Managing the calcified canal

Mastering calcified canals: Strategies for efficient and successful root canal treatment

Overview

This video delves into the complexities of managing calcified canals in endodontic practice. It highlights the challenges presented by these cases and offers practical solutions to overcome them, emphasising efficiency and long-term success. We focus on foundational principles and the impact of clinician choices on treatment prognosis.

Key topics covered

• Understanding the difficulties posed by calcified canals
• Marginal gains and the importance of world-class basics in endodontics
• The impact of instrument selection on managing calcified canals
• Different file types and their specific applications in calcified canals (reciprocating, rotating, variable taper, fixed taper)
• Instrument fracture prevention and key file characteristics (variable taper, heat-treated metal, cross-section)
• Discussion of TruNatomy system, its benefits, and clinical use

Clinical relevance

The video provides immediately applicable techniques and considerations for dentists facing calcified canals. By focusing on instrument selection, access cavity preparation, and canal location strategies, it aims to enhance treatment predictability and reduce complications such as instrument fracture, directly improving patient care.

Learning outcomes

After watching this video, dentists will be able to:

• Identify key factors contributing to the difficulty of treating calcified canals
• Select appropriate instruments and techniques to navigate and prepare calcified canals effectively
• Understand the impact of instrument design and material properties on procedural success and long-term prognosis
• Optimise access cavity preparation for efficient canal location and reduced risk of complications