The ledged canal hands on protocol

Ledged canal protocol: A hands-on guide to managing ledges in root canals

Overview

This video demonstrates a practical, step-by-step protocol for navigating and overcoming ledges in root canals using hand files and rotary instrumentation to create space and improve access for instrumentation and irrigation. It emphasises careful technique and file management to avoid exacerbating the ledge.

Key topics covered

• Coronal flaring to create space and straight-line access to the canal
• Selection and use of C-pilot and K-files of varying sizes (8-20) to bypass ledges
• Utilisation of WaveOne Gold reciprocating files for creating space coronally
• Proper pre-curving of hand files for enhanced navigation around the ledge
• Determination of the ledge location and working length
• Safe filing techniques, including watch-winding motions and vertical movement

Clinical relevance

The video provides a clinically relevant protocol for managing a common endodontic challenge. It highlights the importance of coronal access preparation, instrument selection, and controlled filing techniques to improve the prognosis of root canal treatments complicated by ledges. The technique assists in retaining tooth structure, avoiding perforation and worsening of the ledge.

Learning outcomes

• Dentists will be able to identify and locate ledges within root canals
• Dentists will be able to select appropriate hand files and rotary instruments for ledge bypass
• Dentists will be able to apply safe and effective filing techniques to negotiate ledges
• Dentists will understand how to create space coronal to the ledge to enhance access
• Development Outcome C - Maintenance and development of knowledge and skill within your field of practice