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Endodontics as a Strategy to Postpone Implant Placement: A Seven-Year Follow-Up of Two Maxillary Incisors Affected by Root Resorption

A Longitudinal Clinical Case Report Introduction Pathological root resorption is an odontoclast-mediated process that can progressively compromise radicular integrity and tooth prognosis. Its management requires accurate diagnosis, assessment of remaining dental structure, and individualized treatment planning [1]. The contemporary therapeutic paradigm should not regard endodontics and implantology as competing disciplines. Instead, they represent complementary interventions […]

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Demystifying vertical root fractures

What signs can help us in the vertical root fracture diagnosis?

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Minimally Invasive Management of External Cervical Resorption Avoiding Root Canal Treatment

ECR External Repair should be opted for over default RCT

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Touching the pulp

In the modern conservative dentistry, minimal invasive dental protocols are so important to preserve the pulp tissue vitality as long as we can to keep tooth strength, reduce treatment complexity, and to support long term oral health.
The pulp is a highly vascularized and innervated tissue that plays an essential role in dentin formation, nutrition, immune defense, and sensory function.

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Root - Crown -Tissue: The Tooth Salvage Concept

An interdisciplinary approach to dental treatment enables successful clinical outcomes and allows for the long-term functionality of seemingly hopeless teeth. A crucial stage in tooth preservation is the development of a treatment plan, which must be scientifically and clinically justified.   When formulating the plan, three key elements involved in the preservation process must be […]

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The best implant is your natural tooth

Dental trauma is a significant public health concern, often resulting from accidents, sports injuries, or falls. Among the various types of dental injuries, avulsion and extrusion represent severe forms of trauma that require immediate and precise management to ensure optimal outcomes. Avulsion refers to the complete displacement of a tooth from its alveolar socket, while […]

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Management of separated instrument: retrieve, bypass or leave it 

The management of a broken file refers to handling situations where an instrument, typically a file, breaks or separates during the process of cleaning and shaping the root canal. This can occur due to excessive force, inadequate instrumentation technique, or the presence of challenging anatomical features within the root canal. Broken files can present a […]

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External resorption Part II

Root resorption is the loss of hard dental tissue due to the action of osteoclastic cells. External resorptions present a challenging clinical situation; often, lesions are misdiagnosed and confused. Therefore, we will briefly present the classification of tooth resorption: Thats why we will se briefly the classification of the tooth resorption: A - Internal tooth […]

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Tooth Autoreplantation of 1.6 with stripping

Tooth Replantation to approach the stripped Mb root on tooth 1.6 that was not possible to treat with a conventional conservative approach

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Do lateral canals matter?

The importance of treating lateral canals has been a long lasting debate between endodontists. From Schilder and Wein debates in the 80s to nowadays debates between Castellucci and Ricucci, the same question arises. Do laterals matter for the outcome of endodontic treatment?

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Diagnosis and treatment of External Root Resorption: a case report

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

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 issues combine and complicate the decision making. Central incisors retreatments are particular because of the esthetic aspect of these teeth that will motivate the practitioner […]

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