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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 […]

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 […]

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 […]

This article clarifies how to deal with extra root canal system anatomy of premolars clinically and how you can manage and shape the buccal tinny and curved canals of molarized premolar with simple technique by using an handpiece with manual files in reciprocation motion. Endodontic treatment success is dependent on thorough debridement and full obturation […]

This article reports on an Endodontic treatment of obliterated teeth using a static guided endodontic (GE) technique. The aim is to demonstrate the benefits and limits of static guided endodontics. The process of canal obliteration (CO) is characterized by the apposition of secondary or tertiary dentin, resulting in loss of volume in the pulpal space.  […]

During preparation ledges are inadvertently created and make further instrumentation more difficult as file tips snag in the ledge rather than progressing smoothly to the working length. Stiff instruments or drills will tend to straighten in the curved root canal. Ledges are most likely on the outer curvature either at the primary curvature or apically. […]

External cervical resorption (ECR) is initiated on the external aspect of the root, usually apical to the epithelial attachment. It is often aggressive in nature, resulting in significant loss of tooth structure.  The purpose of this case report is to present a multidisciplinary management of ECR in a patient. The challenge is to identify the […]

When the endodontic lesion involves the apex of an implant in addition to the one of the tooth, a retrograde peri-impantitis can be established. Retrograde peri-implantitis (RPI) is a primary microbial inflammatory condition that affects only the apical portion of an osseointegrated implant, which retains normal bone-to-implant contact in its coronal portion. Currently, no uniformly […]

The reconstruction of an anterior tooth is always a challenge, since the aesthetic requirements of our patients are high and we have to take into account several aspects, such as the shape, the macro and micro anatomy of the tooth, its color, the translucency and we also have to recreate a correct proximal contact. In […]

Endodontic treatment failure may occur due to numerous reasons, such as missed canal anatomy and insufficient disinfection, resulting in periapical infection. The use of cone beam computed tomography is invaluable in the diagnosis of periapical pathosis and neglected canals during initial endodontic treatment.  Thermafil is an obturation material that comprises of alpha phase Gutta Percha […]

Adhesive dentistry changed the way we approach the rehabilitation of endodontically treated teeth. Adhesives and composites have permitted more conservative protocols for repairing severely damaged teeth by reducing the invasiveness that was historically involved with the ‘’classic’’ prosthetic approach. In particular, direct restoration are the most conservative approach of the modern dentistry and in some […]

In this clinical case I want to emphasize the importance of the instruments and the impact they give us during endodontic treatments, which are often complicated where the help of specific instruments makes the difference. To achieve a successful endodontic treatment, we must meet three conditions : knowledge, experience and the proper instruments.  The chois […]