This case report describes root canal filling performed over a large S1 ProTaper file fragment in a second mandibular molar with irreversible pulpitis. An S1 ProTaper file was fractured during the instrumentation of the mesiobuccal canal. Approximately 10 mm of file fragment remained in the apical and middle thirds of the canal. The obturation was performed over this fragment using thermomechan...

Background The purpose of this prospective randomized single-blind clinical trial was to evaluate the effect of tilting the head on the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. Methods Ninety-two patients were divided into two groups: the first group received IANB and the head was tilted in the direction of the block for 1...

The aim of this case report was to present the non-surgical root canal treatment of the geminated maxillary anterior lateral incisor tooth. A 50-year-old female patient was referred for endodontic treatment of her maxillary right lateral incisor. In the clinical examination, a large crown was observed in the right maxillary incisor region when compared with the left maxillary lateral incisor. T...

Objetivo: Determinar la prevalencia de patologías pulpares en pacientes atendidos entre 25 a 35 años las clínicas Endodoncia Universidad San Gregorio Portoviejo (USGP) el período 2015- 2017 mediante los registros historia clínica archivados base datos digital. Metodología: Estudio no experimental, transversal, descriptivo corte retrospectivo, bibliográfico, observación indirecta. Resultados: La...

Root canal anatomy is complex, and the recognition of anatomic variations could be a challenge for clinicians. This case report describes the importance of cone beam computed tomographyic (CBCT) imaging during endodontic treatment. A 23 year old woman was referred by her general dental practitioner with the chief complaint of spontaneous pain in her right posterior maxilla. From the clinical an...

I read with interest the editorial by Dr. Martin Trope in Volume 17, Number 3, 2005, of the Journal of Esthetic and Restorative Dentistry. Clearly, dental implant therapy has emerged as a viable treatment modality for the replacement of single or multiple missing teeth, and dental implants have experienced significant levels of clinical success. While I generally agree with Dr. Trope’s assessme...

A randomized, double-blind trial was conducted to compare the efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine when used as a supplemental anesthetic. Forty-eight patients with irreversible pulpitis requiring supplemental buccal infiltration for endodontic therapy were given either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:100,...