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External cervical resorption is often silent, yet treatment planning becomes complex when a subgingival lesion is close to the root canal space. In such cases, the clinical view may underestimate the defect. CBCT provides the information required to define the portal of entry, height, circumferential spread and relationship with the canal.

This case report presents the management of an asymptomatic tooth 44 in a 62-year-old female patient, diagnosed with a Patel 2A external cervical resorption lesion. Treatment combined surgical exposure, removal of fibrovascular resorptive tissue, adhesive repair of the defect and single-visit root canal treatment after identification of a second lingual canal.

Overextended root canal fillings beyond the apical foramen can lead to persistent symptoms and periapical inflammation. This article discusses a retreatment case involving a maxillary anterior tooth, where the previous gutta-percha obturation was extended beyond the apex. The case was managed using H-file mechanical removal and obturation with bioceramic putty. Radiographic images demonstrate pre- and post-treatment conditions with clear clinical resolution.

This article aims to provide a more in-depth understanding of Cracked Tooth Syndrome (CTS) and Vertical Root Fracture (VRF) by evaluating and simplifying the various diagnostic approaches and treatment options.

Root resection is a conservative option for molars, but reduces periodontal support and increases stress, requiring careful case selection.

Acute apical periodontitis affecting teeth 2.5 and 2.6

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 […]

Resorcinol-formaldehyde retreatment

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 […]

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.

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 […]

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.