Riccardo Tonini

Retreaty: The best daily practice with the best kit available 

Our primary purpose in Endodontics is represented by the chance to preserve and maintain a tooth in place, even if previously treated. One of the indication for a retreatment is when the coronal seal is compromised. This clinical case highlights the daily practice with the predicability of the use of Retreaty kit by Perfect Endo.

Retratment of an upper first molar made with the Retreaty kit by Perfect Endo

A retreatment can represent an issue for every practitioner. It is always unpredictable due to many unforeseen elements like intracanal obstacles, iatrogenic errors and complicated anatomies. Recently the Retreaty Kit has been launched: it consists in a sequence of files made with the idea of providing the clinician with a predictable sequence to follow since […]

ReTreaty kit for conservative retreatments

There is a great trend of interest in minimally invasive treatments in endodontics. Is it possible to apply the same concept in Retreatments, where the previous therapy has failed?Can we change in some way our mindset?Is it possible to use as much as possible just a sequence like ReTreaty kit instead of many different files?

The plan was to get better.

Retreaty Kit, for easier and predictable retreatments

The reason why we designed and developed ReTreaty kit, is because we felt the need to make the reatreatment procedure more predictable and easier. As StyleItaliano Endodontics we already shared the concept that a primary treatment should start since the beginning with rotary files for avoiding iatrogenic errors created by hand files. We transferred now […]

Root canal debridement and disinfection in minimally invasive shaping

Root canal debridement and disinfection are a crucial phase of every endodontic therapy. Modern Endodontics has shifted towards conservative shapings, reducing the taper of the newest Ni-Ti instruments, but what about irrigation? Would this reduction in the volume of the preparation lead to an insufficient volume of irrigant, with a consequent failure of the therapy? […]

Why did I choose IrriFlex?

Here is a short list of reasons that led me to choose IrriFlex by Produits Dentaires SA for my daily practice

Prexo as new plugger for the ideal MTA apical plug

MTA apical plug still represents a gold standard procedure for permanent sealing of the apexes of different sizes. The precise and controlled placement of this material is always intended and Prexo M plugger showed the best flexibility and tip design for a controlled adaptation of MTA in the apical zone regardless of apical size diameter. […]

Wide and Wild: how to manage in a predictable way an open beveled apex

This article shows the managment of a difficult retreatment. An irregular anatomy can put the clinician in front of different procedural difficulties and an improper retreatment could compromise definitively the prognosis of the tooth. For this reason it has been decided to do some practice on the 3d printed version of the same tooth, thanks […]

Bioceramic sealers application: the ultimate guide

Warm and cold Gutta percha in combination with various types of root canal sealers have been considered the dominant techniques since the mid nineteenth century. With the advent of Bioceramic premixed sealers, maybe a new era started, but first of all a new trend has been established. All these kind of sealers should be extruded […]

Endodontic treatment of an immature necrotic tooth

A 19 years old patient with a traumatized upper central incisor and a non esthetic diastema came to my office. Considering the age of the patient it has been decided to proceed with a conventional apical plug made in MTA and a direct composite restoration. The major problem in performing a RCT in an inimmaure […]

Deal with it!

Extendo is a really versatile instrument, especially when anatomy is complicated! This video shows a three rooted upper premolar and its 3d obturation using a bc sealer and just tips of GP points.

Management of a three rooted premolar with Fanta Essential Kit

The maxillary first premolar is the most commonly bi-rooted tooth with occasional presentation of three roots system. This clinical has has been managed with Essential Kit by Fanta Dental, a right balance between flexibility and cutting efficacy!

A trauma story

This is the story of an injured upper right later incisor. Due a surgical approach, a lateral incisor root has been accidentally cut in two parts. In this case the approach has been only to take time and check continuously vitality, eventual root resorption and crown color.

Smooth endo-resto

Nice and smooth shaping made with our selection of FANTA files. The restoration was done with a 3D printed overlay.

Does anatomy represent a limit for root canal disinfection?

From a recent Randomized clinical trial (Comparison of the Effect of Two Endodontic Irrigation Protocols on the Elimination of Bacteria from Root Canal System: A Prospective, Randomized Clinical Trial) it was demonstrated that "there was no statistical difference between irrigation methods. Each protocol resulted in a high frequency of negative cultures. This high frequency of negative […]

The perfect fiber post removal

The fiber post removal is always a challenge and the clinician should be as conservative as possible. Different techniques have been suggested, but two of them are the most common: Ultrasonics and counter-angle burs.   The removal of posts from endodontically treated teeth can be a major obstacle in the retreatment of teeth. The goal […]

Fiber post removal: don't miss the post

Fiber post removal is a first necessary step in order to gain the access to the root canals and retreat them. Many techniques have been suggested, but in this article we will consider the first analytical considerations in order to avoid procedural iatrogenic errors. The removal of fiber posts from endodontically treated teeth can be […]

An external cervical resorption managed with MTA: 5 years follow up

In this article it will be explained how to manage an external cervical resorption with MTA. A five years follow up will demonstrate that MTA was the right choice in terms of biocompatibility and sealing performance. External resorption originates in the PDL and is identified thanks to an irregular radiolucent area overlying the root canal. External […]

