Success in root canal treatment is achieved after thorough cleaning, shaping, and obturation of the root canal system. This clinical case describes conventional root canal treatment of an unusual mandibular first molar with six root canals. The prognosis for endodontic treatment in teeth with abnormal morphology is unfavorable if the clinician fails to recognize extra root canals.

Current, relevant knowledge on the outcome of endodontic therapy is key to clinical decision making, particularly when endodontic treatment is weighed against tooth extraction and replacement. Inherent to reviewing the outcome is a definition of "success" in relation to the goals of therapy. As the specific goal set out by the individual patient may either be healing/prevention of disease (apic...

Varieties of objects have been introduced into the root canal system accidentally or intentionally; removal of these objects necessitates the success of the treatment. This paper explains an unusual bur fracture during nonsurgical endodontic treatment and its removal by ultrasonic energy with ease and without the removal of extra large amount of root dentin.

This case report presents an uncommon case of maxillary molar with two palatal root canals and an enamel pearl in the furcation area. The article discusses root canal complexities of maxillary second molars as well as possibility of coexisting anomalies in the region that makes radiographic interpretation difficult and compromises the success of endodontic treatment.

Endodontics has evolved as a truly scientific procedure and, when correctly diagnosed and performed, its research-reinforced statistics corroborate its high success rates. In order for a correct diagnosis to be made, a number of steps and tests are required. These include ascertaining the source of the patient’s chief complaint, understanding the patient’s dental history and performing pulp tes...

INTRODUCTION This systematic review aims to illustrate the outcome of vital pulp therapy, namely direct pulp capping, partial pulpotomy, and full pulpotomy, in vital permanent teeth with cariously exposed pulp. METHODS Electronic database MEDLINE via Ovid, PubMed, and Cochrane databases were searched. Hand searching was performed through reference lists of endodontic textbooks, endodontic-rel...

Diseases of the dental pulp often have an infectious origin, and treatments are aimed to control infections of the root canal system. Endodontic treatment principles originally evolved on the basis of trial and error, and only in recent decades have scientific methods been adopted to support clinical strategies. Yet, relevant research on the disease processes, their diagnoses, and efficient tre...

A 41-year-old male with a dental history of invasive cervical resorption (ICR) was initially treated surgical endodontics approach and secondly antimicrobial photodynamic therapy (aPDT) along endodontic retreatment. The use aPDT essential to promote bacterial reduction in the defect. Combining these techniques allowed for clinical, radiographic, tomographic success after five years follow-up.