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The patient came to my office with a big swelling and acute pain , after the pre-op X-ray the situation was clear , apical periodontitis plus a lateral lesion . The previous endodontic treatment is short and we have a perforation on middle one third of the root located on the distal aspect of the […]

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 […]

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 […]

Root canal preparation has been considered the most important step in Endodontic therapy for dentin removal. It is a challenge for even the most experienced Endodontist to achieve optimum cleaning and shaping respecting the original anatomy. The main factor that determines the prognosis of restored pulpless teeth is preservation of sound dentin. Residual dentin thickness […]

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.

Let's get a closer look to the ReTreaty kit by Perfect Endo with Francesca Cerutti

Narrow canals
Calcified canal
Conservative preparation
C files
Fanta
Maxillary Central incisor

A case report of endodontic retreatment or I can say revision of lower second left premolar with anatomical challenge of deep split root canal at the apical third.

A complex anatomy is considered a real nightmare to any clinician. Lack of attention to the complex anatomy by the clinician can lead to a series of unfortunate events during treatment, such as; Altered anatomy “ledges”, Perforations or Separated instruments.

Therefore; pretreatment evaluation of the case as well as a sound shaping strategy are essential to address the anatomy & avoid mishaps.

Endo pero lesions of primary periodontal organ can be diffcult to diagnose. A multidisciplinary approach is mandatory to solve the case

Endodontic treatment is considered one of the most complicated dental treatments. Although we have a general idea about the number of major canals and outline of the roots, but we are dealing with a complex three dimensional system which sometimes happen to be torturous, so we may face difficulties. However, root canal re-treatment would add more difficulties, as more surprises may exist from previous treatment. For that reason, we should gather as mush as possible of information before prompting the treatment, including a comprehensive history taking, thorough clinical examination, proper radiographs, and cone beam CT if needed.

There is a great trend of interest in minimally invasive treatments in endodontics. Is it possible to apply the same concept in Retreatments, where the previous therapy has failed?Can we change in some way our mindset?Is it possible to use as much as possible just a sequence like ReTreaty kit instead of many different files?