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Pulp calcifications, a nightmare for the endodontist

Pulp calcifications are one of the main challenges faced by endodontic professionals. Pulp stones are defined as calcified foci that are observed in the coronal or, less frequently, radicular pulp cavity. They are found in the dental pulp of the teeth in primary and permanent dentition. These calcified struc­tures can be detected in the pulp […]

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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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Root fractures: clinical scenarios

Root fracture is a situation that may happen and is generally associated to these symptoms: Depending on the conditions, the symptoms referred by the patient may vary and, in some cases, painkillers are not able to help managing the pain.

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Dental Diagnosis Dilemma

Dentistry is all about combining clinical art & science of diagnosis to improve the quality of patient’s life.

Here we will talk about a patient with a molar needed to be retreated and instead she was misdiagnosed with trigeminal neuralgia.

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Trace every tract!

Sinus tract tracing, proper diagnosis, and patient education are all the big players involved in this tooth story!

It is no surprise that I find all of advanced diagnostic techniques, i.e.; cone beam scans for example, extremely useful to figure out the source of pain plaguing my patients, it’s worth investing my time and energy into the latest technology.
But keeping things old-school has its value too. Therefore, I would like to show you a case where a classic diagnostic method—sinus tract tracing—proved invaluable in my endodontic diagnosis.

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Cracked tooth syndrome

Within the intricate landscape of dental health, the phenomenon of cracked teeth poses a challenging conundrum for both patients and dental professionals. Cracked teeth, an umbrella term encompassing various fissures and fractures within tooth structures, present a complex array of symptoms and diagnostic intricacies, often defying conventional diagnostic methodologies. This exclusive article aims to delve into the multifaceted nature of cracked teeth, exploring their diverse manifestations, diagnostic challenges, and tailored approaches to comprehensive management.

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Radix entomolaris and paramolaris

Supernumerary root in mandibular molars; prevalence, classification, diagnosis and management.

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A diagnostic conundrum

Multi-rooted teeth in the upper arch can present diagnostic difficulties. Vitality testing can result in erratic response due to necrobiosis status of the pulp. The aid of CBCT scan to rule out the presence of vertical root fractures is highly recommended. In general cracks are not visible on CBCT scans (Brady et al, 2014), however […]

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We all make mistakes - correct protocols help us detect them early

The in-depth knowledge of root anatomy and its possible variations is absolutely fundamental for the long-term success of our therapies. Sometimes, despite the aid of strong surgical magnification and despite good anatomical knowledge, one may come across particular anatomies in an unpredictable way. A correct operating protocol can protect us from errors, giving us the way to correct them without consequences.

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Different treatment modalities in a molar

Before performing any root canal treatments you should have knowledge on how to face any problems you face during treatment. In this case we switched treatment plan in the middle of the case due to uncontrolled inflammation in this tooth. Diagnosis is the very first step of any endodontic treatment. To diagnose the degree of […]

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Management of C-shaped canal system

A thorough knowledge of the root canal anatomy and its variations is required for achieving success in root canal therapy, along with diagnosis, treatment planning and clinical expertise,  One such variation of the root canal system is the C-shaped canal configuration.  It is termed so because of the C-shaped cross-sectional anatomical configuration of the root […]

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Poor prognosis?...

A case presentation of hemisectioning of the distal root of a LR6 due to fracture, and 6-year review.  The clinical aspects and considerations are discussed. Occasionally, during our practice, we are required to offer patients a less common treatment modality. Knowing all the possible treatment options available to us, we can provide our patients with […]

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