Our Articles & Clinical Cases

The second maxillary premolar  may have 1 to 3 roots: with one root canal in 75-96% of cases, with two root canals in 4-24% and three root canals in 0-1%. Careful interpretation of preoperative radiographs is essential for providing insight into the number of existing root canals. In maxillary premolars with multiple roots and canals, […]

This particular case serves as an illustrative example of the application of correct rotary protocol in the execution of a root canal procedure within a mandibular first molar with calcified and missed canal, employing Retreaty files from Perfect Endo.

The aim of the article is not to introduce a new technique, but to combine existing and consolidated ones in order to maximize the ergonomics, quality and predictability of our treatments; the proposed protocol was designed to satisfy the work mantra "the best work, in the shortest time, in the greatest comfort" and therefore entirely focused on reducing chair time and maximum operational facilitation.

Healing of big periapical lesion is a real challenge. But with the use of contemporary devices, techniques, tools and materials, have increased the outcomes of such situations

Amongst the different stages of endodontic retreatment, filling material removal may be performed by using manual files and rotary instruments. Further, desobturation may be associated with ultrasonic activation and different types of solvents, although they are currently used with less frequency. However, no retreatment technique is reliable enough to clean root canal system completely after reinstrumentation.

The purpose of this article is to explain all the phases to do in a correct way an apical plug. Today on the market there was a lot of material that perform wery well like MTA or Bioceramic material in putty consistency. It’s important to know not only the technique but also when it is […]

Abiding by the styleitaliano philosophy Retreaty kit allowed a more conservative way in retreatment cases by having 3 different alloys to help in managing the cases in feasible, teachable & repeatable approach

Endodontic cases involving broken instruments are among the most challenging and stressful in the field. Even the top experienced endodontists will agree that removing broken tools demands unwavering calm and exceptional self-control. This procedure isn't for everyone, as a rushed decision or improper removal can lead to failure. It's important to remember that any attempt […]

Perforation is an iatrogenic communication that is formed between the tooth and supporting tissues.
It is important to manage perforations as soon as they are diagnosed.
An ideal peforation repair material is Mineral Trioxide Aggregate.

Middle mesial canal (MMC) is an additional canal found in mandibular first molars. The knowledge of its presence and its detection, negotiation, disinfection and sealing plays paramount importance in the overall endodontic success. 

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 […]

As endodontists we often encounter retreatment cases with procedural errors such as canal blockages, ledges, instrument fractures and perforations.  The ledge is defined as an iatrogenic deviation from the original canal path that does not communicate with the periodontal ligament. The presence of a ledge prohibits the files from reaching the canal terminus, resulting in […]