Endointerest

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

Three-Year Clinical and Economic Evaluation of Selective Caries Removal and Full Pulpotomy for Extensive Caries: An Exploratory Randomised Controlled Trial

International Endodontic Journal, 2026; 59:439–453

[Prof Ahmad Madarati @ProfMadarati]

Case 1592:
Extruded Fragments Can Be Adopted by Periapical Tissues

A 24-years old female patient had been advised either to extract the 26 or doing a surgery.

Both options were unacceptable for her, so she sought my advice. I always believe in giving another chance. So, I told her that we can go with non-surgical retreatment then lets see how thing go.

I removed the two silver cones by sonic activation first then extractors.
Upon exploring the MB2, the four canals were well disinfected then MTA obturation followed by post and core. Due to financial issue, and after 6 months follow up, the periapical lesions are almost healed.

Hence the final crown was fabricated and cemented. The patient is super happy and looking forward to treating the other teeth.

In my next course in Jordan (Amman) I will thoroughly discuss and deliver hands-on all aspects of fractured files (A to Z).

Take-home message:✨
Do your job (proper disinfection of the root canals) and let the periapical tissues do its job
Extruded fragments can be tolerated (Fragment Can Be left Behind).

All procedures are well explained in a previous posted video

https://t.co/ICTznMXW1O

#prof_madarati_endodontist #excellence_in_endodontics #next_level_endodontics #case #course Jordanian Endodontic Society - JES Jordan Dental Association / نقابة اطباء الاسنان الاردنية

[د.عيـسـى بن سـالـم 🇩🇪🇸🇦 @Canine_86]

لذلك أكثر الكتب العلمية والمبادئ والتوجيهات للجمعيات العلمية توصي بقطع 3mm في Apicectomy

[Endointerest @EndoInterest]

@OviDentalGo hemisection

[ذعار القحطاني @i_th44]

#26
- Microsurgery for an orthodontic complication with a 7-month follow-up

Full case
https://t.co/xS6CeCRJwW

[Abubakr Ahmed @Dr_abubakr1]

In the Horizontal root fracture cases

Does this type of fracture heals?
Yes
types of healing:

Healing by calcification.
Healing by CT.
healing by bone and CT.
No healing GT

About the management,cases and more here 👇🏻

https://t.co/ntr4ju9vIb

https://t.co/pMNIH3dmRz

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

Effects of Different Treatment Sequences on the Efficacy of Combined Periodontal-Endodontic Lesions: A Systematic Review and Meta-Analysis

International dental journal 76 (2026) 104021

[Hanan Alharbi @HananShu]

التئام الأنسجة بعد جراحة عصب الأسنان

[AYMAN M. @RadiologyOral]

ثريد ممتع جداً

Intraosseous Anesthesia
(التخدير داخل العظم) في طب الأسنان

[ذعار القحطاني @i_th44]

#26 #Microsurgery #endodontics

- Endodontic microsurgery for iatrogenic mishaps : overfilling in the DB root with perforation into the maxillary sinus, and a separated file in the MB root engaged in the sinus floor.

https://t.co/ykBA0ARPGg

[عن طب الأسنان | AboutDent @aboutDent]

42% of lower incisors have a second canal… and it’s easily missed.🤔

The lingual canal in lower incisors is one of those anatomical realities that doesn’t get enough airtime. It’s not rare (it’s present in nearly half of these teeth) but it’s easy to overlook if your access cavity isn’t designed to hunt for it🔍

For the lateral incisor (primary treatment), the access cavity was smaller and deliberately biased towards the incisal edge. That positioning isn’t arbitrary and it increases the chance of finding the lingual canal🎯

For the centrals (re-treatments), a more generous access was required because old composite restorations were being removed. They weren’t contributing anything structurally. Different clinical context, different access strategy, but the same goal: don’t miss the anatomy.

Six canals prepped across both teeth with .04 taper files.

Gutta-percha finished at the crestal level for a proper coronal seal.

