Latest clinical Guide

Endodontics

Access Cavity Preparation in Endodontics: a clinical guide

Access Cavity Preparation in Endodontics: a clinical guide

A properly prepared access cavity is the single most critical step for a successful root canal treatment. This foundational procedure creates a direct, unobstructed pathway, allowing the clinician to efficiently locate, clean, shape, and fill the entire root canal system. Read the article click here.

Techniques for Locating Hidden or Missed Canals



A missed canal is an additional root canal that is not located or treated during the initial root canal procedure. This often happens because some canals are small, anatomically complex, or in unusual positions, making them difficult to detect with standard methods.

Missed canals are especially common in molars, which have multiple roots and more intricate internal structures. Finding and treating every canal is crucial, as a missed canal can lead to persistent infection and the failure of the root canal treatment. read the article

Management of Calcified Canals: Techniques, Tools, and Best Practices


Navigating calcified canals is one of the most significant challenges in endodontics. Successfully treating these cases requires a deep understanding of advanced diagnostic methods, the use of specialized instruments, and meticulous procedural planning to prevent complications. This article provides a comprehensive overview of key strategies for managing calcified canals. read the article

Optimum Endodontic Irrigation protocol: evidence based

Endodontic irrigation is a critical component of successful root canal therapy. While the primary goal is to eliminate infection and preserve the natural tooth, this outcome relies on the thorough cleaning and disinfection of the root canal system. Irrigation complements mechanical debridement, ensuring the complete removal of contaminants. read the article

Root Canal Obturation: Ensuring Long-Term Success in Endodontics

Root canal obturation is the final, crucial step in endodontic treatment. It involves completely sealing the cleaned and shaped root canal system to prevent reinfection and guarantee the long-term preservation of the tooth. To achieve this, the canal must be filled with a biocompatible material, leaving no voids where bacteria can regrow. This article explores the principles, techniques, and materials essential for successful obturation and a positive endodontic outcome. read the article

Materials Used in Root Canal Obturation: A Comprehensive Guide
The success of root canal obturation—the final sealing of the cleaned and shaped canal system—depends largely on the materials used. Selecting the appropriate materials is crucial for achieving a three-dimensional seal that prevents bacterial leakage and promotes the healing of periapical tissues. This article will explore the various materials utilized in obturation, their unique properties, and how they contribute to a successful, long-lasting endodontic outcome. read the aricle 

Techniques for Root Canal Obturation: Ensuring Endodontic Success

Root canal obturation is the final, crucial step in endodontic treatment, where the cleaned and shaped canal system is sealed to prevent reinfection. The success of this process hinges on the obturation technique used, as it determines whether a three-dimensional, hermetic seal is achieved. While numerous techniques exist, each has its own advantages and limitations. This article explores the most common methods, detailing their strengths, weaknesses, and ideal clinical applications. read the article

Management of Internal Root Resorption: Advanced Techniques

Internal root resorption is a pathological process where the dentin and inner structures of a tooth's root are gradually broken down. This condition is typically caused by chronic pulp inflammation, infection, or dental trauma. As the resorption progresses, it weakens the tooth's structure, and if left untreated, can lead to extensive damage and eventual tooth loss. For this reason, early diagnosis and treatment are critical for preserving the affected tooth. read the article

Mastering Gutta-Percha Removal: A Comprehensive Guide for Dental Professionals

Gutta-percha removal is a critical first step in endodontic retreatment, allowing clinicians to access, properly disinfect, and reshape the root canal system. Successfully removing the old gutta-percha requires technical skill, specialized tools, and a thorough understanding of the tooth's anatomy. This guide offers a comprehensive overview of the techniques, tools, and strategies you need to master this essential aspect of endodontic retreatment. read the article

Endodontic File Bypass: a clinical guide step by step

Endodontic treatments—or root canal treatments—are essential for saving teeth affected by severe decay or infection. A common challenge, however, is encountering a blockage caused by calcification, a broken instrument, or debris. To navigate these obstructions and ensure successful treatment, endodontists rely on endodontic file bypass, a critical technique that allows them to move around the blockage to reach the rest of the root canal system. read the article

Endodontic Perforations: Prevention, Diagnosis, and Treatment

An endodontic perforation is an unnatural opening between the root canal system and the external surface of the tooth. This can happen during a dental procedure (a procedural error) or due to pathological reasons like severe dental decay or root resorption. read the article

Mastering Floor Perforation: Essential Tips for Dental Success

Floor perforation is a serious complication where an instrument or dental bur creates an opening through the floor of the pulp chamber into the surrounding bone and soft tissues. This undesirable event most often happens during root canal therapy, restorative procedures, or even during a diagnostic exploration. If not managed properly, a floor perforation can compromise the tooth's integrity and lead to significant complications. read the article

Vertical Root Fractures in Dentistry: Diagnosis, Treatment, and Prevention

A Vertical Root Fracture (VRF) is a fracture that affects the tooth root, often beginning near the tip and extending upward. Because it develops internally, a VRF is difficult to detect without advanced imaging or exploratory surgery. It is especially common in teeth that have undergone extensive dental procedures, such as root canals, which can weaken the tooth's structure over time. read the article

Restoring Endodontically Treated Teeth: a clinical guide

Endodontically treated teeth, or teeth that have had a root canal, undergo significant structural changes. The removal of the pulp and the process of cleaning and sealing the canal leave the tooth more fragile and susceptible to fractures. This structural weakening presents a unique challenge for restorative dentists, who must provide both functional support and aesthetic restoration to the tooth. read the article

The Comprehensive Guide to Post and Core Restorations step by step

A post and core is a restorative procedure used to rebuild and support a tooth that has had a root canal and lacks sufficient structure to hold a traditional crown. The post is placed inside the tooth's root to provide essential support, while the core rebuilds the tooth's crown portion, serving as a stable foundation for the final restoration. This technique is crucial for saving a tooth that would otherwise be lost. read the article

Apicoectomy: Indications, Procedure Steps, and Post-Operative Care

As dental professionals, we often encounter cases where standard root canal therapy (RCT) is not enough to resolve persistent periapical pathology. In these challenging situations, an apicoectomy—or root-end surgery—is a critical procedure that can save a tooth from extraction. This article explores the clinical indications, procedural steps, and post-operative considerations for apicoectomy, offering a detailed overview to help dental practitioners expand their endodontic skills. read the article

Step-by-Step Vital Pulp Therapy for Permanent Teeth (VPT Guide)

Vital pulp therapy (VPT) is a minimally invasive procedure aimed at preserving the vitality of the dental pulp, especially in young permanent teeth. When correctly diagnosed and performed, a pulpotomy can maintain the tooth's natural vitality, allow for continued root development, and extend the tooth's lifespan. read the article

Understanding the Difference Between Apexification and Apexogenesis

In pediatric dentistry and endodontics, managing immature permanent teeth with exposed or damaged pulp is a common challenge. Two critical procedures used to address these issues are apexification and apexogenesis. While both treatments aim to manage and preserve immature teeth, they differ significantly in their approach, indications, and outcomes. Understanding the differences between apexification and apexogenesis is essential for dental professionals to make informed decisions regarding patient care. read the article

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