Search results

Regenerative Endodontic Treatment of an Open Apex with Pulp Necrosis

Non-surgical retreatment of a large periapical lesion using bioceramic materials with complete healing .

Advances in endodontic materials have influenced contemporary approaches to root canal obturation. A bioceramic sealers possess favorable properties, including biocompatibility, dimensional stability and the ability to form hydroxyapatite, which may enhance sealing root canal spaces. These characteristics have contributed to a shift toward simplified obturation techniques, particularly the single-cone approach. Compared with traditional compaction techniques, this method reduces procedural complexity and clinical time while maintaining an effective seal of the root canal system. For straightforward endodontic cases with adequate cleaning and shaping, simplified obturation protocols using bioceramic sealers have demonstrated predictable clinical outcomes.

Root canal system is a very complex three-dimensional system. Although there are general rules about the anatomy, number of root/s or canal/s for each tooth, but we should expect everything. For that reason, we should have goon understanding, good reading of radiographs, good tools, and experience to deal with different scenarios

Variations in root canal anatomy, particularly the presence of middle mesial and middle distal canals, pose a significant clinical challenge.
Complex canal anatomies demand advanced strategies for effective cleaning, shaping, and obturation.
This article demonstrates how meticulous canal exploration, enhanced disinfection protocols, and bioceramic-based obturation can successfully manage such complexities, achieving a predictable three-dimensional seal.

The success of Endodontic treatment relies not only on the proper cleaning and disinfection of the root canal but also in the adequate restoration of the treated tooth. A well […]