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Managing Calcified Canals: Techniques and Strategies for Successful Endodontic Treatment

A 32-year-old man with a symptomatic maxillary right central incisor came to the private clinic. The patient reported that the incisor had been traumatized previously. The medical history was nonsignificant, and extraoral evaluation revealed normal soft-tissue structures with no apparent pathosis. Upon oral examination, no mobility or probing defect was observed. The tooth was sensitive […]

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Inner wall Vs outer wall

This article is about showing the way of bypassing SI from both inner and outer wall, and which is correct in order to obtain satisfying outcome away from any unnecessary complications.

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Trace every tract!

Sinus tract tracing, proper diagnosis, and patient education are all the big players involved in this tooth story!

It is no surprise that I find all of advanced diagnostic techniques, i.e.; cone beam scans for example, extremely useful to figure out the source of pain plaguing my patients, it’s worth investing my time and energy into the latest technology.
But keeping things old-school has its value too. Therefore, I would like to show you a case where a classic diagnostic method—sinus tract tracing—proved invaluable in my endodontic diagnosis.

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Custom loop: Removing broken root canal instruments

Fracture of root canal instruments used in root canals is a common complication in endodontics. In this article, I will demonstrate the creation of a custom loop that can be used to retrieve a broken root canal instrument

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Bending preservation of gutta-percha in lower first premolar with 3 canals

This article clarifies how to to bend gutta-percha cone and preserve this bending even if the temperature of the body can straighten the master cone in deep apical splitting of the canals.

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Intracanal aspiration, an useful tool

During a root canal treatment, sometimes we need to remove liquids from the canals, for example during the irrigation procedure, in cases with abundant drainage o before to dry the canals with paper points.
The use of a microcanula connected to the equipment could help us to aspirate inside the canals.
This can be useful even to remove materials from root canal.

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Clinical Tips for Managing Calcified Canals

One of the causes of endodontic treatment failure is calcification in the canal pathway, which prevents complete access to proper working length. In some cases, the dentist is unable to open the calcified canal and an extraction might be suggested then. Therefore, once calcified canals are identified, the clinician should keep in mind the following […]

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The braiding technique

In this article, we are going to explain the Braiding Technique, a predictable way to remove materials from inside root canals.  For this technique, we will use Hedstroem files, and is especially indicated to remove plastic carriers during retreatments. We will see the technical procedure and some clinical cases with video, picture and X-ray. As […]

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Making apical plugs easier using a simple collagen sponge

Proper seal of the root canal system is a key factor for long term success of the endodontic treatment. In the majority of cases, the root anatomy and the apical constriction offer a reliable way to control the correct apical obturation, allowing the compaction of the obturation material and tridimensional seal. However, incomplete root formation, […]

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Deep split management, tips and tricks

Deep split, also known as Vertucci type V canal anatomy, is one of the most challenging anatomies in root canal treatment. It presents a situation where one canal leaves the pulp chamber and divides short of the apex into two separate apical foramina (1-2). Treatment of deep split could be a significant challenge for the […]

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Management of deep splitting root canals

Endodontic management of a tooth is an interesting and challenging procedure that is partly blinded, and its success depends on individual clinical expertise and skill, as well as the procedural techniques applied.  Tooth anatomy is the map on which every clinician relies upon prior to initiating root canal treatment. The vast data on tooth anatomy […]

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Pre-endodontic build up of an upper second premolar

One of the main objectives in endodontic treatment is the disinfection of the root canal system. However, most of the time we face severely destroyed teeth, which means a challenge for clinicians from the absolute isolation, the selection of the clamp, the isolation technique, etc. Therefore, we must know or resolve these situations with the […]

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