Search results

This clinical case demonstrates how a strategy is important to approach in a proper way a difficult clinical case. MB1 scouting usually it’s easier and more predictable and only in a second time we dedicate our attention to MB2. Here instead, considering the difficulty of scouting MB1, it was decided to manage the situation  in […]

A 27 years old patient came to our clinic with pain on the right upper side. After examination a root canal treatment was needed. On the pre-operative X-ray we understood that we had to deal with a non routine, very interesting and challenging case. But just a simple root canal treatment would not solve the […]

When I started treating the tooth number 3.7, I understood from the beginning that the case was peculiar. During the emergency session a radix paramolaris was not detected and a SX rotary file created immediately an accidental stripping during orifice opening. The management of an unconventional anatomy and the repair of a iatrogenic error will […]

With increasing reports of aberrant canal morphology, the clinician needs to be aware of the possibility of having a middle mesial canal in mandibular first molars. The purpose of this article is to report the successful treatment of a clinical case of a mandibular molar with three mesial and two distal canals. 

The goal of endodontics is to clean, shape and filling 3D the endodontic space, eliminating most of the bacterias presents in the canals. Many of the difficulties found in root canal treatment are due to variations in root canal morphology(1). Endodontic failure may be associated with the persistence of infection because of a missed canal […]

How much technology can support us?  Print&Try technique represents a really useful method in order to simulate the root canal treatment. Using CBCT Scan images, it is possible to extrapolate file that can be transformed into an STL model and then printed with a high definition 3d printer.  Clinicians can train on a 3D printed […]

The C-shaped canal is an anatomical variation that was first reported by Cooke & Cox (1979) and mostly seen in mandibular second molars, although it can also occur in maxillary and other mandibular molars. The main anatomical feature of C-shaped canals is the presence of a fin or web connecting the individual root canals with […]

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 […]

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 […]

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 […]

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 […]