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A smooth workflow in endodontics and restorative starts from the application of a strict protocol

The recovery of severely compromised teeth is a challenge for clinicians. Every day, we face this issue, and it is crucial to choose the correct technique and, above all, the proper sequence of operations to simplify the process, reduce the number of appointments, and meet the patient’s needs as quickly as possible.

For me, there is nothing better than being able to manage endo and resto of a tooth in a single visit

Periodontium and pulpal spaces represent the two primary modes of dental infection from oral bacteria.
At the clinical level, compound dentoalveolar infections involving both tissues are common and present challenges for diagnosis and treatment. The complex lesions presenting the characteristics of both endodontic and periodontic infections are referred to as endo-periodontal lesions (EPLs).

The restoration of endodontically treated teeth must be planned before initiating root canal treatment. Because  Microbial contamination of the root canal system and peri-apical tissues is the most common reason of endodontics failure (Saunders and Saunders, 1994; Torabinejad et al., 1990). Therefore, the root canal system should be sealed both apically and laterally with appropriate […]

The primary goal of successful endodontic therapy is to perform a proper cleaning and shaping of the root canal system. In clinical practice, this cleaning and shaping, performed with the aid of endodontic files manufactured from stainless steel or nickel titanium (NiTi) alloy, is not always easy due the complex anatomy of the root canal […]

One of the most common complications after dental trauma is pulp necrosis, which is often associated with apical periodontitis. The management of these teeth is challenging due to large root canals, open apices, and thin dentinal walls. 1
Long-term irritation leads to periapical lesions and cysts in the apical region. If left untreated, necrotic and infected pulp causes inflammatory lesions in the periapical tissues to grow over time, leading to structural changes in the bone. In some cases, root canal treatment may be required later during follow-up of injuries, due to subsequent pulp necrosis and infection of the root canal system. 2-3

The aim of the article is not to introduce a new technique, but to combine existing and consolidated ones in order to maximize the ergonomics, quality and predictability of our treatments; the proposed protocol was designed to satisfy the work mantra "the best work, in the shortest time, in the greatest comfort" and therefore entirely focused on reducing chair time and maximum operational facilitation.

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available is the reattachment of the dental fragment.

This article reports on coronal tooth fracture case that was successfully treated using tooth fragment reattachment.

One of the main objectives of dentistry is the preservation of the natural dentition.1 Carious lesions, dental trauma, root resorptions or iatrogenic procedures such as root perforations can cause the loss of healthy dental tissue. When the loss of dental tissue occurs at the subgingival level; the restorability of these teeth is seriously compromised.2 In […]

A pre-eruptive intra-coronal resorption (PIER) is a defect located in the dentin of an unerupted tooth, just beneath the dentin-enamel junction.  The depth of the lesion is variable and may also reach the pulp, like in this 13 years old patient.  In the past, these lesions were confused with caries, and were therefore called “hidden” […]

Every patient wants a functional, healthy, and esthetically appealing smile.

This article describes a patient with discolored and fractured composite resin restorations with improper endodontic treatment on the anterior teeth in whom substitution was indicated.

This treatment improves the endodontic and restorative aspects.