Our Articles & Clinical Cases

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 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 […]

Iatrogenic perforations represent one of the most biologically challenging complications encountered in endodontic practice, particularly when they occur at the pulpal floor of molar teeth. These defects compromise the structural and biological integrity of the root canal system, establishing a direct pathway for microbial ingress into the periodontal tissues and significantly influencing prognosis if not managed appropriately.
Contemporary endodontics has evolved from traditional, often aggressive approaches to a more conservative, biologically driven philosophy that emphasises preservation of tooth structure and optimisation of healing. Within this context, minimally invasive repair strategies—supported by advanced biomaterials and enhanced visualisation—have redefined the management of such complications.
This chapter presents a detailed clinical narrative of a referred mandibular first molar (tooth 36) exhibiting a pulpal floor perforation, managed using mineral trioxide aggregate (MTA) delivered with precision through the appropriate system. Emphasis is placed on the role of magnification, controlled material placement, and adherence to the principles of corrective root canal therapy. The clinical workflow, biological rationale, and key procedural considerations are explored in depth, supported by current evidence and contemporary clinical insights.

In the evolving landscape of endodontics, the demand for instruments that balance effectiveness with conservation of tooth structure has never been greater. But nowadays we have so many choices of instrumentations. Primarily each instrument are categorized based on their movement of motions, from rotation to reciprocation
Here, a short description are described for us to see and understand the evolution of each movement as well as its pros and cons

Advances in endodontic materials have influenced contemporary approaches to root canal obturation. A bioceramic sealers possess favorable properties, including biocompatibility, dimensional stability and the ability to form hydroxyapatite, which may enhance sealing root canal spaces. These characteristics have contributed to a shift toward simplified obturation techniques, particularly the single-cone approach. Compared with traditional compaction techniques, this method reduces procedural complexity and clinical time while maintaining an effective seal of the root canal system. For straightforward endodontic cases with adequate cleaning and shaping, simplified obturation protocols using bioceramic sealers have demonstrated predictable clinical outcomes.

Calcific metamorphosis syndrome isn’t a rare case that we face in our daily workflow. Intros article I’m going to share a predictable protocol in the era of the minimally invasive endodontics

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 the Rising Kit by Fanta Dental. Pre-operative radiographic evaluation confirmed a single-rooted maxillary canine with a patent canal and no significant curvature complications. The treatment […]

This article revisits the article written by the same author, focusing on endodontic pre-treatment. The aim is to identify the correct sequence of operations to simplify the process, reduce the number of appointments, and meet the patient’s needs as quickly as possible.

Endodontic Retreatment is primarily a biologic procedure aimed at eliminating persistent or secondary intraradicular infection while preserving tooth structure. Failure is always associated with residual infection , missed anatomy and inadequate chemo-mechanical debridement. ( Nair, 2006; Siqueira & Rocas, 2014). By Regaining Access to inadequately debrided anatomical complexities we are enabled to renegotiate and target […]

In root canal retreatment, we always focus on files only. While another important factor to consider is we should preserve apical construction during retreatment as possible

The anatomical relationship between maxillary posterior teeth and the maxillary sinus represents a clinically relevant factor during endodontic treatment. Variations in sinus pneumatization may lead to close proximity or even protrusion of root apices into the sinus cavity, increasing the risk of intraoperative complications. The establishment of an endo-sinus communication remain poorly documented in the […]

In this case I had to retreat two badly decayed teeth. We put provisional crowns first, in order to preserve the aesthetics of the patient between treatments, then I scheduled two appointments for endo + post endo + adaptation of the provisional crown. After that, the patient had the final crowns.