The management of a buccal perforation in a lower incisor
Root perforations are characterized by a communication between the root canal system and the external tooth surface. They are caused by a pathological process or an operative procedural accident. When iatrogenic, they can occur during access cavity opening, root canal preparation or during post preparation. Root perforation needs to be diagnosed early and treated appropriately as soon as possible, since they may cause an inflammatory […]
Squirting Technique Lessons
In the last years I found support on the web for my clinical practice and Style Italiano Endodontics was a source of interesting tips and tricks. When some colleagues posted about squirting technique, I started wandering what it was. I tried to Google this technique, but the results regarding endodontics were few and below my […]
System-Based Endodontics: does your gutta percha master cone fit?
Allow me to describe a clinical dilemma that frequently happens when performing endodontic treatment. Let’s say you have experience, are well trained, and have just finished cutting a fabulous endodontic access cavity preparation in accordance with your philosophy of treatment. You identify all of the orifices on the pulpal floor of this multi-rooted tooth. You […]
THERMAFIL: The technique step by step
Thermafil obturation technique was designed and presented by Dr. Ben Johnson ("A new gutta-percha technique. J Endod 1978), as a simple method for the delivery of thermoplasticized gutta-percha to the prepared root canal. Initially, this system relied on metallic carriers covered by a uniform layer of α phase gutta-percha, intended to be heated over an […]
Continuous Wave of Condensation
Developed in 1987, the Continuous Wave of Condensation Obturation Technique was born out of Stephen Buchanan desire to simplify warm gutta-percha downpacking of Schilder's Warm Vertical Condensation.
Root Canal Filling Systems: Warm Vertical Condensation
Root canal filling systems represents the culmination and of a series of procedural steps. All dentists show a lot of interest when endodontic post-treatment radiographs exhibit puffs, filled accessory canals or shown a particular anatomy, like a isthmus or an accessory canal; cleaned but not shaped. The vertical compaction technique of warm gutta-percha, conceived and described by Schilder […]
Obturation, Step No. 1: Cone Fit
Cone fit is the first step and a good starting point for a perfect 3D obturation of the root canal system. During this phase, we need: gutta-percha cones, a dedicated caliper and a blade or micro-scissors. Guttapercha cones are available in three different categories: 1) Non Standardized, with 0.20 tip and available in 9 size: […]