Case Studies

Endodontic Case Studies

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Endodontic management of challenging anatomy with a new file system — about a retreatment in upper first premolar type VI Vertucci

Dr. Hugo Sousa Dias illustrates retreatment of a case with complex root canal anatomy Introduction It is well established that the success and predictability of root canal treatment to prevent or cure apical periodontitis is dependent upon accurate diagnosis and performing each stage of treatment to a high standard.1 The endodontic treatment failure is usually […]

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Anatomy of a minimally invasive endodontic case

Dr. L. Stephen Buchanan discusses approaching zero loss of structural integrity during RCT Mentioning the term “minimally invasive endodontics” (MIE) invites a wide a range of emotional responses and definitions from endodontic specialists worldwide. “Ninja” access cavity preparations have bedeviled us as we’ve struggled to work through their compromised convenience form. We’ve lost heart muscle

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Apical sealing using a bioceramic material in apexification: a case report with 2-year follow-up

Drs. Romina Chaintiou Piorno, Maribel Rocío Mamani Flores, Eugenia Pilar Consoli Lizzi, Paula Leticia Corominola, and Pablo Alejandro Rodríguez discuss how to treat immature permanent teeth with pulp necrosis Abstract Aim Immature permanent teeth with pulp necrosis pose a challenge for endodontic treatment performance. Calcium hydroxide paste and mineral trioxide aggregate have been used in the

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Retreatment with GentleWave® of teeth that did not respond to traditional multi-visit treatment: a case series of five patients

Dr. Rick Schwartz discusses retreatment of five cases with varying outcomes Abstract Introduction: The GentleWave® device is claimed to provide more complete irrigation of the root canal system than traditional irrigation methods, potentially resulting in better treatment outcomes. One way to measure the efficacy of a clinical technique or device is to use it to

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Restorative-driven endodontics for more conservative outcomes

Dr. Gregori M. Kurtzman combines endodontic and restorative goals to achieve clinical success Introduction Endodontic treatment has trended to more conservative access as well as canal instrumentation to preserve as much tooth structure within the root and, specifically, the cervical region of the tooth, taking on a restorative-driven approach. Treatment outcome, especially long term, is

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Bioceramic sealer avoids shrinkage and excessive resorption

Dr. Rico D. Short discusses this promising option for endodontic treatment Introduction Two commonly used sealers present two different challenges. Resin-based sealers will shrink upon setting, while calcium hydroxide and zinc-oxide eugenol-based sealers can resorb over time. In contrast, bioceramic sealers expand slightly during setting (typically less than 0.2% of total volume) and, once set,

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