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A Comprehensive Clinical Protocol From Diagnosis of Failure to Aesthetic Composite Rehabilitation.
Endodontic failure in immature permanent teeth presenting with open apices poses a significant clinical challenge, compounded further when gross over-obturation, coronal leakage, and intrinsic discoloration coexist. This article describes the non-surgical retreatment of a maxillary left central incisor in a 14-year-old female patient who presented with a chronically failing, PFM-crowned tooth exhibiting a clinically detectable open margin, a draining sinus tract, a history of recurrent swelling, periapical pathology, an incompletely formed apex (open apex), and gross over-obturation of approximately 5–6 mm beyond the radiographic apex.

Indirect composite restorations require a luting material that combines reliable adhesion, efficient handling and predictable polymerization, even in areas where light transmission may be limited. A dual-cure resin cement offers […]

One of the main problems in the success of endodontics is coronal leakage; the final post-endodontic restoration is a fundamental part of the success of the treatment.

This article revisits the article written by the same author, focusing on endodontic pre-treatment. The aim is to identify the correct sequence of operations to simplify the process, reduce the […]

The patient, 72, had these crowns a few years earlier and had no desire to remove them. Tooth 4.5 had already been treated, but it was the only one that […]

This article discusses the use of internal bleaching as a conservative and effective esthetic solution for discolored, root canal–treated teeth. It highlights the clinical protocol, indications, and advantages of internal bleaching as an alternative to veneers, preserving natural tooth structure while achieving satisfactory esthetic outcomes.

When a tooth has undergone root canal treatment and has lost a large amount of coronal structure, the restorative challenge is not only to replace missing tissue, but to recover […]

Combining precise endodontic treatment with biomimetic restorations preserves tooth structure, restores function, and enhances long-term survival.

A 47-year-old female patient presented with a structurally compromised maxillary left second premolar (tooth 25) following completed endodontic treatment. Due to the significant loss of coronal tooth structure, a post-endodontic […]

Endodontic–restorative management of tooth 25 with periapical lesion: confirmed necrosis and 11 -months radiographic healing.

The success of Endodontic treatment relies not only on the proper cleaning and disinfection of the root canal but also in the adequate restoration of the treated tooth. A well […]

Crown-root fractures extending subgingivally pose significant restorative challenges and often threaten tooth preservation. Surgical extrusion is a conservative technique that repositions the remaining tooth structure coronally, facilitating optimal restorative margins while maintaining periodontal health. This case report presents the management of an upper lateral incisor with an oblique fracture treated successfully by surgical extrusion. The procedure involved atraumatic repositioning of the tooth, careful stabilization, and subsequent restoration. Follow-up demonstrated favorable periodontal healing, functional stability, and satisfactory esthetics. This case underscores the clinical value of surgical extrusion as a predictable, tooth-preserving treatment option in selected cases of complicated crown-root fractures.)