Numerous cases of aberrant root and root canal morphology have been described, still diversion occurs more frequently in premolars and molars. To the dental researcher, the aberrations in the mandibular second premolars afford a vast field of interest. The current report presents a clinical case which demonstrates a simplified therapeutic protocol for re-treatment of Vertucci type V root canals. Endodontic access is gained by expanding the endodontic cavity. The instrumentation (preflaring and final preparation) of the root canal system is performed using predominantly hand files in order to preserve to the maximum the tactile feedback in the apical part of the ramification. Obturation is performed through hydraulic condensation. Postoperative radiographs show sufficient three-dimensional sealing of all portals of exit with excellent healing result.

Introduction: One method to evaluate the clinical success of cemented restorations is measuring the marginal adaptation. There is a correlation between the fitting of the restoration and problems caused by clinically undetectable passage of bacteria between the tooth structure and the veneer. Aim: To evaluate in comparison the marginal adaptation of veneers produced via CAD/CAM and press technique. Materials and methods: 32 extracted incisors are divided into two equal-number groups (n=16) according to the production technique – CAD/CAM zirconium veneers and press-ceramic veneers. Cut sections are examined under a SEM magnification. Marginal accuracy is measured as the distance between the finish line of the tooth and the margin of the veneer at eight fixed locations. Results: The mean values of marginal gap of group 1 are: external adaptation – 79.88±3.71 µm; internal adaptation – 79.14±15.70 µm; cervical adaptation – 82.39±28.55 µm; incisal adaptation – 86.85±21.72 µm. The mean values of marginal gap of group 2 are: external adaptation – 100.31±2.16 µm; for internal adaptation – 101.01±12.51 µm; cervical adaptation – 91.55±3.31 µm; incisal adaptation – 93.76±2.54 µm. Conclusions: Veneers produced via CAD/CAM technology have better fit at the external and internal marginal wall. There is no statistically significant difference between the gaps at the cervical and the incisal areas.

Background: Crown lengthening procedures are widely used in restorative and periodontal therapy to expose sufficient tooth structure for functional and esthetic rehabilitation. Traditionally performed using an open-flap approach, these procedures have evolved with the introduction of minimally invasive flapless techniques. This narrative review aims to summarize the biological foundations, clinical outcomes, and contemporary approaches associated with crown lengthening procedures, with particular emphasis on flapless and flap techniques, healing processes, technological advancements, and clinical decision-making considerations. Methods: A narrative literature review was conducted using electronic databases, including PubMed, Scopus, and Web of Science, to identify relevant publications on crown lengthening procedures. The search focused on studies addressing flapless and flap techniques, biological principles, healing dynamics, clinical outcomes, postoperative considerations, and contemporary approaches such as laser-assisted and digitally guided procedures. Titles and abstracts were screened for relevance, followed by full-text assessment of eligible articles. The study selection process was documented using a simplified PRISMA-style flow diagram to enhance transparency. Results: The reviewed literature suggests that flapless crown lengthening may be associated with reduced surgical time, less postoperative discomfort, faster healing, and preservation of soft tissue architecture in appropriately selected cases. However, its applicability appears to be influenced by anatomical factors, including bone morphology and the need for adequate visualization during osseous recontouring. Conventional flap techniques continue to be widely used and may offer improved surgical access and visibility, particularly in more complex situations requiring extensive bone modification. Although these procedures have been associated with longer healing periods and greater postoperative morbidity, the heterogeneity of the available evidence and the narrative nature of this review limit definitive comparisons between the two approaches. Conclusions: In conclusion, both flapless and flap crown lengthening procedures demonstrate high clinical efficacy when appropriately indicated. The choice of technique should be guided by case-specific factors, clinician expertise, and patient expectations. Further randomized controlled trials are recommended to strengthen the evidence base and establish standardized clinical guidelines.

Introduction: The majority of biodegradation studies of composite materials use simplified models of microbial biofilm despite the apparent diversity of the oral microbiota. The use of in vitro systems of “artificial mouth” design is a step towards clarifying the synergistic effect that microbial plaque and human saliva have on composite degradation. Aim: Establishment of functional parameters for in vitro reproduction of oral biofilms via biofilm reactor systems. Materials and methods: The CDC Biofilm Reactor system consists of eight polypropylene sticks. The rod cover and the retaining plates are mounted in a 1-dm glass cylinder with an outlet side opening. The laboratory bioreactor has a working volume of 340 ml. The device is equipped with a four-blade magnetic stirrer. The system also includes gauging appliances and executive mechanisms for controlling and adjusting the basic parameters of the process. Results: Determination of the operating volume of the reactor is performed prior to the experiment along with the time of reach and stabilization of the set temperature in the design which is 60 min at 120 rpm. A mathematical model is used to calculate the rate of delivery of growth medium - 11 millilitres per minute. The bioreactor is sterilized by 0.3% neomycin solution for 24 hours. Prior to the experiment the system is cleansed (via passage) with sterile water for 60 minutes. Conclusions: The pre-calibration of a bioreactor system allows specification and refinement of its working parameters, thus engaging for accurate reproduction of the environmental conditions in the oral cavity.

Root perforations represent a pathological communication between the root canal system and the external root surface and are among the most serious complications in endodontics. Their occurrence leads to bacterial contamination and inflammatory tissue destruction, resulting in resorption of dentin, cementum, and alveolar bone, thereby compromising the tooth’s long-term prognosis. Objective: The aim of this review is to summarize current data regarding the etiology, diagnosis, treatment strategies, and contemporary materials used in the management of root perforations, with particular emphasis on recent advances in non-surgical treatment. Methods: A narrative literature review was conducted using sources from PubMed, Scopus, Web of Science, Embase, CINAHL, and the Cochrane Library. After applying a predefined search strategy of inclusion and exclusion criteria, 60 scientific sources published between 2003 and 2026 were included. Results: Current evidence indicates that the treatment outcome depends primarily on the location and size, prompt perforation sealing, bacterial contamination, and selection of restorative material. Cone-beam computed tomography has improved diagnostic accuracy, while a non-surgical approach remains the preferred approach in most clinical situations. Mineral trioxide aggregate (MTA) continues to be the reference standard material due to its biocompatibility, bioactivity and sealing ability. New-generation calcium-silicate bioceramics offer improved physicochemical properties, while maintaining favorable biological properties. Regenerative materials have shown promising potential to enhance healing processes, but available evidence remains limited. Conclusions: Successful treatment of root perforations requires early diagnosis, timely repair of the defect, effective bacterial control, and use of bioactive materials with reliable sealing and regenerative properties. Modern calcium-silicate bioceramics have improved non-surgical treatment predictability, whereas regenerative approaches appear to be a promising alternative that requires further clinical studies to develop standardized therapeutic protocols.