The calcified canal hands on protocol

Step-by-step guide to calcified canal preparation: A hands-on protocol

Overview

This video provides a hands-on demonstration of a step-down approach to instrumenting calcified root canals. It outlines the use of various instruments in sequence, from initial access with hand files to glide path creation and shaping. The approach underscores precision and patience to improve canal preparation.

Key topics covered

• Hand file approach to establish primary access
• Orifice modification technique, and the use of rotary instruments
• Hands-on demonstration of instruments in a sequence
• The role of irrigation
• Glide path creation using hand and rotary instruments
• Shaping canal: Instrumentation by section
• Techniques for assessing progress, including hand file movement
• Instrument safety: Cleaning flutes, correct handling position

Clinical relevance

The video illustrates the clinical methodology for handling calcified canals; a common, complex scenario in daily endodontic workflow.

Learning outcomes

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

• Recognise the challenges with calcified canal instrumentation
• Create a step-wise approach to advance in a calcified canal situation
• Illustrate the techniques involved in using hand files and NiTi files
• Review appropriate instrument manipulation and safe handling techniques