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.
Cracked Teeth (CT) and Vertical Root Fractures (VRF)
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.
Preservation-focused management of a hemisected maxillary molar- a case report
Root resection is a conservative option for molars, but reduces periodontal support and increases stress, requiring careful case selection.
Real time detection of the working length: how many advantages does it bring to the dentist?
Post-operative pain in endodontics has been widely associated with the extrusion of debris beyond the apical foramen.During mechanical preparation, dentinal chips, pulp tissue remnants, bacteria, and irrigants may be inadvertently pushed into the periapical tissues. This extrusion can trigger an acute inflammatory response, leading to pain and discomfort after treatment.The extent of this phenomenon depends […]
Route to Apex
In this article i am going to show how you can simplify your shaping protocol using step down technique.
Endo-resto in a lower first molar
One of the main problems in the success of endodontics is coronal leakage; the final post-endodontic restoration is a fundamental part of the success of the treatment.
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 [1]. Inflammatory root resorption (IRR) is one of the greatest challenges for endodontists because of the altered canal anatomy resultant from the resorptive process [2]. […]
Oval Canal Reconstruction: The Hi-Rem Polygon Post Efficiency
The restorative management of endodontically treated premolars often presents a biomechanical challenge due to the prevalence of oval-shaped root canals. Traditional circular fiber posts frequently result in an excessive thickness of the cement layer or unnecessary removal of sound radicular dentin. This case analyzes the clinical integration of Hi-Rem Polygon Post (non-circular glass fiber posts) and OverCEM SA (dual-curing […]
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 a mandibular molar using a loop technique, after CBCT-based diagnosis and critical decision-making. Alternative approaches, including bypass, apical surgery, and extraction, were evaluated and discarded. […]
Internal Bleaching of a Traumatized Non-Vital Maxillary Central Incisor: A Case Report
Internal bleaching, a minimally invasive dental procedure introduced in the 19th century, is an esthetic treatment indicated for discolored non-vital teeth. Its objective is to achieve intracoronal whitening by applying oxidizing agents within the pulp chamber. The etiology of discoloration in non-vital teeth can be multifactorial, encompassing dental trauma resulting in intrapulpal hemorrhage, pulpal necrosis, […]
Surgical Endodontics on Teeth 2.4 and 2.5 with Symptomatic Apical Periodontitis Following Failed Previous Surgery
Surgical endodontics represents a predictable treatment option in cases of persistent apical periodontitis when orthograde retreatment is not feasible or has previously failed. The introduction of microsurgical techniques, including magnification, ultrasonic retro-preparation, and the use of bioceramic materials, has significantly improved clinical outcomes and long-term success rates. However, failure of initial surgical endodontic procedures may […]
