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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 […]

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 […]

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  

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 […]

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 […]

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 […]

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.

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 […]

Extendo is a really versatile instrument, especially when anatomy is complicated! This video shows a three rooted upper premolar and its 3d obturation using a bc sealer and just tips of GP points.

Perforations are defined as artificial communications between the root canal space and the surrounding tissues. Endodontic perforations represent an interruption of the continuum between the endodontic space and the periradicular tissues, periodontal tissues or oral cavity.  In the presence of perforation, studies report a 10 to 12% increase in the failure rate of endodontic procedures.  […]

Mandibular second molars are known to have a complex root canal anatomy with anastomosis, resulting in some difficulties during root canal treatment, especially for the complete debridement of organic tissues and bacteria during the shaping and cleaning process and the possibility of insuring a good 3-dimensional seal during obturation. The prevalence of such anatomy is […]

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 […]