Our Articles & Clinical Cases

A paradigm shift is happening in treating immature, necrotic permanent teeth - from traditional apexification to regenerative endodontic procedures (REPs). While conventional root canal therapy yields high success in mature teeth, immature teeth pose greater challenges. REPs, leveraging tissue engineering and the regenerative potential of Hertwig’s Epithelial Root Sheath (HERS) and Stem Cells of the Apical Papilla (SCAP), offer a biological approach that promotes continued root development and functional restoration. This case report presents a successful REP in an immature necrotic tooth, with clinical and radiographic outcomes over 30 months.

Endodontic success relies heavily on the ability to shape root canal systems with precision, minimal risk, and maximum conservation of original anatomy. Among modern instruments, the Rising endodontic files by Fanta Dental stand out for their unique balance of flexibility, cutting efficiency, and safety. Rising files allow clinicians to navigate even the most complex root […]

Managing severely curved canals in endodontics requires careful planning and technique to prevent complications such as ledging, transportation, or instrument separation. Preoperative radiographs and CBCT imaging help assess curvature severity. Glide path creation is crucial, often using small, flexible hand files (e.g., #08 or #10 K-files) with a watch-winding motion. Nickel-titanium rotary or reciprocating instruments […]

When pulpal disease progresses into the periapical region of the tooth, it causes disease of pariradicular tissues. If endodontic treatment is done properly, it heals periapical lesions. Irrigation and activation with proper irrigants decrease the bacterial load from the canal space and initiate healing.

Crown-root fractures extending subgingivally pose significant restorative challenges and often threaten tooth preservation. Surgical extrusion is a conservative technique that repositions the remaining tooth structure coronally, facilitating optimal restorative margins while maintaining periodontal health. This case report presents the management of an upper lateral incisor with an oblique fracture treated successfully by surgical extrusion. The procedure involved atraumatic repositioning of the tooth, careful stabilization, and subsequent restoration. Follow-up demonstrated favorable periodontal healing, functional stability, and satisfactory esthetics. This case underscores the clinical value of surgical extrusion as a predictable, tooth-preserving treatment option in selected cases of complicated crown-root fractures.)

In post endodontic restorations with post, the choice of the post is extremely important because we need to select the biggest post that fits into the root canal without touching the walls. In some anatomies, where the shape of the canal is not round, this step can be more challenging. Below an example.

The main goal of endodontic treatment is to prevent and treatment of apical peridontitis , through proper shaping ,cleaning , obturation of the root canal system .  Negotiation of the root canal system , patency , and estableshment of repeatable glide path , is the most chalenging steps in RCT , and on it , […]

Dens invaginatus, also referred to as dens in dente, is a rare developmental dental anomaly resulting from an infolding of the enamel organ into the dental papilla during the morphodifferentiation stage of odontogenesis. This invagination leads to a deep enamel-lined cavity that may extend variably into the crown or root of the affected tooth. The […]

A large number of dentists always trying to avoid root canal treatment due to the possible complications that they may encounter, primarily file separation. This is why choosing a file system that combines safety with superior cutting efficiency is essential

Selective root canal re-treatment is a novel approach which aim at treating the selected root/s showing apical pathology.
Thanks to the use of CBCT it is now possible to evaluate with high accuracy the status of a root filled tooth and plan the re-treatment strategy accordingly.
This approach has clear advantages in terms of preservation of tooth structure, reduction of iatrogenic errors and reduced operating time and costs.

The management of periodontal-endodontic lesions represents a complex clinical challenge requiring a comprehensive understanding of the interactions between the periodontium, the pulp, and restorative dental structures. These lesions often present with overlapping symptoms and pathologies that demand an integrated approach for accurate diagnosis and effective treatment. In recent years, a multidisciplinary strategy involving periodontics, endodontics, […]

Endodontic retreatment of a mandibular second molar with a C-shaped canal configuration presents unique clinical challenges due to its complex and variable anatomy. C-shaped canals, are commonly found in mandibular second molars, retreatment becomes complicated by the difficulty in completely cleaning, disinfecting, and obturating the root canal . Reasons related to treatment failure include missed […]