Dental Tribune International
Clinical
EdgeFile X7: Beastly bifurcation

February 15, 2021

In this article, I report a case of a 33-year-old patient with irreversible pulpitis and symptomatic periapical periodontitis affecting tooth #26 (Fig. 1). This case was diagnosed and accessed through the crown using diamond burs and then irrigated with sodium hypochlorite.

Management of iatrogenic pulpal floor perforation in a mandibular molar with MTA and PRF

June 15, 2020

This was a challenging case with the combined issues of a failed root canal therapy and an iatrogenic perforation of the floor of the pulp chamber. Though initially the prognosis could not be evaluated effectively simply because of non-availability of peer-reviewed literature of similar cases for citation, but the case was taken on owing to the patient’s desire to salvage the natural tooth. The importance of magnification and the ergonomic use of the dental operating microscope cannot be more clearly demonstrated than in this case.

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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.

Endodontic follow-up in strongly curved root canals

April 11, 2020

The lasting success of any root canal therapy is always only apparent after long-term observation. In this article, based on a case study, the author demonstrates how a strongly curved canal in the posterior maxilla was prepared using pre-bendable nickel-titanium (NiTi) files, ensuring that a bacteria-proof seal is created that can last for as long as six years after the procedure. Here, the use of a reduced file sequence is just as important as the advantages of a flowable obturation material.

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.

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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.

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.

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