Our Articles & Clinical Cases

Treatment for immature, necrotic permanent teeth is showing a paradigm shift in moving from a non-biological, barrier-creating approach (apexification) to a biological, tissue-regeneration approach. Conventional root canal treatment has a high long-term success rate (over 86%) for mature permanent teeth with irreversible pulpitis, pulp necrosis, or pulp exposure.  However, immature permanent teeth present more significant […]

Instrument separation is a well-recognized complication in endodontic practice, and its management can significantly influence the long-term prognosis of the tooth. While some fractured instruments are readily visible and accessible, others remain hidden, particularly when located beyond canal curvatures. Non-visible fragments pose a greater challenge, as blind retrieval attempts risk excessive dentin removal, perforation, or structural weakening of the root.

The c-shaped canal is an antomical variation that was first reported by Cooke & Cox in 1979 and mostly seed in mandibular molars, although it can occur also in mandibular premolars and maxillary molars

A challenging referral a previously initiated therapy complicated by a separated file in the mesial root and a multiplanar curvature.

Endodontic–restorative management of tooth 25 with periapical lesion: confirmed necrosis and 11 -months radiographic healing.

Mandibular molar retreatment due to an missed middle mesial canal. CBCT and Operanting Microscope are essential to identify the etiology and achieve three-dimensional disinfection. A Case Report

Variations in root canal anatomy, particularly the presence of middle mesial and middle distal canals, pose a significant clinical challenge.
Complex canal anatomies demand advanced strategies for effective cleaning, shaping, and obturation.
This article demonstrates how meticulous canal exploration, enhanced disinfection protocols, and bioceramic-based obturation can successfully manage such complexities, achieving a predictable three-dimensional seal.

Narrow long canals
Shaping challenges
Grasping tools
Conservative preparation
R one mini
Multiplannner curvature

An interdisciplinary approach to dental treatment enables successful clinical outcomes and allows for the long-term functionality of seemingly hopeless teeth. A crucial stage in tooth preservation is the development of a treatment plan, which must be scientifically and clinically justified.   When formulating the plan, three key elements involved in the preservation process must be […]

The mechanical preparation of the root canal system is generally acknowledged as one of the most crucial stages in root canal treatment (1). Many in vitro studies, including those of Weine et al. and Glickman & Dumsha, have described that the instrumentation of root canals can result in iatrogenic errors such as instrument fractures, transportation, […]

The major challenge associated with endodontic treatment of teeth with open apices is achieving a three-dimensional fluid-tight seal of the root canal system. In the absence of a natural apical constriction, it is imperative to create an apical barrier and allow three-dimensional adaptation of obturating material to the root canal system. The case presented here […]

The mandibular first molar usually exhibits two roots and three canals; however, anatomical variations are frequently encountered. According to Vertucci’s classification, the distal root most commonly exhibits Type I (a single canal) but may also present complex configurations such as Type II, IV, or VIII when multiple canals exist. The incidence of a third distal […]