Dr. Cristian Giucoane

Dr. Cristian Giucoane Dentist with a passion for endodontics

This is my second family!These are the people that worked tirelessly for 2 years to make !They are amazing and all the ...
22/03/2026

This is my second family!
These are the people that worked tirelessly for 2 years to make !
They are amazing and all the credit of the congress is theirs!
Thank you for being on my side guys and for making this so amazing!
Ad altiora!

It’s a great honour to become a Silver member of , the greatest endodontic community!A few years ago I was only dreamin...
16/03/2026

It’s a great honour to become a Silver member of , the greatest endodontic community!
A few years ago I was only dreaming to be in such an amazing company, today it happened and I’m over the moon!
Thank you to everyone that helped and supported me in my professional life!
Thank you to everyone who gave me constructive feedback!
Thank you to everyone who didn’t believe in me, you motivated me!
I hope to be able to give back everything that I have received and even more!

Resto>EndoPatient arrived in the office complaining of pain in contact with cold stimulus on lower left jaw. After clini...
15/01/2026

Resto>Endo

Patient arrived in the office complaining of pain in contact with cold stimulus on lower left jaw.
After clinical and radiological examination the diagnosis established was severe pulpitis and localized symptomatic apical periodontitis on 3.6.
Patient agreed to have a root canal treatment.

1. After isolation, the carious tissue was removed alongside unsustained enamel.
2. A pre-endodontic build-up was performed.
3. Root canals were scouted and shaped using rotary files.
4. Irrigation was performed using NaOCl 5,25% and EDTA 17% both ultrasonically activated.
5. Obturation of the endodontic system was done using WVC technique.
6. The direct restoration was done in the same session using dual cure composite and fiber post.

Patient is currently pain free and was advised regarding cuspal coverage and the necessity of treatment on 3.7.
Waiting for recall.

Starting 2026 with a 2.6 and a separated instrumentPatient arrived in the office after an initiated treatment on 2.6.Aft...
08/01/2026

Starting 2026 with a 2.6 and a separated instrument

Patient arrived in the office after an initiated treatment on 2.6.
After clinical and radiological examination the diagnosis was established as previously initiated root canal treatment and localized symptomatic apical periodontitis.
Patient agreed to have a root canal retreatment.

1. After isolation, the restoration was removed alongside carious tissue.
2. Pre-endodontic build-up was performed after IPDS.
3. Canals were scouted using C-pilot files and bypass was attempted.
4. After bypass failure, the patent root canals were shaped using rotary files.
5. The separated instrument was removed using the platformless technique with minimal dentine loss and canals shaped using rotary files.
6. Irrigation was performed using NaOCl 5,25% and EDTA 17% both ultrasonically activated.
7. The endodontic system was obturated using the modified WVC technique.
8. Coronal restoration was done in the same session using dual cure composite and fiber post.

Patient is currently pain free and was informed about the necessity of cuspal coverage.
Waiting for recall.

Not all separated instruments should be removedPatient presented in the office referred by a colleague for a retreatment...
29/12/2025

Not all separated instruments should be removed

Patient presented in the office referred by a colleague for a retreatment on 4.6.
Tooth responded positive to percussion.
The diagnosis according to the new AAE and ESE classification is previously obturated root canal and localized symptomatic apical periodontitis.
Patient agreed to have a root canal retreatment.

1. After isolation, the old restoration was removed alongside carious tissue and unsupported enamel.
2. A pre-endodontic build-up was performed using a dual cure composite.
3. Gutta-percha was removed using R25 from Nic V-blue.
4. Ledges on the mesial canals and separated instrument on the distal were bypassed using C-pilot files.
5. Root canals shaping was performed using rotary .04 files.
6. Irrigation was performed using NaOCl 5,25% and EDTA 17% both activated ultrasonically.
7. The endodontic system was obturated using the modified WVC technique.
8. Same session direct restoration was performed using dual cure composite and a fiber post.

Patient is pain free and was informed regarding the necessity of cuspal coverage.
Waiting for recall.

Every day treatment of an upper right 6Patient arrived in the office complaining of pain in the upper right jaw. Cold se...
20/12/2025

Every day treatment of an upper right 6

Patient arrived in the office complaining of pain in the upper right jaw. Cold sensitivity tests and percussion were positive on tooth 1.6.

The diagnosis, according to the new AAE and ESE classification was severe pulpitis and localized symptomatic apical periodontitis.

Patient agreed to a root canal treatment.

1. After rubber dam isolation, the old restoration and carious tissue were removed.

2. Proximal caries was observed on the mesial aspect of tooth 1.7.

3. The caries on 1.7 was removed and the tooth was restored using composite without damaging the marginal ridge.

4. A pre-endodontic build-up was performed using a dual cure composite after IPDS.

5. The calcification in the pulp chamber was removed using ultrasonic tips.

6. The canals were scouted and shaped using rotary files.

7. Irrigation was performed using NaOCl 5,25% and EDTA 17%, both ultrasonically activated.

8. Obturation was done using the modified WVC technique.

9. Coronal restoration was done in the same appointment using a dual cure composite and fiber post.

Patient is currently pain free and was recommended cuspal coverage.

