Clinical case: Gutta-percha removal

Retreatment protocol : Instruments and steps for clinical success.

Overview

This video presents a thorough walkthrough of a retreatment case, with a detailed demonstration of techniques. It highlights the value of pre-op planning, instruments, and the systematic approach to navigate the canal effectively.

Key topics covered

• Initial assessment and rationale: Evaluating if a retreatment has a high probability of clinical success
• Radiographic planning: Understanding root canal anatomy and how this impacts your approach
• Bur selection: Cylinder and medium-flared tapered bur instrumentation
• Piezons: Its use to remove amalgam restorations and clean the coronal pulp chamber
• Endo instrumentation and Gutta-percha removal: Micro Debriders, Hedstroem file braiding, XP-Endo Shaper and Reciproc Blue
• Shaping: Reciproc Blue file (R25) to definitively shape the canal utilising C-Pilot files to achieve patency and an initial glide path

Clinical relevance

With this video, you're able to get a great understanding of the best protocol, and equipment, for endodontic retreatment.
By watching this video, viewers are able to:

Learning outcomes

• Assess a clinical case analytically with periapical and CBCT imaging
• Understand how to quickly decide which approach to take to remove Gutta-Percha
• Recognise the techniques to remove Gutta-Percha and then achieve patency
• The power of Reciproc Blue in retreatment cases
• Learn the importance of piezons in retreatment cases