With introduction of mineral trioxide aggregate and other bioactive materials in endodontics possibilities of saving compromised teeth have improved significantly.
Saving hopeless tooth: case report
With introduction of mineral trioxide aggregate and other bioactive materials in endodontics possibilities of saving compromised teeth have improved significantly.
Perforation repair: step by step
A tooth perforation is a pathologic or iatrogenic communication between the root canal space and the periodontal apparatus. To clinically determine if an endodontically perforated tooth should be extracted or saved, the clinician must first understand the prognosis and treatment. The biologic response of a perforated tooth is inflammatory and can cause a breakdown of […]
Triple MTA apical plug in second lower molar with overextended guttapercha
Mineral trioxide aggregate (MTA) was developed in the 1990s as a root-end filling material and has also been recognized as promising when used to form an apical barrier because of its superior biocompatibility and ability to seal and set in the presence of blood . The use of MTA as an obturation material might ultimately […]
A goal in the hole
The main goal of endodontic treatment is the treatment and/or prevention of peri-radicular periodontitis aiming for a long term disease-free survival. The presence of any form of communication between the pulp space and the periodontist and/or the oral cavity will lead eventually to development or recurrence of peri-radicular disease which will prevent the clinician from […]
Necrodontics - saving hopeless teeth
Both non-surgical and surgical retreatment procedures are performed when the primary treatment fails and we are trying to preserve the tooth. Usually the next attempt after the primary treatment is non-surgical retreatment and follow up. In some cases when we estimate that non-surgical procedures will not be helpful we can perform surgical retreatment with apicectomy. […]
Three Years Follow-up of Large Lesion Treated With MTA Apical Plug
The goal of Endodontic treatment is to cure or prevent apical periodontitis (Ørstavik & Pitt Ford 2008). Endodontic treatment does not end when the root canal being filled, but when having favourable outcomes of the treatment upon reviewing (Reit 1986), which can be achieved by the infection control management through the root canal procedure (Basrani […]
Management of Iatrogenic Furcal Perforation in tooth with obliterated root canal
Perforation is a pathologic or iatrogenic communication between root canal system and the supporting tissues of teeth or the oral cavity. Root perforations are common complications of endodontic treatment or post preparation and often lead to tooth extraction. Iatrogenic root perforations occur in approximately 2‑12% of endodontically treated teeth. Successful treatment depends mainly on immediate […]
Root perforation management
This article is a short summary and a guideline for all dentists who want to manage different types of root perforation in an easy and predictable way. This article will emphasize the importance of the diagnosis and accessories that will be helpful during the treatment. Root perforations are one of the common complications that […]
Non surgical retreatment after surgical treatment of a maxillary central incisor
Nowadays in our practices we can witness a lot of unsuccessful RCT. Sometimes we also can see surgical treatments which are failing . When planning the treatment we should keep in mind that not always surgical treatment means more aggressive treatment and that also surgical treatment can fail. Very often in our practices we have […]
An external cervical resorption managed with MTA: 5 years follow up
In this article it will be explained how to manage an external cervical resorption with MTA. A five years follow up will demonstrate that MTA was the right choice in terms of biocompatibility and sealing performance. External resorption originates in the PDL and is identified thanks to an irregular radiolucent area overlying the root canal. External […]
Step by step management of necrotic immature tooth
Obturation and filling to the root canal system is considered the last step of pulp space treatment. Providing a 3D filling to root canal space and adapting intracanal filling material to cleaned surfaces is required for long term success of the treatment to prevent reinfection. Using MTA as an artificial barrier and apical filling material […]
Management of iatrogenic root perforations: a case report
Iatrogenic perforation can occur during different steps of the endodontic treatment which can be challenging or compromised with this procedural mishap. The purpose of this article is to report and present the nonsurgical approach to manage root perforations, located in the pulp chamber. Root perforation is a mechanical, iatrogenic, or pathologic communication between the […]