Dr. Massimo Giovarruscio is a highly skilled professional, with extensive experience in endodontics, restorative and aesthetic dentistry. With over 19 years experience in dentistry, he has developed his reputation within the profession as an excellent clinician, endodontist and postgraduate lecturer.
Active member of the European Society of Endodontology and active member of the Italian Society of Endodontics.
Massimo is recognized by his colleagues for his exceptional talent, professionalism and for his innovative and proactive approach.
This article reports on an Endodontic treatment of obliterated teeth using a static guided endodontic (GE) technique. The aim is to demonstrate the benefits and limits of static guided endodontics. The process of canal obliteration (CO) is characterized by the apposition of secondary or tertiary dentin, resulting in loss of volume in the pulpal space. […]
During preparation ledges are inadvertently created and make further instrumentation more difficult as file tips snag in the ledge rather than progressing smoothly to the working length. Stiff instruments or drills will tend to straighten in the curved root canal. Ledges are most likely on the outer curvature either at the primary curvature or apically. […]
Post space preparation is a critical step to achieve clean dentinal surfaces for adhesion of the cementing material. Therefore, complete removal of the root ﬁling materials is essential to enhance the adhesive bond to the dentine and increase post retention. Furthermore, the presence of residual gutta-percha and deﬁcient dentine hybridisation may result in poor sealing of […]
Before starting any Endodontic Root Canal treatment, it is necessary to know the anatomy and morphology of the tooth as best as possible. The anatomy of root canal morphology plays a decisive role in determining the conditions under which Endodontic treatment can be performed effectively.
The loss of tooth structure caused by the Endodontic access cavity results in a decrease of rigidity by 5%. After root canal treatment the remaining tooth structure could be restored using different restorative options. The simplest cavity is “Class I. A molar with a “Class I” cavity should be restored with conservative approach and the […]
Clinicians often face dilemmas regarding the most appropriate way to restore a tooth following root canal treatment. Whilst there is established consensus on the importance of the ferrule effect on the predictable restoration of root filled teeth, other factors, such as residual tooth volume, tooth location, number of proximal contacts, timing of the definitive restoration […]
Perforations are defined as artificial communications between the root canal space and the surrounding tissues. Endodontic perforations represent an interruption of the continuum between the endodontic space and the periradicular tissues, periodontal tissues or oral cavity. In the presence of perforation, studies report a 10 to 12% increase in the failure rate of endodontic procedures. […]
The removal of gutta-percha and sealer from endodontically treated root canals is the first step of any retreatment of teeth obturated with these materials. Gutta-percha is the most common obturation material, used in conjunction with various sealers. The removal of gutta-percha from root-filled teeth is required not only for the retreatments, but also to prepare […]
Effective management of external cervical resorption (ECR) depends on the accurate assessment of the true nature and accessibility of ECR. The aim of this article is, based on the available evidence, to describe a strategy for the management of ECR with a new bioactive material. In cases where ECR is supracrestal, superficial and with limited circumferential spread, […]
How much technology can support us? Print&Try technique represents a really useful method in order to simulate the root canal treatment. Using CBCT Scan images, it is possible to extrapolate file that can be transformed into an STL model and then printed with a high definition 3d printer. Clinicians can train on a 3D printed […]
A common trauma of anterior teeth is a coronal fracture. In according with the other article of Fabio Gorni on the same topic, also In this case we report a new conservative approach of a complex double reattachment associated to root canal therapy followed by fixing the fragments with a post. Due to the young patient age, the only […]
“…I’ve often said on stage that I have two things to teach for the rest of my life and one is Endodontic Access Cavity Preparation and the other is Glide Path Management…” (Cliff Ruddle) Has been described on previous articles that canal preparation consists of three distinct stages: initial canal negotiation (Scouting and Preflaring), creation […]
As discussed on the previous article, the manual preflaring creates a glide path for safer use of hand files and NiTi rotary instrumentation. Canal scouting is the first phase of canal instrumentation, during which procedural difficulties or errors might more frequently occur.
After access cavity, Preflaring, Canal Scouting and Glyde Path are the first phases of canal instrumentation and it has also been noted that, during these phases, the clinician might more frequently encounter procedural difficulties. These problems include instrument fracture, ledge formation, canal zipping or canal straightening, strip perforation, apical perforation, elbow formation and apical blockage. […]