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Single-stage crown lengthening and papilla reconstruction with a sub-epithelial connective tissue graft (SCTG) for subcrestal external cervical resorption (ECR) in the esthetic zone

The joint workshop of the AAP (American Academy of Periodontology) and the EFP (European Federation of Periodontology) reaffirmed that positioning the restorative margin within the fibers of the supracrestal connective […]

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Endodontic Retreatment of a Molar with Complex Anatomy

How a good analysis and a efficient protocol can turn and complex case into success.

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Endodontic retreatment of a molar: a long-term case analysis

Failed primary endodontic treatment led to lesion; retreatment resolved infection and achieved complete healing over 3 years.

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Retreament Lower First Molar With Acute  Abcess

Root canal treatment removes infected pulp tissue to eliminate harmful bacteria and prevent future infection inside the root canals. Proper shaping and cleaning of the canals are essential before they […]

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Non-surgical Endodontic Retreatment of a Failed PFM-Crowned Immature Maxillary Central Incisor with Open Apex

A Comprehensive Clinical Protocol From Diagnosis of Failure to Aesthetic Composite Rehabilitation.
Endodontic failure in immature permanent teeth presenting with open apices poses a significant clinical challenge, compounded further when gross over-obturation, coronal leakage, and intrinsic discoloration coexist. This article describes the non-surgical retreatment of a maxillary left central incisor in a 14-year-old female patient who presented with a chronically failing, PFM-crowned tooth exhibiting a clinically detectable open margin, a draining sinus tract, a history of recurrent swelling, periapical pathology, an incompletely formed apex (open apex), and gross over-obturation of approximately 5–6 mm beyond the radiographic apex.

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Conservative Retreatment Challenges and Solutions

Endodontic Retreatment is primarily a biologic procedure aimed at eliminating persistent or secondary intraradicular infection while preserving tooth structure. Failure is always associated with residual infection , missed anatomy and […]

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Endodontic retreatment and post endodontic restoration of a central incisor

In this case I had to retreat two badly decayed teeth. We put provisional crowns first, in order to preserve the aesthetics of the patient between treatments, then I scheduled […]

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Retreatment of badly decayed tooth with multiple mishaps

In the world of endodontics, the line between a routine procedure and a clinical "detour" can be incredibly thin. Whether it’s a stubborn calcified canal or an unexpected instrument fracture, mishaps are less a sign of incompetence and more a reflection of the biological and anatomical complexities we face daily.

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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 […]

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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

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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 […]

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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.

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