Our Articles & Clinical Cases

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

Root canal system is a very complex three-dimensional system. Although there are general rules about the anatomy, number of root/s or canal/s for each tooth, but we should expect everything. For that reason, we should have goon understanding, good reading of radiographs, good tools, and experience to deal with different scenarios

This article discusses the use of internal bleaching as a conservative and effective esthetic solution for discolored, root canal–treated teeth. It highlights the clinical protocol, indications, and advantages of internal bleaching as an alternative to veneers, preserving natural tooth structure while achieving satisfactory esthetic outcomes.

When a tooth has undergone root canal treatment and has lost a large amount of coronal structure, the restorative challenge is not only to replace missing tissue, but to recover function in a biomechanically predictable way. In this context, the use of a fiber-reinforced endodontic post can be particularly advantageous, as it helps to retain […]