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The mandibular first premolar can be considered one of the most challenging teeth for the endodontist during endodontic procedures; because of the complexity of its root canal morphology and increased incidence of multiple canals. The knowledge of internal anatomy of root canals and their possible variations as well as use of magnification, operating microscope, radiographic examination and illumination, can increase the chances of finding additional canals and contribute to the success of endodontic treatment.

One of the common mishaps that may occur during shaping of the root canals is separated instrument which can hinder the proper cleaning and disinfection leaving residual tissues behind.

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 […]

One of the most critical steps in endodontic treatment is the filling of the root canal system. The goal of 3D obturation is to fill the entire root canal system […]

Fracture or separation of endodontic instruments is one of the main complications in our clinical practice in root canal treatment. This eventuality can negatively affect the outcome of treatment, as […]

The separation of a file during a root canal treatment is a complication with an incidence ranging from 0,4-5% of cases. The evidence has shown that the outcome of root […]

The Root canal treatments is a way full of challenges, that may be the ANATOMY and also it may be The Dealing with the “PROCEDURAL ERRORS” in this article i […]

Check this case to see how it is possible to bypass separated instruments using FANTA Glider ST in reciprocating motion.

Instrument fracture can be a very frustrating complication in Endodontics. Many factors determine whether a separated instrument should be removed or not from the root canal system. The aim of […]

Proper clinical practice in Endodontics requires careful and detailed knowledge on the know how of using different instruments, tools and devices used in the treatment course. Even in the simplest […]

We have discussed in the part 1 of this article how to remove broken files using ultrasonic technique (https://endodontics.styleitaliano.org/management-of-broken-files-a-clinical-approach/ ) but sometimes the ultrasonic (US) technique is useless when the broken […]

An alternative method, involving the use of an irrigation needle and cyanoacrylate adhesive, allowed the removal of the fractured instrument from inside of the canal system.  During the mechanical shaping […]