Modern Endodontics: Endodontics, as the distinctive branch of dentistry, has seen over time a wide range of materials, instruments and techniques. The history of endodontics is fascinating, sprinkled with countless ingenious attempts to fill the complex space inside the root. A simple look at the image published by Hess in 1917 makes us understand how difficult this challenge can be.

In spite of researches and ongoing evolution in the field of materials and three-dimensional filling techniques, the endodontic field proves to be even today a challenge worthy of the greatest attention. Clinical success has increased nowadays to 90% for endodontic treatments performed at the highest standards. The clinical sense, meticulousness and, especially, the experience must be supported by state-of-the-art equipment, materials and tools.
The endodontic obturation aims at avoiding the extraction and the long-term functional maintenance on the arcade, of a tooth, whose pulp has been compromised.
The purpose of endodontics is to seal and reproduce as accurately as possible the anatomy of the endodontic systems. This is only possible using cutting-edge equipment and instruments such as devices for the determination of the work’s length (Morita apex locator), endodontic engines (NSK, Morita, VDW Gold Reciproc with Auto-Reverse function to prevent peri-radicular tissue lesions) for preparation of root canals, systems of rotary files (ProTaper Universal-Dentsply, ProTaper Gold-Dentsply, Hyflex CM-Coltene Whaladent, Hyflex EDM-Coltene Whaladent, Reciproc-VDW). Having these technologies and rotating systems at our disposal, we can provide to any patient a proper endodontic treatment. The treatment is performed under conditions of maximum safety, asepsis and antisepsis, under rubber dam isolation. During the treatment, radiographies are performed in order to ensure that the patient benefits from a proper treatment.

Vertical Compaction of Warm Gutta Percha: In November 1967, Dr. Herbert Schilder of Boston University describes in a profile magazine the technique of filling root canals in three dimensions with thermoplastic gutta-percha, which will bear his name. This extraordinary article was one of the cornerstones of modern endodontics.
The warm-compaction vertical technique allows the filling of the endodontic space by exerting some hydraulic forces on plasticised gutta percha, with an increased amount of homogeneous material, dimensionally stable, inert and last but not least, biologically tolerated. The contraction, which occurs with the cooling of the gutta percha, is compensated by the continuous pressure exerted by the clinician and by applying a sealant in advance.

Gutta-Carrier technique: allows closing highly curved channels in the coronal third. The warm gutta percha is located on a very flexible plastic carrier (core) which allows its insertion following the root anatomy.

Monocone technique: made with non-heated flowable gutta-percha (GuttaFlow Bioseal 2-Coltene Whaladent) and a gutta-percha cone. Especially used for filling of the double-curved channels or highly curved channels in the apical third which makes impedes their filling through the techniques described above.