We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and i...

The surgical treatment of a case of anesthesia that occurred with the extrusion of Endomethasone root canal sealer into the mandibular canal is presented. Endomethasone is a neurotoxic root canal sealer containing paraformaldehyde and eugenol. The literature indicates immediate surgical decompression on the extrusion of Endomethasone into the mandibular canal. In our case, the decompression sur...

This case report demonstrates sequential periodontic, orthodontic and prosthodontic treatment modalities to save and restore deep horizontally fractured maxillary central incisor. The location of fracture was deep in the mucosa which reveals less than 2 mm of tooth structure to receive the crown. The procedures like surgical crown lengthening, endodontic post placement, orthodontic forced erupt...

When non-surgical attempts prove unsuccessful or are contraindicated, surgical endodontic therapy is needed to save the tooth. The procedure usually consists of exposure of the involved area, root end resection, root end preparation and insertion of a root end filling material. Numerous materials have been suggested as root end filling materials. This article is a review of the literature on th...

An important consideration in endodontic treatment is the elimination of microorganisms, including fungi, from the complex threedimensional root canal system. Yeasts can be detected in 7-17% of infected root canals. Candida albicans (CA) has a major role in endodontic treatment failure as the most important fungus isolated from the root canal system. C. albicans has been associated with root ca...

Inflammatory periapical lesions are one of the major complications of dental injuries. Here we report a case of large cyst-like periradicular lesion from the apices of 31, 41, 42 in an 18-yr-old boy that was managed by using nonsurgical and surgical endodontic methods. During endodontic procedure, 2.5 % sodium hypochlorite solution was used for irrigation and calcium hydroxide paste was used fo...

INTRODUCTION Perforation repair is a fairly common endodontic procedure, but most of the recall data in the endodontic literature are short-term (ie, 1-2 years). The purpose of this article was to present 4 clinical cases of perforation repair with medium- to long-term recalls. METHODS Four cases were selected with different clinical scenarios. Three nonsurgical cases were retreated, repaired...

Introduction. If the teeth are impacted by a chronic irritant, the pulp space possibly will undergo calcific changes that may impede access opening during root canal treatment. In such cases that conventional endodontic treatment is impossible or impractical, intentional replantation may be considered as a last solution to preserve the tooth. Methods. After failing to perform conventional root ...

Endodontic surgical procedures involve the use of a root-end filling material to provide an apical seal and to facilitate the repair and regeneration of periradicular tissues. Whereas earlier studies typically evaluated the cytotoxicity of these materials, contemporary research has focused on their capacity to support a favourable cellular response. In vitro tissue culture techniques have demon...

INTRODUCTION Root-end preparation and restoration with an endodontic material are required when nonsurgical endodontic retreatment has failed or is impossible. The present clinical study reports the treatment outcomes of periradicular surgery using calcium-enriched mixture (CEM) cement. MATERIALS AND METHODS A prospective outcome study of periradicular surgery using CEM was conducted on 14 pe...