Our Articles & Clinical Cases

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.

The management of a necrotic maxillary lateral incisor presenting with fusion and Type III dens invaginatus associated with a periapical lesion represents one of the most biologically and technically demanding scenarios in contemporary endodontics. The coexistence of fusion—resulting in enlarged crown morphology and complex, often interconnected canal systems—with Type III dens invaginatus, characterized by a […]

R One Mini reciprocating file system by Fanta is an excellent file system to be used in different scenarios like narrow and calcified canals. It is an easy system (two files), safe, and minimal invasive approach due to variable taper.

In the modern conservative dentistry, minimal invasive dental protocols are so important to preserve the pulp tissue vitality as long as we can to keep tooth strength, reduce treatment complexity, and to support long term oral health.
The pulp is a highly vascularized and innervated tissue that plays an essential role in dentin formation, nutrition, immune defense, and sensory function.

In daily dental practice, we frequently witness the late failure of restorative procedures that were originally intended to preserve pulp vitality. Over time, the dental pulp may undergo irreversible inflammation and progress to necrosis, eventually leading to the development of an apical lesion that can become symptomatic even many years after the initial treatment. In […]

In the world of endodontics, the line between a routine procedure and a clinical "detour" can be incredibly thin. Whether it’s a stubborn calcified canal or an unexpected instrument fracture, mishaps are less a sign of incompetence and more a reflection of the biological and anatomical complexities we face daily.

The patient, 72, had these crowns a few years earlier and had no desire to remove them. Tooth 4.5 had already been treated, but it was the only one that caused him pain.

Narrow canals
Shaping challenges
Conservative preparation
Multi planner curvature
Calcification
F One
Fanta