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Endodontic management of immature central incisor by apexification

Trauma or caries in young children or adolescents can cause pulp necrosis, which may arrest root development in permanent teeth. This in turn results in thin dentinal walls, wide-open apices or sometimes divergent configuration or reverse anatomy, and inadequate crown-root ratio. Treatment of necrosed permanent teeth with immature apices mainly revolves around Apexification and Regenerative […]

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Management of double iatrogenic perforation step by step

The American Association of Endodontists (AAE) Glossary of Endodontic Terms defines perforations as mechanical or pathological communications between the root canal system and the external tooth surface (2003). Root perforations are severe complications and are associated with compromised endodontic treatment outcomes, especially when bacterial infection is allowed to establish. Perforations may occur due to pathological […]

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MTA apical plug

MTA has several desirable properties that makes it an excellent choice for apical plug formation .  Firstly , biocompatibility to the surrounding tissues . This is crucial for achieving successful healing .  Secondly , MTA has sealing capability when properly placed and condensed , it creates a tight seal , prevent the ingress of bacteria […]

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Dealing with root filling residuals in root canal re-treatment

Non-surgical root canal re-treatment is one of the most dental procedures that practitioners face in routine daily work. Though, it remains one of the most challenging procedures, as we are dealing with root canal complexities, different root filling materials, and most importantly, infection.

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Root canal treatment of an immature permanent mandibular first molar

The root canal treatment of immature permanent teeth poses many challenges, one of which is the obturation technique. These teeth come with wide apices and sometimes even a divergent configuration (or reverse anatomy) in the apical third.  The difficulty in such cases is to avoid overextending the filling material into the periapical tissues. (1,2)  In […]

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Bioceramics & Heat: The Possible Couple

One of the main goals of Endodontic treatment is to prevent reinfection hence come the role of obturation and 3D sealing to root canal system to provide sufficient apical and coronal seal against bacterial re invasion. Root canal system is so complex, presence of anastomosis, isthmuses and lateral canals exhibit a challenge for the clinician […]

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Two Ways of Warm Vertical Compaction

Cleaning and shaping root canals without sealing is not enough so Warm Vertical Compaction technique is the most useful technique to seal the root canal system  

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MTA apexification procedure of an immature mandibular premolar with a necrotic pulp using Deppeler’s Smart Endo Kit

Dens evaginatus (DE) is an unfrequent anomaly of the occlusal central groove or lingual ridge of the buccal cusp of posterior teeth described as an abnormal tubercle. Although its occurrence is rare, this entity is more prevalent in asian patients. Due to the anatomy of the tubercle (which contains pulp tissue), occlusal interferences can cause […]

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PREXO: The perfect plugger for apical third compaction.

During apical third compaction while using warm vertical obturation techniques , we need a smart plugger with perfect size to fit the small area apically without touching the root walls and perform efficient vertical compaction for the apical gutta-percha plug ,Thanks to the round and smooth edges of PREXO plugger that allow us to do […]

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Bioceramic sealers application: the ultimate guide

Warm and cold Gutta percha in combination with various types of root canal sealers have been considered the dominant techniques since the mid nineteenth century. With the advent of Bioceramic premixed sealers, maybe a new era started, but first of all a new trend has been established. All these kind of sealers should be extruded […]

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Smart Endo Kit and Sandwich Technique

It was lovely to use my Smart Endo kit on a difficult Endo case. An External/Internal resorption on upper central incisor was treated using the MTA Sandwich Technique.

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Endodontic treatment of an immature necrotic tooth

A 19 years old patient with a traumatized upper central incisor and a non esthetic diastema came to my office. Considering the age of the patient it has been decided to proceed with a conventional apical plug made in MTA and a direct composite restoration. The major problem in performing a RCT in an inimmaure […]

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