Apical fluid dynamics: the irrigant exchange

Syringe irrigation remains a widely used irrigant delivery method during root canal treatment. Unfortunately in the apical region there is always a limited liquid exchange due to physical and mechanical reasons. It means that the chemical actions of our irrigants can be limited and ineffective. Can we make the irrigant apical exchange more predictable in […]

Mb2 as a first choice

This clinical case demonstrates how a strategy is important to approach in a proper way a difficult clinical case. MB1 scouting usually it’s easier and more predictable and only in a second time we dedicate our attention to MB2. Here instead, considering the difficulty of scouting MB1, it was decided to manage the situation  in […]

Vertical Apical Root Fracture

Vertical fractures can occur and their diagnosis is not always predictable. Will be presented here the treatment of a 2.6 with a vertical apical fracture in the mesial root.   Vertical root fractures have been described as longitudinally oriented fractures of the root, extending from the canal to the periodontium. It usually happens in endodontically […]

What a surprise!

When I started treating the tooth number 3.7, I understood from the beginning that the case was peculiar. During the emergency session a radix paramolaris was not detected and a SX rotary file created immediately an accidental stripping during orifice opening. The management of an unconventional anatomy and the repair of a iatrogenic error will […]

The Glide Cleaning

Negotiation, glide path, and preflaring are essential steps in root canal shaping. They always must be associated to a good debris removal in order to avoid accidental canal blockage or apical extrusion of debris. For this reason, a deep irrigation should be achieved since the first steps of a root canal treatment. Adequate cleaning, shaping, and […]

Print & Try

How much technology can help us? Print&Try technique represents a really useful method in order to simulate the clinical treatment that will be done next. From CBCT it’s obtained a file that is transformed in an STL and printed after with an high definition 3d printer. Clinician can try and find the best approach in […]

Our choice for the Obtura Spartan Endodontics US tips

Ultrasonics in Endodontics has improved the quality of treatment and represents an important adjunct in the treatment of conventional and difficult cases. Since its introduction, Ultrasonics has become increasingly more useful in applications such as access cavity refinement, canal orifices scouting, removal of intracanal materials and obstructions, and endodontic surgery. This is a guide and […]

CanalClean 2S: a tailored kit for irrigation

Nowadays, canal irrigation is considered as a key factor for a successful root canal treatment. It has to be considered that the shaping phase has deeply improved, due to the advancements in file technology, and practitioners are using the lowest number or rotary files ever into the root canal. Thus, preparations are quicker and more […]

MAP System: choose the right carrier for MTA

The best device for making simple the use of MTA is MAP System, a unique and complete kit, designed for answering to all the different requests of clinicians. Four different kits available on the market, composed by One map syringe and Nine different tips, made of Two different materials and manufactured in Three diameters. They are: MAP System Intro Kit,Universal Kit, […]

Final rinse protocol - The Time Factor

Time is a decisive factor and is probably the most important element that can affect success in Endodontics. An Endodontist is aware of the time he will be starting a RCT, but never knows when the treatment will be finished, nor how much time is required for Glidepath or if the time dedicated to disinfection is […]

Fab Lab: video tutorial of MTA Sandwich Technique

Root perforation repair has historically been a treatment with a low success rate; however, recent techniques and materials utilized in root perforation repair, have dramatically improved the prognosis of both surgical and nonsurgical procedures. Root perforation is defined as an artificial communication between the root canal system to the supporting tissues of teeth often caused by using rotary […]

Root canal disinfection during retreatments: a cordless revolution

The ultimate goal in endodontics is the complete removal and disinfection of the root canal space. The question is if that goal is truly achievable utilizing the conventional techniques we are currently taught. And what about retreatments? Retreatment of endodontic failures is a significant portion of endodontic specialty practice and failure might occur in case of […]

Apical Gauging: measuring the Control Zone

Apical gauging is a mechanical term which clinically indicates the measuring of the apical diameter prior to obturation of the root canal system. This technique envisages the need to confirm that apical continuity of taper exists and that the tapered preparation, made with the last instrument, extends all the way to the end of the […]

A simple trick for a sharp apical barrier placement

One step apexification with MTA is nowadays a widely diffused procedure, although the major problem in cases of a wide open apex is the need to limit and confine the apexification material at the apex, avoiding its extrusion into the periodontal tissue. The use of a biocompatible matrix is advisable because its placement in the […]

Endodontic training

At one time I thought the most important thing was talent. I think now that — the young man or the young woman must possess or teach himself, train himself, in infinite patience, which is to try and to try and to try until it comes right. He must train himself in ruthless intolerance. William […]

PROTRAIN: Endodontic training system

Protrain has been thinked to allow and facilitate the simulation of the dentists endodontic therapy during workshops and training courses. Buy Protrain

A novel method for Fragment Reattachment After Post Placement

Fracture by trauma is one of the most common kind of dental injury in the permanent dentition among children and teenagers.If the original tooth fragment is retained following fracture line, the natural tooth structures can be reattached using adhesive protocols. In this article we report one case of traumatized maxillary permanent central incisors, which were […]