Waiting for the recall.

Not your usual treatmentPatient arrived in the office referred by a colleague that opened a tooth and placed medication ...
12/12/2025

Not your usual treatment

Patient arrived in the office referred by a colleague that opened a tooth and placed medication and closed with a temporary filling. The patient was complaining of spontaneous pain in the lower right jaw.
CT scan revealed a 4.5 with gemination with a supernumerary that had a resorbtion.
Cold tests were negative while percussion was positive.
After taking into consideration all the factors the diagnosis according to the new AAE and ESE classification was pulp necrosis and localized symptomatic apical
periodontitis.
Patient agreed to have a root canal treatment.

1. After isolation the temporary filling and medication were removed.
2. The perforation was localized and debrided using small excavators.
3. The supernumerary was irrigated with NaOCl 5,25%.
4. While the supernumerary was desinfecting, 4.5 was accesed.
5. The root canal was shaped using rotary files.
6. Irrigation was done in both entrances with NaOCl 5,25% and EDTA both ultrasonically activated.
7. The root canal was obturated using modified warm vertical compaction.
8. The perforation was filled with bioceramic putty material.
9. Direct restorations were performed on both openings.

Currently the patient is pain free. Waiting for recall.

Double troubleThe patient arrived in the office referred by a colleague. He was complaining of pain in the upper right j...
30/10/2025

Double trouble

The patient arrived in the office referred by a colleague. He was complaining of pain in the upper right jaw and losing the prosthetic restoration on 1.7.
After clinical examination and x-ray review, the following diagnosis was established: 1.6 - previously obturated root canals and localized symptomatic apical periodontitis and 1.7 - previously obturated root canals and inconclusive apical condition as stated in the new ESE and AAE classification.
1.7 also had a clinically infiltrated root canal obturation so the patient agreed to have root canal retreatments on both teeth.

After removing the old prosthetic restoration on tooth 1.6 and performing proper isolation, the coronal direct restoration was removed alongside the carious tissues on both teeth.
Following IPDS, freehand build-ups were performed on both teeth.
MB2 was scouted on both teeth using reciprocant and manual files.
Root canal obturation was removed and the canals were shaped using reciprocant and rotary files from NIC.
Irrigation was performed using NaOCl 5,25% and EDTA 17%, both activated using Endoactivator.
The endodontic system was obturated using modified WVC technique.
Coronal restoration was done using core build-up and fiber glass post.

Patient was advised to place prosthetic restorations. Waiting for recall.

It was a great honour to present my work during the 4th Style Italiano Family Congress in Athens!Thank you alouloud_endo...
28/10/2025

It was a great honour to present my work during the 4th Style Italiano Family Congress in Athens!
Thank you alouloud_endodontics, konstantinos.kalogeropoulos.9 and styleitalianoendodontics for the invitation!
Hope to see you all in Athens next year!

Patient presented in the office complaining of pain in the upper right jaw while biting.After clinical evaluation, a dia...
22/10/2025

Patient presented in the office complaining of pain in the upper right jaw while biting.
After clinical evaluation, a diagnosis of pulp necrosis and localized symptomatic apical periodontitis were established.
Patient agreed to have a RCT.

1. After isolation, the old restoration and carious tissues were removed.
2. I decided to approach the root canals through a caries driven access cavity in order to keep as much healthy dental structure as possible.
3. The endodontic system was shaped using a combination of reciprocating and rotary files in order to use the best out of both movements. The reciprocating file was used to do a coronal preflaring up until the apical third of the canals. Rotary files were then used to shape the apical third for a better control.
4. Irrigation was performed using NaOCl 5,25% and EDTA 17% both ultrasonically activated.
5. Obturation was done using the modified WVC technique.
6. Direct restoration was performed in the same session.

The patient was instructed to have a cuspal coverage done.
Waiting for recall.

15/10/2025

Before you jump into the canals… build first!
Because smart prep = stress-free endo.

Dilacerated 2.4Referred patient presented in the office complaining of pain in the upper left jaw experienced for the la...
17/05/2025

Dilacerated 2.4

Referred patient presented in the office complaining of pain in the upper left jaw experienced for the last few days. The patient had already received an emergency treatment from the referral.

2.4 tested positive to percussion and was unresponsive to sensibility tests.

A diagnosis of pulp necrosis and symptomatic apical periodontitis was established.

Patient gave his consent for RCT.

1. After isolation, the previous restoration and secondary caries were removed.

2. Build-up was done and isolation perfected using liquid rubber dam.

3. After scouting, 2 buccal and 1 palatal canals were found.

4. Canals were shaped using reciprocating and rotary files.

5. Irrigation was performed using NaOCl 5,25% and EDTA, both ultrasonically activated.

6. WVC was used to tridimensionally fill the root canals.

7. Direct restoration was done in the same appointment.

Patient was informed of the necessity of cuspal coverage.

A follow-up was scheduled.

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Timișoara
Timisoara
300002

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