Dental Tribune International
Clinical
Driving on autopilot

June 7, 2021

Long, narrow root canals are a real challenge even for renowned endodontic experts. Just like a good navigation system in your car, modern endodontic motors help you keep track on the long and winding road to the apex. In the following case, the clever co-pilot navigated the author safely through the treatment of a necrosis in tooth #47—indicating “traffic jams” as well as recommended “stops”.

Endodontic treatment of maxillary left first molar with complicated root canal system

June 2, 2021

The patient reported on in this article was referred to my dental office by his general dental practitioner. There was a large cavity and symptoms of irreversible pulpitis in tooth #26. The 38-year-old male patient had reported to his general dental practitioner with the complaint of toothache in the left upper jaw. The maxillary left first molar was diagnosed as the cause of his complaint. The cavity had been partially prepared, and the mesial wall temporarily restored.

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Clinical management of maxillary second molar root canal therapy in different anatomical situations

June 8, 2020

Maxillary second molars are always a challenge for root canal therapy. This difficulty is related to the location of the tooth, way back in the maxilla with limited access, and the variety of anatomical situations. In this article, we will focus on some of those anatomical variations and how to handle them.

Shaping a Type V mandibular premolar with VDW.ROTATE

March 30, 2020

Many years ago already, the anatomy of root canals was described as showing variability and being of a complex nature. According to Vertucci, the mandibular first premolar has one canal at the apex in 74.0% of teeth, two canals at the apex in 25.5% and three canals at the apex in 0.5% of teeth.

Dynamic navigation—The future of minimally invasive endodontics

March 11, 2020

Dynamic real-time surgical navigation digital imaging, diagnostics and impressions, and the use of computer-aided design/computer-aided manufacture (CAD/CAM) for prosthesis fabrication and lasers for soft and hard tissue augmentation are altering the developmental framework in dentistry. Nowhere is this more prevalent than in the foundational pillar of endodontics.

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Torsional resistance of two nickel-titanium rotary instruments: A comparative study

August 19, 2019

This study explores how heat treatment less significantly influences (increasing or decreasing) torsional resistance when compared to the high increase in flexibility and fatigue resistance reported in many published articles. Moreover, torsional fracture occurs extremely rapidly when an instrument’s tip becomes blocked.

Use of 3D technology in the diagnosis and treatment of endodontic disease

August 14, 2019

In recent years, the technology associated with endodontic therapy has undergone a veritable revolution. For years, intraoral radiographs were used as the basis for diagnosis and for planning root canal therapy, despite the fact that these images did not provide a faithful reproduction of the endodontic anatomy. This created a series of technical problems, which, although they could be partly overcome by the operator’s personal experience, to some extent remained unresolved, especially in the field of diagnosis.

Apical lesions: To treat or not to treat?

January 25, 2019

What do endodontic experts base their decisions on: intuition, experience or CBCT imaging? The following case report on a 10-year-old patient shows that an apical lesion does not necessarily mean the affected tooth has to go. Using flexible nickel-titanium (NiTi) files, even root canals with curves or special features can be cleaned safely and with long term success.

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