Endodontics Redefined

Endodontics Redefined Endodontics Redefined is a small attempt to make sure everyone understand and deliver their best effort in terms of Endodontic treatment.

Today in the era of high end gadgets, we lack the understanding of basic principles and the science..

Some intricate anatomies of 2025! It's been a wonderful year!! A year filled with memories, few amazing cases that we ma...
04/01/2026

Some intricate anatomies of 2025!

It's been a wonderful year!!

A year filled with memories, few amazing cases that we managed to handle, some amazing group of clinicians across the country we met, new learnings as always, few setbacks making us realise that we are not the best.

I learned one important lesson this year, thought of sharing with you all!

When you start thinking, you have reached the top of mountain ⛰️ just look down, you won't find anyone cheering or clapping for you. You need to motivate and pat on your back by yourself.

So somewhere in your practice you must cheer for yourself. Be your own cheerleader!!
You need to motivate yourself!!
Be consistent with your work , don't look for any sort of motivation from outside.

I hope I tried this entire year, to be someone's cheerleader!! Keep pushing ✨️

Wishing you all a great year ahead!! We are a strong community of passionate clinicians across the world! Keep taking it ahead.

Instrumentation of MB2 can often be difficult. The canal often has an abrupt mesial curvature in the coronal 1-3mm makin...
28/12/2025

Instrumentation of MB2 can often be difficult. The canal often has an abrupt mesial curvature in the coronal 1-3mm making it challenging to negotiate initially. I find that spending time initially gaining correct access and coronal flaring to
gain straight line access can prevent ledges, which once formed are very difficult to bypass.

I strongly advise fully preparing the MB1 canal prior to locating and instrumenting MB2. The MB2 often joins MB1 at a sharp angle, and it makes negotiation much easier if the MB1 is already enlarged.
Similar case with an absolute acute bend while mb2 joining mb1 in middle third.

Keep scouting!! Cheers.

28/12/2025

Deep splits are always tough to treat!!
Scouting into another complex lower molar with midroot split!

Full case coming soon!

Middle mesial canal scouting needs a little more attention to your access cavity design!! Well , sometimes you got to be...
28/12/2025

Middle mesial canal scouting needs a little more attention to your access cavity design!! Well , sometimes you got to be conservative with your approach without disturbing the fundamentals of debridement and biomechanics of root canal instrumentation technique!

Keep scouting, the anatomy could be more intricate than what you think hiding in there.

Middle mesial scouted through Truss access!

Probably one of the craziest cases I have ever managed. An absolute nightmare treating this lower second molar.The main ...
21/12/2025

Probably one of the craziest cases I have ever managed. An absolute nightmare treating this lower second molar.

The main challenge waa because of the large area of canal space, it is doubtful that intracanal instruments can reach and debride the entire portion of the continuum, making irrigation procedures more significant.
Obtaining a three dimensional fill of a C-shaped canal may prove to be a problem due to the various intricacies present within the root canal system. If a cold condensation technique is adopted for obturation, deeper pe*******on of condensation instruments in several sites will be necessary but I chose to sq**rt here, making sure we can seal the portals efficiently.

Endo never fail to amaze us!!
Keep scouting, cheers!!

The wait is over!! Mohali, Chandigarh, we are coming!! Get Ready! One of the most extensive endodontic programmes in the...
20/12/2025

The wait is over!! Mohali, Chandigarh, we are coming!! Get Ready!

One of the most extensive endodontic programmes in the country reaching Mohali this February! Signature Treat- Retreat- Scout module!!

Day one would be dedicated to,

Diagnosis and Treatment planning, Biomimetic/ Pre-endodontic immediate dentine sealing , role of micro-abrassion in endodontics, access cavity preparation, Instrumentation and Metallurgy selection, endomotor mechanics, ultrasonic troughing, Irrigation dynamics and obturation protocol using Warm vertical compaction.
Day 2 would be dedicated to,
Retreatment workflow

Structural analysis, Gutta percha removal- solvent and non solvent technique, ultra troughing, Retreatment files and their selection, building armamentarium for retreatment workflow, role of irrigation in managing complex bioflim, intra canal medicament selection criteria, obturation protocol using tricalcium silicate based materials, perforation repair, ledges and bypass strategy.

See you there!! Let's scout!

Wide apical foramen is always a challenge, specially in younger patients. But sometimes I feel sealing the complex anat...
14/12/2025

Wide apical foramen is always a challenge, specially in younger patients. But sometimes I feel sealing the complex anatomy with mta is a challenge as the material does offer some resistance to your compaction technique.
Different materials have been advocated as apical plug materials, among which bioceramic-based materials such as Mineral trioxide aggregate (MTA), BioAggregate, Biodentine, Calcium enriched mixture cement (CEM) are of the most popular materials.

I prefee a material with good Root-end sealing ability, in addition to mechanical resistance and hardness, should be noticed while comparing different apical plug materials and thicknesses.

Here is a management of another complex upper molar with an intricate apical anatomy using a hybrid approach , Biodentine Septodont along with tricalcium silicate based sealent( Smartseal RCS by maarc Maarc Dental ).

Keep scouting.
Cheers.

Challenging endo!Sometimes, postop radiographs don't reveal the efforts we end up spending gaining apical patency in suc...
08/12/2025

Challenging endo!

Sometimes, postop radiographs don't reveal the efforts we end up spending gaining apical patency in such narrow canals.
The constricted lumen doesn't allow you instrument the canals with ease, as there would be a binding along the major portion of your instruments. Manual instruments play a crucial role here.
If apical patency is satisfactorily maintained throughout the instrumentation, it would not lead to postoperative problems. The benefits of maintaining apical patency exceed the possible injury; it might cause because its main purpose is to prevent clogging of dentinal debris mainly in apical region of the canal which hinders the determination of WL

Keep scouting , Cheers!

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