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The position and anatomy of upper molars can make root canal treatment challenging, and instrument separation is common. In the presented case, tooth 1.6 had an abscess, and an attempt at root canal treatment was made. Unfortunately, the previous dentist encountered difficulties and broke a paste carrier approximately 4 mm beyond the apex. In the […]

Endodontic mishaps can interfere with the healing process of the body and can result in failure of the root canal treatment

Narrow canal is a great challenge to Endodontist, When combined with calcified entrance the difficulty doubled. Preoperative assessment to the periapical radiograph would help in avoiding many errors that could happen if case is underestimated. CBCT has a great role in assessment and planning for management of canal calcification and blockage and it’s considered of […]

Single file instrumentation has to some extent ease the root canal preparation in both primary root canal treatments and retreatments. However, the variety of clinical situations does not agree with the optimistic approach of having one instrument to fit all circumstances. All clinicians should carefully conduct their preoperative assessment as well as their constant intraoperative […]

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.