introduction: the success of endodontic treatment depends on the method and quality of cleaning, disinfection and three-dimensional sealing of the root canal. the smear layer can play an important role in the success or failure of endodontic treatment. there is controversy over the presence or removal of the smear layer in relation to the success or failure of endodontic treatment. this study u...

introduction: bacterial infection of tooth pulp can progress into periapical diseases. root canal treatment has been established as the best treatment. in cases of failure, nonsurgical retreatment of teeth is preferred to surgical procedure and extraction. materials & methods: in this historical cohort study, 104 permanent teeth with apical lesion were treated during 2002-2008. all teeth showed...

this case report describes the endodontic treatment of a large cyst-like periradicular lesion a 29-year-old female with a large chronic periapical abscess in the region of right maxillary sinus presented into private practice, accompanied with non-vital first upper molar and poorly root treated second upper molar. conservative root canal treatment was carried out for both of the involved teeth ...

in endodontics, severe involuntary gagging can have a severe impact on treatment procedure. there are many ways to ease the gag reflex, one of which is hypnosis. a 34-year-old male was referred for root canal treatment of a molar tooth. he had not received any dental treatments for the past nine years due to fear of severe gag reflex. three hypnotic sessions based upon eye fixation, progressive...

Local wound debridement in the diseased pulp space is the main step in root canal treatment to prevent the tooth from being a source of infection. Successful root canal therapy is always based on the combination of proper instrumentation, irrigation and obturation of the root canal. Of these three essential steps of root canal therapy, irrigation of the root canal is the most important techniqu...

This paper highlights the importance of root canal disinfection. It discusses the different endodontic irrigants available and comments on how these can be used most effectively. Eliminating bacteria from the root canal system is an essential stage in endodontic therapy. An objective of endodontic treatment is removal of diseased tissue, elimination of bacteria from the canal system and prevent...

a healthy female was referred to endodontic department. the referral letter from her dentist expressed that an emergency pulpotomy of tooth #27 had been carried out with probable perforation of the chamber floor which was due to the unusual anatomy of the chamber. cone-beam computed tomography (cbct) revealed that the tooth had two mesial and two distal canals. perforation site was repaired and...

introduction : teeth with irreversible pulpitis usually undergo root canal therapy (rct). this treatment modality is often considered disadvantageous as it removes vital pulp tissue and weakens the tooth structure. a relatively new concept has risen which suggests vital pulp therapy (vpt) for irreversible pulpitis. vpt with calcium enriched mixture (vpt/cem) has demonstrated favorable treatment...

Root fracture is defined as a fracture involving the dentin, cementum, and pulp. Most fractures occur in the maxillary anterior teeth between the ages of 11 and 20 years old. The treatment for root fracture in permanent teeth involves the reduction and fixation of the displaced coronal segment. When signs of pulp necrosis or inflammatory root resorption are present, root canal therapy should be...

the present report reviews the diagnostic and treatment challenges of a mandibular molar with previous root canal treatment and signs of a procedural mishap, i.e. furcal radiolucency and localized swelling of the gingival margin in which a sinus tract was present. by tracing the sinus tract, it became evident that the lesion originated from the furcation area, not the root apices. this case was...