Redefining the access in retreatments: part V of V
In the context of retreatments and re-access, very often it happens to perform a new endodontic therapy removing and sacrificing the old crown. The choice that the clinician must make in the presence of a pre-existing crown is related to a series of factors that can be summarized in the following diagram and were already […]
Redefining the access in retreatments: Part IV of V
In the context of retreatments and re-access, sometimes it happens to perform a new endodontic therapy recovering the old prosthetic crown. A careful preoperative evaluation can allow the clinician to pick the best therapeutic choice and to address the wishes of the patient. The need to maintain the old prosthetic crown may arise from the […]
Redefining the access in retreatments: Part III of V. The crown access management
In the context of retreatments and re-access, it often happens to perform a new endodontic therapy dealing with the presence of a crown. A careful pre-operative evaluation can allow the clinician, according with the patient's wishes, to face the best therapeutic choice. The opportunities are, in fact, those related to the removal of the pre-existing […]
Management of the complex anatomy of a lower first premolar
An accurate diagnosis of the morphology of the root canal system is crucial in order to obtain a successful root canal treatment. The prevalence of three canals with three separate foramina in mandibular premolars is very rare like in the case that will be shown in this report: one canal leaves the pulp chamber, and […]
Management of a retreatment case (RADIX ENTOMOLARIS) with FANTA AF F ONE ESSENTIAL KIT
A more reflecting practical definition of non surgical retreatment by Car was described as a procedure performed on teeth that received failed prior attempts at definitive root canal treatment, requiring further endodontic therapy to achieve a successful result. Mishaps as missed canal, ledges, incomplete filling or even loss of coronal seal can lead to root […]
Management of Missed Canal Part 1: Lower First Molar
It is reported that almost 40% of retreatment with chronic apical periodontitis or symptomatic apical periodontitis are due to missed canals. Karabucak & all reported in 2016 an overall incidence of missed canals in treated teeth to be 23.04% and 41 to 46% in maxillary first molars. Teeth with a missed canal were 4.38 times […]
Management of a retreatment case with multiple endodontic mishaps
Endodontic mishaps can interfere with the healing process of the body and can result in failure of the root canal treatment if not taken care of. Perforation, if present should be handled immediately and adequate materials to be used for better results. Fracture of an instrument results in improper cleaning and shaping of the remaining […]
Fiber post removal: don't miss the post
Fiber post removal is a first necessary step in order to gain the access to the root canals and retreat them. Many techniques have been suggested, but in this article we will consider the first analytical considerations in order to avoid procedural iatrogenic errors. The removal of fiber posts from endodontically treated teeth can be […]
How to manage ledges using rotary files
Ledge creation is one of the most common iatrogenic damages during the shaping. As Clinicians we do prevent ledge creation using a “sweet” approach to the Endodontic anatomy during the shaping, but we also know how to manage the ledge when it is present, as there is a strong and scientific recognized relationship between presence […]
Root perforation management
This article is a short summary and a guideline for all dentists who want to manage different types of root perforation in an easy and predictable way. This article will emphasize the importance of the diagnosis and accessories that will be helpful during the treatment. Root perforations are one of the common complications that […]
Non surgical management of full-crown restored with symptomatic apical periodontitis: A case report
The reason for performing a primary root canal treatment or a retreatment without dismantling a full crown coverage should be very well considered. It is doubtless that any coronal restoration should be removed before undertaking any orthograde endodontic procedure if infected dentine or coronal leakage is present (Gulabivala, Ng, 2014). Moreover, performing a root canal […]
Removal of an Anatomic Post and Core A Case Report
Different types pf posts can be placed during restorative procedures; prefabricated ones such as the screw posts, the paraposts or more recently the ceramic post and fiber posts, or the anatomical post commonly called cast post and core. In cases of non surgical retreatment The removal of a post can be challenging depending on the […]