Treatment of a cracked tooth
One of the most undesirable situations for us dentists is the diagnosis of cracked teeth, as well as their treatment. This happens because diagnosing tooth micro-fractures, which are usually invisible (not even seen on the Xray), when they are below the level of the gums complicates our situation. If the crack reaches the pulp chamber […]
Interactions Between Endodontics and Periodontics: Part I
Understanding the interaction between endodontics and periodontics is of crucial importance to the clinician because of the challenges frequently encountered in the assessment, diagnosis, treatment and prognosis of combined endodontic–periodontal diseases. Treatment and prognosis of endodontic–periodontal diseases vary, depending on the etiology, pathogenesis and correct recognition of each specific condition. Therefore, understanding the interrelationship between […]
Micro apical surgery by SIE kit
Apical surgery is an option for the management of endodontically-treated tooth with persistent periapical lesions or symptom/sign. Several epidemiological studies have suggested that 33–60% of endodontically-treated teeth still presented the pictures of apical periodontitis. The possible causes may be persistent primary infection, secondary infection after endodontic therapy, vertical root fracture or cemental tears. The success […]
Management of Missed Canal Part 1: Lower First Molar
It is reported that almost 40% of retreatment with chronic apical periodontitis or symptomatic apical periodontitis are due to missed canals. Karabucak & all reported in 2016 an overall incidence of missed canals in treated teeth to be 23.04% and 41 to 46% in maxillary first molars. Teeth with a missed canal were 4.38 times […]
The Multidisciplinary approach
During our daily treatments we often face different situations where many disciplines of dentistry intertwine with each other, in some treatments we have the need for secondary treatments. In this case what I am presenting to you as primary treatment is the endodontic treatment, while surgical and restorative treatments as secondary treatments. The patient comes […]
Invasive Cervical Resorption Part 2: Combined Non-surgical and surgical management
For invasive cervical resorption to occur and propagate, there must be a damage in the periodontal ligament and cementum in addition to a contributing factor(s) which is assumed to sustain the osteoclastic activity. Although the etiology of ICR is poorly understood in literature and there might be some etiological factors which have not yet been […]
Removal of an Anatomic Post and Core A Case Report
Different types pf posts can be placed during restorative procedures; prefabricated ones such as the screw posts, the paraposts or more recently the ceramic post and fiber posts, or the anatomical post commonly called cast post and core. In cases of non surgical retreatment The removal of a post can be challenging depending on the […]
Practical Minimal Invasive Endodontics
"Minimally Invasive Endodontics" concept should be case dependent to achieve better outcome. We aim to preserve tooth structure but at the same time we should be able to do that in a repeatable and teachable manner. Minimally Invasive Endodontics (MIE) concept is becoming popular in the last years, where all of the dentists’ concern is […]
Invasive Cervical Resorption Part1: Conservative Non-surgical management
Invasive cervical resorption is characterized circumferential spread with/without coronal-apical spread in dentin where the involvement of the pulp may be delayed being present in advanced cases due to the presence of peri-canal resorption resistant sheet (PRRS) composed primarily of pre-dentin and odontoblasts Invasive Cervical Resorptive lesions have different radiographic presentations, ranging from a small radiolucency […]
Revascularization of Immature Permanent Teeth With Apical Periodontitis
As the Tissue engineering is a growing field ,it will probably be possible to generate a complete vital tooth from a single stem cell . Stem cells are in fact to totipotent cells , which have the capacity to proliferate and to produce cells, which are capable of differentiating into specialized cells. There are two […]
Vertical Apical Root Fracture
Vertical fractures can occur and their diagnosis is not always predictable. Will be presented here the treatment of a 2.6 with a vertical apical fracture in the mesial root. Vertical root fractures have been described as longitudinally oriented fractures of the root, extending from the canal to the periodontium. It usually happens in endodontically […]
Endo-resto treatment Management of confluent canals
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 […]