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Overfilling: malpractice or procedure error? Management of an acute apical abscess resulting from an extruding GP single cone obturation

From a medico-legal aspect, extrusion of root canal filling might be considered malpractice if there is excessive extrusion of material combined with incomplete obturation of the canal leading to failure of the root canal treatment.(1) Acute Apical Abscess AAA is the most common form of dental infections and is caused by the infected root canal […]

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Dealing with root filling residuals in root canal re-treatment

Non-surgical root canal re-treatment is one of the most dental procedures that practitioners face in routine daily work. Though, it remains one of the most challenging procedures, as we are dealing with root canal complexities, different root filling materials, and most importantly, infection.

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A Perfect Re-RCT

The use of CBCT at the diagnostic and treatment planning stage allows to detect presence of refractory endodontic pathology root by root in multicoated teeth. Teeth affected by pathology in one root only due to the presence of missed anatomy cannot be re-treated surgically and a selective orthograde re-rct approach can be opted for. The […]

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Root perforations: from breakdown to breakthrough

In retreatments, one of real endodontic challenges comes when disassembly is complete and what remains is a root canal system that has been perforated.  What is the critical thinking required to solve such impediment to success? In this article, I am describing the management of a root perforation using absorbable collagen membrane as an internal […]

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Retrieve and repair

As Endodontists our daily work is an adrenaline fuel because we face new challenges on a daily basis and each case requires a strategy to fix it. Strategy before any retreatment consists of reading very carefully the preoperative X-Ray, in order to explain to the patient what is the problem, prognosis ,number of visits, possibility […]

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Management of ledge formation

The ledge, which is a deviation from the original canal curvature without communication with the periodontal ligament, is created when the working length can no longer be negotiated, and the original pathway of the canal has been lost. Ledge formation might lead to incomplete instrumentation and shaping, inadequate disinfection, and inadequate three-dimensional obturation of the root canal […]

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Retreaty... The Retreatment Avengers

Nowadays the number of retreatment cases are increasing in front of primary treatments. That’s why we need some innovative tools to help us achieving our rationale in non-surgical retreatments. In this article, I will describe various aspects of the New Retreaty instruments designed by styleitaliano endodontics team and manufactured by Perfect Endo. Similar to primary […]

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Conservative retreatment using RE TREATY

In this article we are introducing the RE-TREATY files for the retreatment of Maxillary Molar and we will show how the system combines the function of Cutting Efficiency & Flexibility to facilitate the Retreatment step in a conservative way.

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Re-treatment nightmare

In our daily practice, we face a lot of difficulties in root canal treatment and re-treatment. Some of these difficulties may be due to the case itself, and others may happen during the procedure. Key factors to overcome such situations are identifying these difficulties and knowing how to deal with them.

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Multiple errors retreatment

In this article i am presenting a case with multiple errors came symptomatic while biting. Lack of knowledge in the endodontic field  may lead to some errors during the treatment if we are not having the right techniques combined with the right tools.

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Retreaty Kit, for easier and predictable retreatments

The reason why we designed and developed ReTreaty kit, is because we felt the need to make the reatreatment procedure more predictable and easier. As StyleItaliano Endodontics we already shared the concept that a primary treatment should start since the beginning with rotary files for avoiding iatrogenic errors created by hand files. We transferred now […]

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Retreatment of a central incisor with Essential Kit

Aim of endodontic therapy is to maintain or restore the periapical health of teeth through shaping, cleaning and filling tridimensionally the root canal system. Root canal treatment has proven to be a predictable procedure with a high success rate. Nevertheless, failures occur in 14-16% of primary endodontic treatments and retreatments account for approximately 30% of […]

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