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There are four options for managing a tooth with posttreatment disease: do nothing, extraction, non­surgical retreatment, or surgical treatment. Avoiding treatment may result in the progression of disease and continued destruction of supporting tissues, as well as possible acute exacerbation of systemic side effects, such as cellulitis and/or lymphadenopathy. In most cases, these options are […]

Modern endodontic treatment is based on optimal cleaning,disinfection and high-quiality obturation of the root canal system.Anatomy is considered as a key factor in the healing process.That is why a clinician have to be aware of all normal,possible and abnormal variations in the teeth anatomy for achieving a maximum clinical success.In the article presents clinical example that demonstrate the complexity of endodontic retreatment of the maxillary left premolar

Perforation repair with MTA

As modern dentistry continually strives for excellence, we frequently face the challenge of dealing with complications from older endodontic treatments, which often present unexpected difficulties. Calcifications, perforations, and stubborn obturation materials that are difficult to remove pose significant challenges in treatment. To effectively manage these cases, careful and thorough planning is essential. This involves a […]

A retreatment can represent an issue for every practitioner. It is always unpredictable due to many unforeseen elements like intracanal obstacles, iatrogenic errors and complicated anatomies. Recently the Retreaty Kit has been launched: it consists in a sequence of files made with the idea of providing the clinician with a predictable sequence to follow since […]

A simple step by step technique of separated instrument removal, gaining patency and perforation repair.

The goal of an endodontic treatment is to disinfect the root canal system. This will facilitate the resolution of inflammation and the alleviation of symptoms. Failure to achieve this goal means that parts of the root canal system will not be thoroughly cleaned and will carry on containing a significant population of bacteria. This fact […]

In this article we are going to share how to manage an upper first molar in a predictable way for a long-term successful re-treatment.

Teeth with previous apical resection and persistent apical periodontitis are usually re-treated surgically or with a combination of non-surgical and surgical re-treatment. Alternatively, nonsurgical orthograde treatment of failed apicoectomy can be performed using the apical barrier technique used for apical closure of nonvital teeth with apical resorption or immature nonvital teeth. Mineral trioxide aggregate (MTA) […]

Nowadays, it is a common thing to have patients with extensive dental tissue loss because of caries. However, high magnification and the use of new technology and techniques help us to save teeth that not long ago would be considered for extraction. A patient, with clear medical history, was referred for evaluation of restorability and […]

In field of endodontic retreatment, the traditional dichotomy between non-selective nonsurgical methods and selective surgical interventions has been redefined by advances in CBCT imaging. This technological leap has facilitated the development of a contemporary method that amalgamates the conservative nature of nonsurgical techniques with the precision of surgical selectivity. This novel, minimally invasive approach allows […]

Calcium silicate based cements have many positive features, however they can be difficult to remove if a retreatment is necessary.