Instrument separation is one of the most common complications encountered during root canal treatment. Although fracture of the instrument itself may not directly cause treatment failure, retained fragments within the […]
Management of Two Broken Intruments in an Upper Right Canine – A Clinical Approach
Instrument separation is one of the most common complications encountered during root canal treatment. Although fracture of the instrument itself may not directly cause treatment failure, retained fragments within the […]
Selective Root canal retreatment
This approach focuses on retreating only the specific canal(s) associated with persistent infection or radiographic pathology, while leaving unaffected, well-obturated canals untouched.
It offers a minimally invasive alternative that preserves tooth structure, avoids unnecessary disruption of posts or restorations, and reduces treatment time and patient discomfort.
Selective retreatment requires precise diagnosis, careful case selection, and the use of modern technologies such as CBCT and magnification.
Internal bleaching of endodontically treated teethÂ
Teeth discolorations can be extrinsic or intrinsic. The first type is usually caused by food, drinks, smoking and other substances that lead to the deposit of stains on the enamel. […]
Three-Year Clinical Follow-Up of Quadrant Restoration After Removal of a Fractured Root Canal Instrument: A Case Report
A substantial portion of clinical dental practice comprises endodontic and restorative procedures. Among these, quadrant rehabilitation frequently presents as a common and complex clinical challenge. During quadrant rehabilitation, the replacement […]
CBCT-guided management of external cervical resorption in a mandibular premolar
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.
Clinical application of Heat-Activated Denco Chameleon Dual Shaper Files in the Endodontic Treatment of a Maxillary Premolar with Symptomatic Irreversible Pulpitis
Successful endodontic treatment relies on effective cleaning and shaping while preserving the original root canal anatomy. Heat-treated nickel-titanium (NiTi) instruments have enhanced the safety and predictability of root canal preparation, […]
Retreatment of upper central incisor with over extended GP, a clinical case report
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.
Regeneration endodontics
Regenerative Endodontic Treatment of an Open Apex with Pulp Necrosis
Single-stage crown lengthening and papilla reconstruction with a sub-epithelial connective tissue graft (SCTG) for subcrestal external cervical resorption (ECR) in the esthetic zone
The joint workshop of the AAP (American Academy of Periodontology) and the EFP (European Federation of Periodontology) reaffirmed that positioning the restorative margin within the fibers of the supracrestal connective […]
Premolar gemination: a case report
Gemination in lower premolars is a very rare condition. This aspect makes it difficult to treat and it should be approached by an endodontist using a microscope to ensure proper debridement, disinfection and obturation.
Endodontic Retreatment of a Molar with Complex Anatomy
How a good analysis and a efficient protocol can turn and complex case into success.
Conservative Shaping of a Maxillary First Molar with Chameleon Dual Shaper
Modern endodontics increasingly demands instruments that combine efficient cutting with respect for dentine and canal anatomy, especially in complex maxillary molars. Chameleon Dual Shaper files by DENCO were developed to […]