Management of a Type III Radix Entomolaris in a first lower molar
Understanding the anatomical variations of the root canal system is a must to achieve the main goals of our treatment. The radix entomolaris is the most common variation in mandibular molars. With the help of CBCT we can measure and see the original shape of the additional root, thus creating a predictable strategy for cleaning, […]
How To deal with Splits " Different Scenarios "
Failure to locate and disinfect all the root canals may be a major reason for endodontic failure. The first Step to reach the success of root canal therapy is to have a good knowledge of the root canal morphology in order to get a successful Root Canal Treatment Slowey has suggested that mandibular first premolars , often […]
Denticles/Pulp stones- A hinderance or not?
Pulp stones are defined as foci of calcifications that form within the pulp chamber, more frequently in the coronal pulp cavity and sometimes in radicular pulp space. In the year 1921, Norman and Johnson first mentioned about dental pulp calcifications and called them dental pulp nodules. These were later termed as denticles. Kronfeld and Boyle […]
Management of molarized premolar with severly calcified and curved canals
This article clarifies how to deal with extra root canal system anatomy of premolars clinically and how you can manage and shape the buccal tinny and curved canals of molarized premolar with simple technique by using an handpiece with manual files in reciprocation motion. Endodontic treatment success is dependent on thorough debridement and full obturation […]
Danger zone in C-shaped root canals
The danger zone is an area of the root canal where the primary thickness of dentin before preparation is under 1 mm. In general, the danger zone is located 4 to 6 mm below the canal chamber orifice. A danger zone can appear in the buccal root of maxillary premolars and molars and in the […]
Management of a mandibular first premolar with four canals
Understanding of the root canal anatomy is crucial prerequisite for predictable successful long-term results. (1-5) Although basic applications of root canal therapy through biomechanical preparation of the entire root canal system to obturation and final restoration, it has been reported in the Literature that 42% of retreatment cases are due to missing canals. (2) Therefore, […]
Dealing with lower premolars
The first step to reach the success of root canal therapy is o have a good knowledge of the root and root canal morphology. This helps us to locate all the canals and properly clean, shape, and obturate the canal spaces in all dimensions. Slowey has suggested that mandibular first premolars, often called as “Endodontist's […]
Endo-resto management of a poorly treated premolar
The successful outcome of root canal treatment in teeth with non-infected vital pulps depends on preventing root canal infection, while in teeth with infected necrotic pulps it relies on eradication or at least reduction of bacterial counts to levels compatible with peri-radicular tissue healing. To do so, the first thing to do is to carefully […]
Identifying & managing varied anatomy of palatal canal in a maxillary molar- a case report with two year follow up of retreatment of tooth number 16 with trifurcation in palatal canal.
Being aware of variations in the anatomy and configurations of root canal system is important in order to treat a tooth effectively endodontically. In 1967, the notion of a hermetic seal was introduced by Grossman. (1) When a canal or a split is missed, it may lead to unsuccessful treatment. The palatal root canal system […]
Fully Calcified Canals : Is it a Challenge ??
A 30 years old female patient been referred to retreat her lower first molar patient was suffering from food packing in the area between Molar and second premolar Clinical examination showed that there was very bad amlgam Restoration with missing walls Radiography examination show that the tooth was fully calcified . So we start to treat this tooth Since people are living longer and […]
The importance of the tube shift technique of radiography, during root canal treatment of mandibular anterior teeth.
One of the leading reasons for an unsuccessful root canal treatment of mandibular anterior, is missing out the presence of a second canal, thus leaving it untreated. (4). In endodontics, parallax technique is preferable for mandibular anterior teeth, to avoid superimposition of canals over each other (1). This article explores the importance of a tube […]
MOLARIZED PREMOLAR Management of three rooted premolar
Maxillary first premolars are commonly known by having two canals in one or two separate roots (60-65%), meanwhile Maxillary second premolars are known by having one canal in one root (38-48%). Three separate roots in Maxillary first premolar has shown very rare incidence (2.5-5%), even rarer are reported to Maxillary second premolars This article describes […]