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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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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 […]

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Treatment of obliterated root canals using Guided Endodontic technique. A case report

This article reports on an Endodontic treatment of obliterated teeth using a static guided endodontic (GE) technique. The aim is to demonstrate the benefits and limits of static guided endodontics. The process of canal obliteration (CO) is characterized by the apposition of secondary or tertiary dentin, resulting in loss of volume in the pulpal space.  […]

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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 […]

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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 […]

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