Acute apical periodontitis affecting teeth 2.5 and 2.6
Management of permanent necrotic teeth with inflammatory root resorption. Case report
Root resorption represents the loss of dental hard tissues (cementum, dentine and/or enamel). This irreversible tooth structure loss most often requires orthograde endodontic treatment and/or surgical management of the defect […]
Orthograde retrieval of a fractured instrument in a mandibular molar: loop technique as a predictable alternative in complex anatomy
Fractured instruments remain a major challenge in endodontic retreatment, particularly when located beyond canal curvature. This case describes the orthograde removal of a separated instrument in the mesiobuccal canal of […]
Precise endodontic treatment of a maxillary canine using the RISING by Fanta Dental
Endodontic treatment of maxillary canines requires precision due to their long roots and potential anatomical variations. This case demonstrates a structured and efficient approach to root canal therapy performed using […]
A challenging referral a previously initiated therapy complicated by a separated file in the mesial root and a multiplanar curvature.
Dealing with extra canal in lower first molar
The mandibular first molar usually exhibits two roots and three canals; however, anatomical variations are frequently encountered. According to Vertucci’s classification, the distal root most commonly exhibits Type I (a […]
Biological Approach to Revitalization in Immature Permanent Teeth: No-instrumentation Technique
A paradigm shift is happening in treating immature, necrotic permanent teeth - from traditional apexification to regenerative endodontic procedures (REPs). While conventional root canal therapy yields high success in mature teeth, immature teeth pose greater challenges. REPs, leveraging tissue engineering and the regenerative potential of Hertwig’s Epithelial Root Sheath (HERS) and Stem Cells of the Apical Papilla (SCAP), offer a biological approach that promotes continued root development and functional restoration. This case report presents a successful REP in an immature necrotic tooth, with clinical and radiographic outcomes over 30 months.
Can we go far with manualless shaping?!
The main goal of endodontic treatment is to prevent and treatment of apical peridontitis , through proper shaping ,cleaning , obturation of the root canal system . Negotiation of the […]
Selective root canal retreatment of an upper first molar: A 12 months CBCT-assessed outcome
Selective root canal re-treatment is a novel approach which aim at treating the selected root/s showing apical pathology.
Thanks to the use of CBCT it is now possible to evaluate with high accuracy the status of a root filled tooth and plan the re-treatment strategy accordingly.
This approach has clear advantages in terms of preservation of tooth structure, reduction of iatrogenic errors and reduced operating time and costs.
Treating curved canals with Harmony files
The primary goal of root canal shaping is to create a continuously tapered, funnel-shaped canal while preserving the original anatomy. This is significantly harder to achieve in a curved canal […]
Deep challenges: splits remastered
Whenever root canal anatomy is discussed, variability is the rule!!
This requires careful attention of the clinician to anticipate such variation
