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.
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.
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.
May 24, 2016
Nowhere in dentistry is technical progress as rapid as it is in modern endodontics. The development of flexible nickel-titanium (NiTi) files in the late 1980s created entirely new and hitherto unknown opportunities in the mechanical preparation of root canals. The following article gives a descriptive explanation of the decisive technical differences between a conventional file system and the latest generation of instruments. Employing a number of different scenarios, the article examines the opportunities available to ENDO specialists and beginners through the smart application of modular NiTi systems in different treatment situations.