Correcting own errors: missed canal on lower left second molar
The purpose of this clinical article is to highlight possible root canal treatment error due to a misinterpretation of root canal morphology using 2 dimensional digital X-rays (Peri Apical Xray) Patient presented to the clinic with shooting pain on his lower left side. Tooth 37 was diagnosed with a pulpits and root canal treatment was […]
Single, rare and fabulous
A thorough and detailed knowledge of root canal anatomy is a crucial requirement for a successful endodontic treatment outcome. Due to each tooth singularity a vast number of morphological variations is possible. Such variations increase the difficulty in shaping, cleaning and filling the three dimensional root canal system.( Vertucci et al 2009).The anatomical characteristics of permanent […]
Non surgical endodontic management of periapical lesion with open apex
MTA is a bioactive cement that has gained immense popularity in endodontic treatments. It is composed of tricalcium silicate, dicalcium silicate, and bismuth oxide. MTA possesses unique characteristics that make it an ideal material for various dental procedures. These properties include exceptional sealing ability, biocompatibility, good marginal adaptation, as well as its ability to promote […]
Simplified MTA apical plug
Root resorption is a pathological process that may occur after surgical mechanical, chemical or thermal insult. Generally, it can be classified as internal and external root resorption. Depending on the diagnosis, biocompatible material like MTA can be used in management of these cases. General dental practitioners can face difficulties in diagnosis and treatment planning for […]
3 rooted Lower Second Molar
Most mandibular second molars are usually found to have two roots (76%) or one root (22%). The incidence of 3 roots anatomy in such teeth is considered a rare finding (less than 2% in some researches). The incidence of 3 rooted lower second molar with 4 separate canals is considered very rare. This is a […]
Retreatment of teeth with a complex root system anatomy #1
The second maxillary premolar may have 1 to 3 roots: with one root canal in 75-96% of cases, with two root canals in 4-24% and three root canals in 0-1%. Careful interpretation of preoperative radiographs is essential for providing insight into the number of existing root canals. In maxillary premolars with multiple roots and canals, […]
Middle mesial canal – a case series
Middle mesial canal (MMC) is an additional canal found in mandibular first molars. The knowledge of its presence and its detection, negotiation, disinfection and sealing plays paramount importance in the overall endodontic success.
The endodontic ledge: causes and management
As endodontists we often encounter retreatment cases with procedural errors such as canal blockages, ledges, instrument fractures and perforations. The ledge is defined as an iatrogenic deviation from the original canal path that does not communicate with the periodontal ligament. The presence of a ledge prohibits the files from reaching the canal terminus, resulting in […]
Four-Rooted Maxillary Molars
The maxillary first molar typically exhibits complex root canal anatomy, commonly presenting with three roots—two buccal and one palatal. However, anatomical variations, such as the presence of a fourth root, can occur and significantly impact endodontic treatment. Recognizing these variations is crucial for successful root canal therapy. This article discusses the endodontic management of four-rooted […]
Selective Root Canal Re-Treatement of Lower Left Pre-Molar
In retreatment cases , the clinician has to deal with many mishaps such as underfilled, missed and obstructed canals as also with iatrogenic damages as separated instruments and perforations. Underfilled and missed canals are the main reasons for endodontic failures (>30%).Especially underfilling can be a real challenge since it can strongly reduces the success rate […]
Management of anatomy in a first tricky premolar (Deep Split)
The clinician must be aware of the possible anatomical variations of these teeth and their relationship to adjacent anatomical structures when planning and performing endodontic procedures.
Retreatment case with two types of perforations
Root perforations were the second greatest cause of failure accounting for 9.62% of all unsuccessful cases. Seltzer et al. also attributed 3.52% of all endodontic failures to perforation. This perforation if left untreated leads to act as a pathway for microorganisms either from periodontal tissues or perforation site, results in secondary periodontal infection, suppuration, fistula […]