Itena Glass Fiber Post Restoration Step by Step
Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such as residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration […]
Cervical margin relocation of endodontically treated teeth
Adhesive dentistry changed the way we approach the rehabilitation of endodontically treated teeth. Adhesives and composites have permitted more conservative protocols for repairing severely damaged teeth by reducing the invasiveness that was historically involved with the ‘’classic’’ prosthetic approach. The limit of the adhesive approach lies in our ability to be able to isolate the […]
Use of Itena Dentoclic Glass Fiber Post in the Restoration of endodontically treated tooth
Endodontically treated teeth (ETT) are more susceptible to biomechanics failures compared to vital teeth, mostly due to the amount of internal tooth structure that is removed during endodontic treatment and the loss of coronal hard tissue. The prognosis of ETT is based not only on the quality of the endodontic treatment, but also on the […]
Management of Middle Mesial Canal in a lower Molar
Knowledge of both normal and abnormal anatomy of the root canal system dictates the parameters for execution of root canal therapy and can directly affect the outcome of the endodontic therapy. Missed extra roots and root canals are a major reason for failure of root canal treatment. The lower mandibular first molar normally has two […]
Treatment of a very important tooth. Multidisciplinary approach
During our daily treatments we often face different situations where many disciplines of dentistry intertwine with each other, in some treatments we have the need for secondary treatments. The patient comes to our clinic with complaints in the lower right jaw, and to resolve this situation we performed a multidisciplinary approach to resolve the problem. […]
Management of a C-Shaped Canal in wisdom tooth
The C-shaped root canal is considered an anatomical variation and was firstly documented in endodontic literature by Cooke and Cox in 1979. The main cause of a C-shaped root is due to the failure of the Hertwig’s epithelial root sheath to fuse on the lingual or buccal root surface . The roots of molars with […]
External resorption
Tooth resorptions can be classified as: (1) trauma induced; (2) infection induced; or (3) hyperplastic invasive. Some transient trauma induced resorptions require no treatment but must be carefully monitored to check that there are no complicating issues such as infection. In cases of trauma induced replacement resorption, a multidisciplinary approach is usually necessary to ensure […]
Root canal treatment and direct restoration
Tooth restoration after an endodontic treatment is a very important part of the endodontic treatment because the prognosis of treatment as a whole depends on it. Many endodontic failures come exactly from an inadequate restoration after the endodontic treatment. The vital teeth are different from non-vital teeth in terms of physico-chemical, structural, and biological aspect. […]
Treatment of a cracked tooth
One of the most undesirable situations for us dentists is the diagnosis of cracked teeth, as well as their treatment. This happens because diagnosing tooth micro-fractures, which are usually invisible (not even seen on the Xray), when they are below the level of the gums complicates our situation. If the crack reaches the pulp chamber […]
Endo-resto treatment. Management of confluent canals - Part II
Case evaluation before treatment In endodontic treatments of teeth with more than one canal, we must allways think about the presence of possible confluences between the canals, there are several methods for their determination. In this clinical case I will present only one among others, which is performed by inserting a gutta percha and a […]
Daily Endo-Restorative
As dentists 70% of the cases that come to us daily in our clinics are routine cases., cases too often underestimated where avoidable mistakes are made, making them complex In my work I share and apply a multidisciplinary approach, dealing not only with the endodontic part but also with the restorative and in some cases […]
Challenging Endo-resto of a central incisor
A 10 yrs old female came to our office due to a trauma he had some months before. The involved tooth was a non vital immature permanent upper incisor: the intra-oral examination showed swelling and an unaesthetic restoration, while radiographic examination showed open apex with incomplete root formation. One of the main objective in case […]