Fig. 1

A 54-year-old male patient reported to the clinic with a chief complaint of mild pain in right maxillary first molar since 2 month and gave history of root canal treatment done 25 years ago

Fig. 2

Clinical examination revealed that the right maxillary first molar (tooth no 16) was tender on percussion, discolored, periodontal probing within normal limits (<3 mm) and no mobility. Fractured amalgam restorations were observed as shown in Figure 2.

Fig. 3

Silver Points exposed after removing the filling

Fig. 4

Removed silver points

Fig. 5

After shaping

Fig. 6

Master Cone Radiograph

Fig. 7

Obturation with GP + BC Sealer

Fig. 8


Fig. 9

post operative radiograph shows adequate obturation of the root canal systems

Complete procedure

Fig. 10

About the author:

• Dr. Amin Helani graduated in 2014 from the University of Aleppo in Syria.


• In 2021, he received a specialist degree in Endodontics from the German Society of Endodontics.


• He works as a Microscopic Endodontist for advanced root canal treatment in Braunschweig, Germany.


• He has been offering lectures, webinars, and hands-on courses to both general dentists and endodontists.


• He is a member of the German Society for Endodontology and Traumatology.


• He is a fellow member of Style Italiano Endodontics.


In summary, silver points do not adequately achieve a proper seal of the apical foramen, corrode over time, resulting in elevated levels of leakage. This inherent flaw contributes to a significant failure rate in root canal therapy, frequently requiring retreatment for affected teeth. The challenge of occasionally irretrievable silver points further reduces the overall prognosis. Consequently, the use of silver points as an obturation material is contraindicated in clinical practice, underscoring the imperative use for alternative and more effective materials to ensure the success of endodontic treatments.


Seltzer S, Green DB, Weiner N, DeRenzis F. A scanning electron microscope examination of silver cones removed from endodontically treated teeth. Oral Surg Oral Med Oral Pathol 1972:33:589-605.

Cohen S, Hargreaves K. Pathways of the Pulp (9th ed). St Louis, Missouri: Elsevier Mosby 2006;522-24.

Nehme WB. Elimination of intracanal metallic obstructions by abrasion using an operational microscope and ultrasonics. J Endod 2001;27(5):365-67.

Ruddle CJ. Microendodontic nonsurgical retreatment: Silver point removal. Dent Today 1997 Feb;16(2):64-69.