When a tooth has undergone root canal treatment and has lost a large amount of coronal structure, the restorative challenge is not only to replace missing tissue, but to recover […]
Retreatment and post-retained restoration in a central incisor
When a tooth has undergone root canal treatment and has lost a large amount of coronal structure, the restorative challenge is not only to replace missing tissue, but to recover […]
Complication of bad endodontic treatment
Endodontic treatment aims to eliminate infection from the root canal system and prevent reinfection of periapical tissues. Inadequate endodontic procedures, such as insufficient canal debridement, improper working length determination, or poor obturation, may result in persistent intracanal infection. This can lead to periapical inflammation and the development of swelling, commonly presenting as a dentoalveolar abscess. Such complications not only cause patient discomfort but may also compromise the prognosis of the affected tooth. This case report highlights a clinical presentation of facial swelling resulting from failed endodontic treatment and discusses its management
Retreatment and post endo restoration with Overfibers post
A patient came to my attention complaining about impossibility to chew on the right side of the mouth. A defective restoration was found on the first upper molar, with a […]
When Anatomy Fights Back: retreatment of a C-shaped mandibular second molar
Re-treatment of C-shaped mandibular molars demands 3D cleaning and sealing beyond files; a stepwise strategy improves predictability.
Transforming a Non-Visible Separated File into a Visible Fragment: A Conservative Retrieval Approach
Instrument separation is a well-recognized complication in endodontic practice, and its management can significantly influence the long-term prognosis of the tooth. While some fractured instruments are readily visible and accessible, others remain hidden, particularly when located beyond canal curvatures. Non-visible fragments pose a greater challenge, as blind retrieval attempts risk excessive dentin removal, perforation, or structural weakening of the root.
Detection and Management of a Missed Middle Mesial Canal: CBCT and Operating Microscope-Guided Retreatment. A Case Report
Mandibular molar retreatment due to an missed middle mesial canal. CBCT and Operanting Microscope are essential to identify the etiology and achieve three-dimensional disinfection. A Case Report
Root - Crown -Tissue: The Tooth Salvage Concept
An interdisciplinary approach to dental treatment enables successful clinical outcomes and allows for the long-term functionality of seemingly hopeless teeth. A crucial stage in tooth preservation is the development of […]
Retreatment of a Mandibular Second Molar with a Periapical Lesion in a C-Shaped Canal
Endodontic retreatment of a mandibular second molar with a C-shaped canal configuration presents unique clinical challenges due to its complex and variable anatomy. C-shaped canals, are commonly found in mandibular […]
Non-Surgical Retreatment of Tooth 46 with Stripping Perforation: A Case Report
This case details the non-surgical retreatment of tooth 46 in a 40-year-old female presenting with symptomatic apical periodontitis. Clinical and radiographic evaluation revealed a poorly adapted crown, metallic posts, secondary […]
NSRCT OR EXTRACTION?
The introduction of implant dentistry, in some cases, eliminated the need for non-surgical endodontic retreatment as well as the need for apical surgery. Proverb says: «When you have a hammer, […]
Antique Silver replaced by conventional Gutta percha: A Retreatment Revival
This clinical case presents the nonsurgical endodontic retreatment of a mandibular first molar initially obturated with silver points. The tooth exhibited persistent periapical pathology and contained a missed, partially calcified […]
Reciprocating motion in retreatment
The R-One Mini System from Fanta Dental is an advanced reciprocating file system designed for efficient and conservative root canal shaping. In case of retreatment the reciprocating motion is a real key point to achieve a new patency inside the root.