Pulpal and periodontal problems are responsible for more than half of the tooth mortality. There are some articles published in the literature about this issue. Many of them are quite old. There has been also lack of knowledge about the effect of endodontic treatment on the periodontal tissue healing and suitable treatment interval between endodontic and periodontal treatments. In this case rep...

Endodontic treatment of immature necrotic teeth is a real challenge. Recently, a biologically based treatment strategy, referred to as regeneration, has been introduced. Tissue regeneration requires the presence of stems cells, a scaffold, and growth factors. Endodontic regeneration may improve the prognosis of immature necrotic teeth by re-establishing the functional pulpal tissue and further ...

Endodontic surgery aims at the resolution of a periapical inflammatory process by surgical access followed by enucleation of the lesion and root-end filling to curb any potentially noxious agent within the physical confines of the affected root. Guided bone regeneration could be associated to endodontic surgery aiming to enhance periradicular tissue regeneration. The objective of this paper was...

The success of regenerative endodontic procedures requires practitioner acceptance, but little or no evidence is available. The purpose of this survey was to collect the opinions of attendee's of the 2008 Endodontic Board of Diplomates 2008 Summer Conference on the issue of regenerative endodontic procedures (REPs). After Nova Southeastern University institutional review board approval, 100 cop...

The ultimate aim of endodontic treatment focuses towards the complete preservation of physiologic, structural & mechanical integrity of native pulp – dentin complex. Regenerative endodontic procedure along with tissue engineering can be one of the novel approach to restore tooth structure. Over the last two decades, tissue engineering has promoted from science fiction to science. Tissue enginee...

We aim to present a case of obliterated root canal which was successfully treated in our dental faculty using these new techniques. Teeth with calcified root canals referred for endodontic treatment pose pa rticular diagnostic and treatment challenges. Usually these are intact traumatized anterior teeth without symptoms except of slight discoloration, without apical radiolucency. The thorough k...

Fusion is a rare occurrence in molar teeth. The purpose of this rare case presentation is to describe the nonsurgical endodontic treatment of maxillary molar. A 28-year-old patient was referred for endodontic treatment of her chronic apical abscess of right maxillary second molar. In the clinical examination, a sinus tract adjacent to involved tooth and a small crown of supernumerary tooth fuse...

The internal anatomy of mandibular anterior teeth is more complex than previously assumed with high incidence of two canals. Performing endodontic treatment in mandibular anterior teeth can pose several challenges if the traditional lingual approach is adopted. A labial or labioincisal approach is more appropriate in managing such teeth. A case is described where a labial access preparation pro...

Enterococcus faecalis is frequently recovered from refractory endodontic infections and has been implicated in endodontic treatment failures. This study compared real-time quantitative PCR (qPCR) assay to cultivation for E. faecalis detection and quantitation during endodontic treatment. A reverse-transcription PCR (RT-PCR) assay was also developed to detect the bacterium clinically in the viab...

This clinical article presents and describes the endodontic treatment of a mandibular second premolar exhibiting a total of four separate root canals. This incidence in mandibular second premolars is particularly rare in the international endodontic literature. Only some infrequent cases of mandibular second premolars with four canals have been presented; however, this was done without the use ...