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Managing deep cervical margins in an endodontically treated premolar through isolation, tissue preservation and adhesive reconstruction

A Longitudinal Clinical Case Report Introduction Pathological root resorption is an odontoclast-mediated process that can progressively compromise radicular integrity and tooth prognosis. Its management requires accurate diagnosis, assessment of remaining dental structure, and individualized treatment planning [1]. The contemporary therapeutic paradigm should not regard endodontics and implantology as competing disciplines. Instead, they represent complementary interventions […]

Maxillary second molars are often challenging to treat due to their limited accessibility and frequent variations in root canal anatomy. Early identification of additional canals is crucial for complete disinfection and predictable long-term success.  In this case, the patient reported with sensitivity to hot and cold, along with pain on chewing. Root canal treatment was […]

Radix entomolaris is an anomaly characterized by an extra third root located distolingually in lower molar tooth. It brings significant challenges in endodontic treatment due to its complex curvature and potential for missed canals.

What signs can help us in the vertical root fracture diagnosis?

S-shaped root canals can be one of the most challenging anatomies in endodontics. In this case, a careful treatment approach allowed us to manage a severe multiplanar curvature while preserving the original canal anatomy.

Bioceramic cements have gained increasing popularity in endodontics due to their excellent biological and sealing properties.These materials are mainly composed of calcium silicate and are characterized by their biocompatibility and bioactivity.Bioceramic sealers are also hydrophilic, allowing them to perform effectively in the presence of moisture within the root canal system. This article aims to demonstrate […]

Dens invaginatus is a developmental anomaly characterized by invagination of the enamel organ into the dental papilla before calcification, resulting in highly variable internal anatomy. The complexity of the root canal system may compromise diagnosis, debridement, irrigation and three-dimensional obturation. This case report describes the endodontic management of a Type II dens invaginatus in a […]

This case report presents the endodontic and restorative management of a mandibular molar with an unexpected middle distal canal. Five canals were successfully shaped, disinfected using combined sonic and ultrasonic activation, and obturated with a warm modified technique, followed by a conservative restorative workflow culminating in an adhesive overlay.

Three-rooted maxillary premolars represent an uncommon but clinically important anatomical variation. The maxillary first premolar most frequently presents with two roots, while the occurrence of three separate roots is considerably less common. In a CBCT study of 350 maxillary first premolars, Olczak et al. reported three roots in 2.6% of teeth, with two-rooted morphology accounting […]

Provides Straight Line Access is mandatory.
A properly designed access cavity provides straight line access to the root canals, facilitating efficient and controlled canal shaping. This reduces unnecessary stress and torsional forces on endodontic instruments, thereby minimizing the risk of instrument separation during root canal treatment.