Ahmed Shawky

RETREATY: A Fore Player in Non-Surgical Retreatments

The primary objective in endodontics, whether primary treatment or retreatments, is the treatment of apical periodontitis as well as prevention of its recurrence. When we address retreatments, incomplete disinfection of the root canal system is considered as one of the most common causes of post treatment failures. This article will discuss non-surgical retreatment of a […]

Conquering complex Anatomy with MG3

A complex anatomy is considered a real nightmare to any clinician. Lack of attention to the complex anatomy by the clinician can lead to a series of unfortunate events during treatment, such as; Altered anatomy “ledges”, Perforations or Separated instruments. Therefore; pretreatment evaluation of the case as well as a sound shaping strategy are essential to address the anatomy & avoid mishaps.

Retreaty... The Retreatment Avengers

Nowadays the number of retreatment cases are increasing in front of primary treatments. That’s why we need some innovative tools to help us achieving our rationale in non-surgical retreatments. In this article, I will describe various aspects of the New Retreaty instruments designed by styleitaliano endodontics team and manufactured by Perfect Endo. Similar to primary […]

Magnification in Modern Endodontics

The introduction of the dental operating microscope and its ergonomics date back to mid to late 80s, being introduced by the famous endodontist Dr. Gary Carr. Dr. Carr often quoted, “ YOU CAN NOT TREAT WHAT YOU CAN NOT SEE” reflecting the importance of augmented vision and illumination to impose precision to endodontic treatments. This […]

GOLD and BLUE: The Squad For Predictable Shaping

The primary objective of nonsurgical endodontic treatment is the healing of existing, as well as prevention of recurrence of, apical periodontitis. This objective can be fulfilled by disinfection of persistent residual microbes present in the root canal system. Shaping is an important step to fulfill the disinfection allowing delivery of the irrigating solutions as close […]

The Golden Era of root canal shaping

Following the access preparation and location of anatomy, the next challenge facing the endodontic clinician is to select the proper alloy and sequence for the shaping procedures in order to be able to safely and predictably shape the anatomy without any procedural errors. This article will show the advantages of the MG3 Gold instruments and […]

Saving Two Mandibular Molars

The Primary objective of endodontic treatments is treatment and/or prevention of apical periodontitis. To achieve this goal, the endodontist must be able to process all the case givens to reach a conservative and predictable treatment. This articles describes the decision making process in non-surgical retreatments of two mandibular molars throughout the endodontic workflow.

The Blue Power: Safe and Predictable Shaping using MG3 Blue

Following the access preparation and location of anatomy, the next challenge facing the endodontic clinician is to select the proper alloy and sequence for the shaping procedures in order to be able to safely and predictably shape the anatomy without any procedural errors. This article will show the advantages of the MG3 Blue instruments and […]

Apical Microsurgery for Conservative Management of a Broken File

The most common reason for fracture of rotary NiTi files are flexural and/or torsional fatigue. Even single use of instrument, can reduce the fracture incidence by only 0.9%. Unfortunately, even with advancements in metallurgy, file breakage could not be entirely overcomed due to the fact that the more the flexible the instruments, the more they […]

Regenerative endodontics: A Reliable Option

Various regenerative endodontic treatment (RET) protocols have been suggested with differences mainly in the disinfection technique used, intracanal medicaments, scaffold systems, and coronal filling materials. In order to reduce such variability, the American Association of Endodontists (2013) and European Society of Endodontology (2016) developed evidence based recommended protocols. These guidelines helped reduce some of the […]

A goal in the hole

The main goal of endodontic treatment is the treatment and/or prevention of peri-radicular periodontitis aiming for a long term disease-free survival. The presence of any form of communication between the pulp space and the periodontist and/or the oral cavity will lead eventually to development or recurrence of peri-radicular disease which will prevent the clinician from […]

Cavity refinement: an essentiality or extravagance?

Access cavity preparation is considered as the most important step in the endodontic treatment protocol. Inability of the operator to visualize anatomical requirements of the preparation may end in aggressive mishaps which complicate the treatment procedures or compromise the ultimate treatment outcomes. Being the most important step in endodontic treatment course, access cavity preparations must […]

Looks like a bullet: An iatrogenic mishap cause by tool misuse

Proper clinical practice in Endodontics requires careful and detailed knowledge on the know how of using different instruments, tools and devices used in the treatment course. Even in the simplest cases, violating the limitation of some instruments or misusing/misplacing those instruments may lead to severe iatrogenic errors which may act as a barrier against providing […]

Invasive Cervical Resorption Part 2: Combined Non-surgical and surgical management

For invasive cervical resorption to occur and propagate, there must be a damage in the periodontal ligament and cementum in addition to a contributing factor(s) which is assumed to sustain the osteoclastic activity. Although the etiology of ICR is poorly understood in literature and there might be some etiological factors which have not yet been […]

Radix entomolaris: Management of vital pulp therapy failure

Vital pulp therapy (VPT) are those procedures carried out to maintain the dental pulp in a healthy condition, allowing to preserve its defensive function and sustaining its ability to form dentin in response to irritation. Despite the favorable outcomes of VPT, some complications might occur as a result of improper case selection or technical factors. […]

Invasive Cervical Resorption Part1: Conservative Non-surgical management

Invasive cervical resorption is characterized circumferential spread with/without coronal-apical spread in dentin where the involvement of the pulp may be delayed being present in advanced cases due to the presence of peri-canal resorption resistant sheet (PRRS) composed primarily of pre-dentin and odontoblasts Invasive Cervical Resorptive lesions have different radiographic presentations, ranging from a small radiolucency […]

The Sandwich Technique: A Convenient and Predictable method for Root Perforation Repair

Root perforations are defined as communications between the root canal space and the periodontium. These communications may be caused by a pathological process (as: external or internal resorption) or as a result of an iatrogenic error (as: misdirection/improper size of the post space drill, drilling through the chamber floor or improper root canal instrumentation)1. According […]

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