Managing the ledged canal

Navigating ledged canals in endodontic retreatment: Instruments and techniques

Overview

This video focuses on the strategies for treating ledged canals in endodontic retreatment. It outlines a step-by-step approach using a combination of hand files, rotary instruments, and irrigation techniques.

Key topics covered

• Challenges of treating ledged canals
• The importance of shaping short of the blockage/ledge
• Effective irrigation techniques for debris removal
• Glide path creation with hand and rotary instruments
• Recap protocols: release the top, to get to the bottom
• Achieving patency
• Instrumentation technique: watch winding and vertical movements
• Techniques to test patency after instrumentation

Clinical relevance

This video presents simple and predictable techniques for canal ledge instrumentation.

Learning outcomes

After watching this video, the viewers will be able to:

• Implement new techniques for instrumentation of ledged canals
• Incorporate new methods to safely use hand and NiTi files
• Manage risks by using correct technique to handle files
• Improve approaches to creating and maintaining patency and reproducible glide path within challenging canal conditions