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Advanced problem solving

The calcified canal - extra instrumentation

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Optimising instrument selection for calcified canals: alternative and additional instruments

Overview

This video discusses the critical considerations for selecting endodontic instruments when tackling calcified canals. It is a clinical perspective on the challenges and instrumentation options to improve clinical workflow.

Key topics covered

  • The importance of having a planned protocol before undertaking any complex case
  • Three-part strategy: Coronal opener, glide path file, canal shaping
  • Hand files vs rotary instrumentation
  • Nickel Titanium properties and benefits
  • Benefits of different NiTi file movements and features
  • The alternatives to bridge files in difficult narrow preparations
  • Using different NiTi systems and their benefits in different situations

Clinical relevance

Provides the dentist with the best advice regarding the complexities of working within a confined anatomical and confined instrument environment.
 

Learning outcomes

By watching this video, dentists will be able to:

  • Be well informed of the range of instrumentation options
  • Determine their personal approach based on the tools available
  • Assess the best protocols for access with nickel titanium products
  • Make decisions between traditional approaches and modern protocols