area of the root, in later stages, the resorptive process can reach the pulpal space.

The purpose of this article is to report this clinical condition, through the description of one clinical case, highlighting everything from the diagnosis to the treatment performed.

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Treat the invisible canal: a clinical challenge
Access Cavity Anatomy CBCT Decision making

During primary treatment, even in simple cases, many root canal anatomy alterations and errors can occur such as access cavity over enlargement, perforations, blocage or file breakage. Sometimes, many iatrogenic […]

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Complexity of the root canal system anatomy
Anatomy Disinfection Irrigation Retreatments

The main goal of root canal treatment is to eliminate the infection in the complex root canal system for the long-term preservation of a functional tooth. Proper debridement of the […]

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Radix Entomolaris: Case Report with Clinical Implication
Anatomy EndoResto

Usually, first mandibular molars have one mesial and distal root but in some cases there are anatomical variations. Presence of an additional lingual root distally in mandibular molars is called radix entomolaris (RE). If present, an awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of root canal treatment. The article describes the endodontic management of mandibular molar with RE.

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Treating narrow canals with Harmony files
Uncategorized

We often need to retreat teeth where the initial treatment was short from the radiographic terminus of the root. Many times, when we remove the existing filling our files cannot […]

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Retrieval and retreatment of mandibular molar
Anatomy Separated instruments

Retrieval along with Retreatment is one of the most challenging procedures in the endodontic therapy,  This article showcases the management of a lower first molar with swparatedinstrumemnt and a periapical lesion.  In […]

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Deep Margin Elevation and Clinical Crown Lengthening: Biological considerations and clinical procedures
EndoPerio EndoResto

The restoration of a severely compromised tooth represents a challenge for the clinician, not only due to a significant loss of structure of the element but also due to the invasion of the supracrestal tissue attachment, with consequent compromization of periodontal health.
The technique of deep margin elevation can be applied when the healthy margin of the tooth needing restoration is localized within the sulcular epithelium or at the level of the junctional epithelium.
On the other side, the presence of lesions of the dental element involving the space for the supracrestal connective attachment and/or the bone crest makes the surgical intervention necessary. The following article aims to describe the indications and surgical procedures for clinical crown lengthening from a biological, periodontal and biomechanical point of view. 
Therefore, the operational steps of the clinical crown lengthening surgical procedure (bone-resective surgery) and the sub- sequent endodontic/restorative clinical phases will be illustrated.

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Management of complex anatomy in the first mandibular premolar, 2 cases in 1
Anatomy

We know that treating a tooth involves different phases or stages, but it is important to know the internal anatomy, in order to approach the case in the best possible […]

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Shaping calcified canals with Harmony files
Shaping Tools

Calcified canals are always a challenge for the clinician because they can be difficult to find and even more difficult to negotiate and shape. A new sequence of files has […]

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The Internal Isolation Technique: simplifying coronal perforation repair
Perforation Tips and tricks

The new calcium silicate based cements have many positive features compared to classic MTA, including a fast setting that could be used to speed up the process of perforation repair

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Endo resto treatment of a lower left molar with Harmony files
Shaping Tools

Curved canals can be difficult to manage because of the risk of creating ledges, wrong paths or to block the file inside of the curvature, with subsequent file separation. A […]

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