And at 2-year recall? Stable periapical tissues, healthy clinical appearance🙌🏻📸

Missing the lingual canal is one of the most common causes of endodontic failure in lower incisors⚠️ But it’s avoidable if your access design is asking the right questions from the start.

[Salma AlKhuwaitir @Dr_STK17]

مراجعة لمريضة في أواخر العشرينات حضرت لاستكمال علاج العصب لأحد الطواحن، بعد أن قام الطبيب السابق بإزالة العصب كإجراء إسعافي لتخفيف الألم فقط .

تم استكمال علاج العصب بنجاح، وأصبح الضرس الآن جاهزا للحشوة النهائية والتركيبة الدائمة لاستعادة وظيفته وحمايته على المدى الطويل 🎉🦷

علاج العصب لا ينتهي عند إزالة الألم، بل يكتمل بإعادة بناء السن بشكل صحيح لضمان بقائه لسنوات بإذن الله ✨

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

Effect of Type of Coronal Restoration on Periapical Healing and Tooth Survival of Root Filled Teeth: Systematic Review and Meta-Analysis

Australian Endodontic Journal, 2025; 51:849–860

[Endointerest @EndoInterest]

عندي تساؤل واتمنى من اهل الخبرة في المجال الأفادة بما يخص:

هل اخصائي علاج الجذور والاعصاب في العيادات الخاصة يسوي كل الاجراءات المطلوبه في الصوره؟

بشكل اكلينيكي وقانوني؟

الى مابعد فقرة Difficult root canal treatment

[mohammad aldakak @aldakak_dr]

الأسنان مفتوحة الذروة غير مكتملة النمو تحتوي في نهايتها على ما يسمى الحليمة الذروية
Apical papilla
وهي كتلة من الخلايا غير المتمايزة stem cells ستلعب دور هام في إعادة نمو و شفاء السن
لذلك يجب الابتعاد عما يضرها و أهم شي بنظري عدم دفع مواد الحشو القنيوية باتجاهها

[Prof Ahmad Madarati @ProfMadarati]

English / عربي Post:
#16166:
Missing the MB2 has been reported as one of the most important factors for failure of primary RCTs of upper molars.
عدم معالجة القناة الانسية الدهليزية الثانية يعد من اهم اسباب فشل المعالجات اللبية في الارحاء العلوية

One study (link below) found that the incidence of a MB2 canal in first molar retreatments was 67% compared to a 59% incidence in initial treatments. Whereas in second molars, the retreatment incidence was 44% compared with 35% in initial treatments.
احدى الدراسات (الرابط بالاسفل) وجدت ان نسبة القناة الانسية الدهليزية الثانية اثناء اعادة المعالجة اللبية هي ٦٧ و ٥٩٪ ( بالاراء الاولى و الثانية تباعا) و هي اعلى من نسبة تواجدها بالمعالجات الاساسية (٤٤ و ٣٥٪ ).

The root canals in the presented case were prepared using the BlueShaper Pro rotary files from Zarc4Endo
تم تحضير الاقنية الجذرية بمبارد بلو شير برو من شركة زارك

Obturation with the modified hot tech.
حشي الاقنية الجذرية تم باستخدام طريقة التكيف الحراري المعدلة

https://t.co/ytIsPzyVWQ

#prof_madarati_endodontics #excellence_in_endodontics #next_level_endodontics #why #how

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

The Cost of Instrument Retrieval on the Root Integrity

International Endodontic Journal, 2025; 58:1948–1957

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

Resin Infiltration for Dental Fluorosis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials on Esthetic Masking Efficacy

Journal of Esthetic and Restorative Dentistry, 2025; 37:2579–2589

[Dr.Abdullah Alshoail @AbdullahAlshoai]

#Dental_updates

Outcome Following Complete and Partial Pulpotomy in Managing Cariously Exposed Mature Permanent Molars With Symptomatic Irreversible Pulpitis: A 5-Year Follow-Up of a Randomised Clinical Trial

International Endodontic Journal, 2025; 58:1835–1848