Managing Canal Anatomies in the Context of Shaping for Cleaning Proposal

Versiani, Marco Aurélio; Silva, Emmanuel João Nogueira Leal; Souza, Erick Miranda; Deus, Gustavo De; Zuolo, Mário Luis

doi:10.1007/978-3-030-84617-6_8

Cited by 3 publications

(14 citation statements)

References 198 publications

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“…This emphasizes the need for proper infection control not only in the main canal lumen but in the entire RCS 18 . Therefore, a detailed knowledge of root and root canal morphologies, associated with the use of technological tools for diagnosis and effective management of these challenges have been considered of utmost importance 30 . Some of these issues will be discussed in the following sections.…”

Section: The Chemomechanical Preparationmentioning

confidence: 99%

“…These canals can divide, merge and separate during root development, leading to varying morphologies. Therefore, a cautious strategy would involve presuming that roots, particularly in posterior teeth, in need of treatment might contain more than one canal 30 …”

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

“…The apical portion of the root canal system is characterized by a very complex and variable anatomy (Fig. 9), which can rarely be fully anticipated on the basis of conventional radiography or even CBCT 30 . The main root canal ends at the major foramen (apical foramen) which often opens laterally on the root surface, at an average distance of 0.2 to 3.8 mm from the anatomical apex, morphologically defined as the tip or the end of the root 85 .…”

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

“…As a result, a paradox exists: on the one hand, canal shaping techniques are capable of cutting significant amounts of dentine in short periods of time, while on the other hand, sodium hypochlorite requires a long period of time to reach its full potential. Given these considerations, it is increasingly pertinent in modern endodontic practice to shift from the traditional concept of ‘Cleaning and Shaping’ to a revised approach termed ‘Shaping for Cleaning’ 30 . This new concept dissociates cleaning and shaping procedures both operationally and temporally, and underscores the importance of optimizing irrigation within the already shaped and enlarged root canal space by enhancing irrigation efficiency through traditional syringe‐needle irrigation and supplementary methods.…”

Section: Shaping For Cleaning: Reconsidering Root Canal Disinfectionmentioning

confidence: 99%

“…Therefore, a cautious strategy would involve presuming that roots, particularly in posterior teeth, in need of treatment might contain more than one canal. 30 Weine et al, 32 employing both sectioning and radiographic techniques, were pioneers in classifying distinct canal configurations within a single root. This classification categorized these configurations into four types, based on how the main root canal divides along its trajectory from the pulp chamber to the root apex.…”

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

See 4 more Smart Citations

Anatomical complexities affecting root canal preparation: a narrative review

Versiani,

Martins,

Ordinola‐Zapata

2023

Australian Dental Journal

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A fundamental aspect of the Endodontic field is the knowledge of root canal anatomy. Using a variety of techniques, the internal and external anatomy of teeth have been extensively investigated throughout the past century. Recent improvements in three‐dimensional computed tomography have enabled more detailed evaluations of root canal morphology in both clinical and laboratory settings. Essentially, researches have unveiled that the root canal constitutes a complex system, comprising not only the main root canal but also lateral components, including isthmuses, fins, accessory canals and apical ramifications. Undoubtedly, this intricate morphology poses a significant challenge when it comes to the process of shaping, cleaning and disinfecting the root canal system. This article aims to explore the anatomical aspects of the root canal system that impact the chemomechanical procedures.

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Section: The Chemomechanical Preparationmentioning

confidence: 99%

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

Section: Shaping For Cleaning: Reconsidering Root Canal Disinfectionmentioning

confidence: 99%

Section: The Complexity Of the Root Canal Systemmentioning

confidence: 99%

See 3 more Smart Citations

Anatomical complexities affecting root canal preparation: a narrative review

Versiani,

Martins,

Ordinola‐Zapata

2023

Australian Dental Journal

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Shaping outcomes of Reciproc Blue and Rotate in roots canals with band-shaped isthmuses: micro-CT study

Keskin,

Pirimoğlu,

Çiftçioğlu

et al. 2023

Clin Oral Invest

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Root Canal Instrumentation: Current Trends and Future Perspectives

Srivastava

2024

Cureus

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The evolution of root canal instrumentation techniques has significantly impacted the field of endodontics, enhancing both the efficiency and outcomes of treatments. This review outlines the transition from manual to mechanical and rotary instruments, highlighting the role of nickel-titanium (NiTi) alloys and smart technologies in advancing procedural precision and reducing patient discomfort. Key historical developments and technological innovations, such as digital imaging and navigation systems, are explored for their contributions to improved clinical outcomes and patient satisfaction. Additionally, the review addresses the challenges presented by the complex anatomy of the root canal system and the advent of current instrumentation techniques. The potential of emerging trends, including artificial intelligence and advances in materials science, is discussed in the context of future endodontic practices. Despite the progress, challenges related to using advanced instrumentation methods, ethical considerations, and the cost factor of new technologies persist. The present review underscores the ongoing need for research and development to further refine root canal instrumentation techniques, ensuring that advancements in endodontic care remain patient-centered and accessible.

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Managing Canal Anatomies in the Context of Shaping for Cleaning Proposal

Cited by 3 publications

References 198 publications

Anatomical complexities affecting root canal preparation: a narrative review

Anatomical complexities affecting root canal preparation: a narrative review

Shaping outcomes of Reciproc Blue and Rotate in roots canals with band-shaped isthmuses: micro-CT study

Root Canal Instrumentation: Current Trends and Future Perspectives

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