Non-Surgical Retreatment of Tooth 46 with Stripping Perforation: A Case Report
This case details the non-surgical retreatment of tooth 46 in a 40-year-old female presenting with symptomatic apical periodontitis. Clinical and radiographic evaluation revealed a poorly adapted crown, metallic posts, secondary caries, and tenderness. During retreatment, four canals were located, and a stripping perforation was identified in the mesiolingual canal—an area predisposed due to root concavity […]
The best implant is your natural tooth
Dental trauma is a significant public health concern, often resulting from accidents, sports injuries, or falls. Among the various types of dental injuries, avulsion and extrusion represent severe forms of trauma that require immediate and precise management to ensure optimal outcomes. Avulsion refers to the complete displacement of a tooth from its alveolar socket, while […]
Clinical Application of R One Mini that Emphasises on Dentin Preservation
Endodontic treatment aiming to cure and prevent apical periodontitis to retain tooth as long as possible, functioning without symptoms. In order to achieve this, we must performed root canal preparation to reduce bacteria to the level that necessary, this mean we shape and clean the root canal system to its terminus.
But we need to bear in mind that in order to achieve long term predictability we also need to save tooth structure specially the PCD area in order tooth to withstand occlusal force for period of time
Treatment of an external inflammatory root resorption
External inflammatory resorption (EIR) is present on the external surface of the root of majority of the teeth diagnosed with chronic apical periodontitis. EIR also affects teeth that suffer severe dental traumatic injury (for example, avulsion and luxation). In dental trauma injury cases, EIR occurs as a result of injury to the root surface and […]
One-visit RCT of a cracked tooth
Cracked teeth have always been a difficult problem. The rate of cracked teeth increased during the initial outbreak of the COVID-19 pandemic; several studies provided evidence on the association between the COVID-19 pandemic and changes in the rate and presentation of endodontic etiologic factors. Patient: Female , aged 37 years Chief complaint: Hot and cold […]
Treating curved canals with Harmony files
The primary goal of root canal shaping is to create a continuously tapered, funnel-shaped canal while preserving the original anatomy. This is significantly harder to achieve in a curved canal without altering its natural shape. As a file is pushed through a curve, it naturally wants to follow the path of least resistance, which is […]
UL6 with unusual anatomy
The incidence of MB2 and MB3 in upper first molars is low (Ronald Ordinola-Zapata et al., 2020), however one of the most common reasons for endodontic failures is missed anatomy (Tabassum and Raza Khan, 2016). It is therefore very important to investigate every potential groove, and locate all canals, as demonstrated in this case.
A Challenging Clinical Case
Three-rooted maxillary first premolars represent a significant anatomical variation and a considerable challenge in Endodontic practice. This article aims to analyze the clinical management strategies pertaining to this specific tooth morphology, using a new reciprocation file: R-One Mini Kit. The reported prevalence of three-rooted maxillary first premolars ranges from 0% to 9.2%. In all documented […]
NSRCT OR EXTRACTION?
The introduction of implant dentistry, in some cases, eliminated the need for non-surgical endodontic retreatment as well as the need for apical surgery. Proverb says: «When you have a hammer, everything around seems to be nails.» It’s well accepted that non-surgical retreatment of case of previously failed endodontic therapy provides good results.Success rates between 70% […]
Antique Silver replaced by conventional Gutta percha: A Retreatment Revival
This clinical case presents the nonsurgical endodontic retreatment of a mandibular first molar initially obturated with silver points. The tooth exhibited persistent periapical pathology and contained a missed, partially calcified canal, contributing to endodontic failure. The retreatment strategy involved the careful retrieval of silver points followed by meticulous canal negotiation and shaping using a modern […]
Conservative and safe shaping with R One Mini
Modern endodontics emphasizes the importance of preserving natural tooth structure while achieving effective canal debridement. Conservative shaping of the root canal system is essential to maintain the original canal anatomy, reduce the risk of structural weakening, and enhance long-term tooth survival. Excessive removal of dentin, especially in curved or narrow canals, may predispose the tooth […]
