It was the purpose of this study to determine if a periodontal abscess could be differentiated from an endodontic abscess by the types and proportion of microorganisms found in the abscess exudate in darkfield microscopic examination. Dental abscesses with draining sinus tracts in 17 patients were studied. Eight of the abscesses were diagnosed clinically to be of endodontic origin and nine peri...

OBJECTIVES The aim of the present study was to determine radiographically the different reasons and problems of endodontic treatment failure. METHODS The periapical radiographs of 100 patients with one hundred teeth (130 root canals) were examined to identify the problems and failures of endodontic treatment. The various reasons of failure that is under filling, poor filling, over filling and...

Traditionally, apexification has been used to treat immature permanent teeth that have lost pulp vitality. This technique promotes the formation of an apical barrier to close the open apex so that the filling materials can be confined to the root canal. Because tissue regeneration cannot be achieved with apexification, a new technique called regenerative endodontic treatment was presented recen...

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...

The purpose of this study is to demonstrate the importance of knowledge of the internal anatomy of root canals for the success of endodontic treatment. Lack of knowledge of anatomic variations and their characteristics in different teeth has been pointed out as one of the main cause of endodontic therapy failure. Dental operating microscope plays a key role in the identification of canal and su...

Case Description. This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor p...

Damage of pulp tissue usually begins in the coronal pulp. Its mistreatment or its lack of on time detection determines the progressive inclusion of the whole endodontic space in its evolution, opening the way of its expansion in the surrounding tissues of the tooth, and on the marginal apical tissue. Aim. The goal of this study was to highlight that the primary endodontic lesions with secondary...

Successful management of pain emergencies is a strong component of clinical excellence. Although clinical studies indicate that comparatively few patients experience pain after endodontic procedures, it has been estimated that about 20% of patients experience moderate-to-severe pain after treatment (1, 2, 3). An additional small fraction of patients (about 1– 2%) will experience a sudden ‘flare...

INTRODUCTION To obtain essential information in clinical endodontics, cone-beam computed tomographic (CBCT) imaging can be used in all phases of treatment including diagnosis, treatment planning, during the treatment phase, and through post-treatment assessment and follow-up. The purpose of this article was to review the use of CBCT imaging in the diagnosis, treatment planning, and assessing th...

Aim: This clinical case report demonstrates the successful management of a complex endodontic-periodontal iatrogenic lesion following a critical evaluation and decision-making process with interdisciplinary treatment strategies. Background: Defective dental restorations can affect the periodontal and endodontic health of the teeth. Case report: An endodontic-periodontal lesion that resulted fro...