Upper molar, how to prepare the post space: from A to Z
Post space preparation is a critical step to achieve clean dentinal surfaces for adhesion of the cementing material. Therefore, complete removal of the root filing materials is essential to enhance the adhesive bond to the dentine and increase post retention. Furthermore, the presence of residual gutta-percha and deficient dentine hybridisation may result in poor sealing of […]
Avulsion Trauma Case management with Dentoclic Fiber Post Build Up
Traumatic dental injuries occur most frequently in children and young adults. Proper diagnosis, treatment planning and follow up are very important to assure a favorable outcome. The purpose of this clinical article is to highlight the advantage of core build up and bonding with ITENA Clinical's Corono-Radicular Restoration Kit in reinforcing tooth structure in view […]
Direct class III restoration using Reflectys composite
The reconstruction of an anterior tooth is always a challenge, since the aesthetic requirements of our patients are high and we have to take into account several aspects, such as the shape, the macro and micro anatomy of the tooth, its color, the translucency and we also have to recreate a correct proximal contact. In […]
The Choice of the proper composite and layering technique for the reconstruction of an endodontically treated tooth
Modern dentistry requires to pay great attention to the color analysis of an anterior tooth when a direct composite restoration is planned. Even small details, such as a particular characterization of the incisal margin, can make the difference in the success of our treatment. On the other hand, if want to recreate natural looking posterior reconstructions, there […]
Lower canine with 2 roots and a small Medial canal on the floor chamber
Before starting any Endodontic Root Canal treatment, it is necessary to know the anatomy and morphology of the tooth as best as possible. The anatomy of root canal morphology plays a decisive role in determining the conditions under which Endodontic treatment can be performed effectively.
Endo Resto With Dentoclic Fiber Post Build Up
In the following clinical case, a maxillary first premolar was presented with invading decay reaching the pulp chamber. The tooth was diagnosed with irreversible pulpitis needing root canal treatment. The pre-operative X-ray revealed a 3 rooted premolar, a special configuration that can be found in 5% of the cases as cited by Vertucci. Knowing that […]
Treatment of an extensive radicular fracture: RCT and restoration of a structurally compromised tooth. Part. 2
Trauma related fractures are one of the most common types of dental injury in the permanent dentition. The purpose of this case report is to present a multidisciplinary management of a sub-gingival crown- root fracture in a patient. Management of traumatic dental injuries (TDI) should involve a multidisciplinary approach with the aim of optimizing the […]
Pulpotomy in mature permanent teeth
Irreversible pulpitis is an inflammatory condition of the dental pulp that is characterized by spontaneous, lingering pain that persists for minutes to hours and can lead the pulp tissue to a state where it is incapable of self-healing. In an era of minimally invasive dentistry, where the paradigm of dental care is shifting toward conservative […]
Post endodontic restoration of Class I cavities
The loss of tooth structure caused by the Endodontic access cavity results in a decrease of rigidity by 5%. After root canal treatment the remaining tooth structure could be restored using different restorative options. The simplest cavity is “Class I. A molar with a “Class I” cavity should be restored with conservative approach and the […]
Treatment of an extensive radicular fracture: the pre-endodontic restoration of a structurally compromised tooth. Part 1
Trauma related fractures are one of the most common types of dental injury in the permanent dentition. The purpose of this case report is to present a multidisciplinary management of a sub-gingival crown- root fracture in a patient. Management of traumatic dental injuries (TDI) should involve a multidisciplinary approach to optimize healing while maintaining function […]
Root To Crown With Dentoclic Fiber Post Build Up Chapter 1: Molar Case
Failing primary endodontic treatments are retreated to enhance the cleaning and shaping of the entire root canal space. Reshaping usually tends to eliminate more tooth structure from the canal walls. Furthermore endodontically treated teeth are already susceptible to mechanical failure due to de-roofing of the pulp chamber. For all these reason special care should be […]
Build up and onlay preparation of an endodontically treated tooth with QuickBond adhesive system and Dentocore core build up composite
Rehabilitating endodontically treated teeth that have partially maintained coronal structure with overlay is nowadays the gold standard. Adhesive dentistry has changed the way we approach these cases: the goal is to maintain the coronal structure that has not been removed during caries removal and during root canal therapy. Adhesives and composites have permitted more conservative […]