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Endo-resto management of a poorly treated premolar

The successful outcome of root canal treatment in teeth with non-infected vital pulps depends on preventing root canal infection, while in teeth with infected necrotic pulps it relies on eradication or at least reduction of bacterial counts to levels compatible with peri-radicular tissue healing. To do so, the first thing to do is to carefully […]

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Identifying & managing varied anatomy of palatal canal in a maxillary molar- a case report with two year follow up of retreatment of tooth number 16 with trifurcation in palatal canal.

Being aware of variations in the anatomy and configurations of root canal system is important in order to treat a tooth effectively endodontically. In 1967, the notion of a hermetic seal was introduced by Grossman. (1) When a canal or a split is missed, it may lead to unsuccessful treatment. The palatal root canal system […]

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Thermafil carrier retrieval using a lasso technique

Endodontic treatment failure may occur due to numerous reasons, such as missed canal anatomy and insufficient disinfection, resulting in periapical infection. The use of cone beam computed tomography is invaluable in the diagnosis of periapical pathosis and neglected canals during initial endodontic treatment.  Thermafil is an obturation material that comprises of alpha phase Gutta Percha […]

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Pre-operative X-ray: suggested or obligatory

A case report showing the extent of the negative impact resulting from not performing a Pre-operative (diagnostic) x-ray before starting to treat a case. Dental radiology is the core diagnostic modality of dentistry. Dental radiographs assist in detecting hidden painful pathology,  assessing treatment options, providing intraoperative guidance, and also serve to monitor success of prior […]

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Middle Mesial Canal How to Detect it

Article by: Elias Abboud, Damascus Syria    The mandibular first molar seems to be the tooth that most often requires an endodontic procedure (vital pulp capping, pulpotomy, root canal therapy) therefore, its morphology has received a great deal of attention. The canals in the mesial root are the mesiobuccal and mesiolingual canals. A middle mesial canal (MMC) sometimes […]

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Can surgery fix problems? Part 1

What if retreatment is not enough? Retreatment is one of the biggest challenges for the clinician due to the unexpected surprises, prognosis & diagnosis which may be tricky in many situations. But some times the rationale of treatment may be different in which the Retreatment may not be enough so we may need further intervention.

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Saving Two Mandibular Molars

The Primary objective of endodontic treatments is treatment and/or prevention of apical periodontitis. To achieve this goal, the endodontist must be able to process all the case givens to reach a conservative and predictable treatment. This articles describes the decision making process in non-surgical retreatments of two mandibular molars throughout the endodontic workflow.

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The advantage to use Extendo in removing Thermafil Plastic Carrier on retreatment case

In this article I am going to describe and show how we can use Extendo in daily practice.  It is an instrument of SMART ENDO KIT, from DEPPELER.  The kit has 5 instruments and an endo ruler.

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Removal of obturation material from the root canals: the correct use of ExtEndo

In retreatments the clinician should follow the same different steps: careful radiographic diagnosis and, if required, cbct reconfiguration of the cavity access, to realise the appropriate features and start the endodontic therapy in the proper way removal of accessory retention posts (if present) removal of the obturation material  try to reach the proper working lenght […]

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The alternative use of ExtEndo in non surgical retreatment

In retreatments the phase of the disassembling can be difficult and time consuming. When gutta percha is too soft, for example, removing it by means of ultrasonics devices or rotary systems becomes more difficult, that’s why I stopped using solvents many years ago. In general, my approach in non surgical retreatment is to try to […]

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Wide and Wild: how to manage in a predictable way an open beveled apex

This article shows the managment of a difficult retreatment. An irregular anatomy can put the clinician in front of different procedural difficulties and an improper retreatment could compromise definitively the prognosis of the tooth. For this reason it has been decided to do some practice on the 3d printed version of the same tooth, thanks […]

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An endodontic retreatment case with multiple challenges

A complex case can be diagnosed pre-operatively with radiographs and cone-beam computed tomography systems (CBCT) that provide the exact root canal configuration allowing a deep understanding of the canal anatomy as well as other complications from previous treatments. Endodontic specialists usually treat complex cases which needed advanced materials and techniques. Also is expected that a […]

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