Present status and future directions: Management of curved and calcified root canals
Root canal curvature and calcification introduce factors that increase the risk of procedural accidents during root canal treatment. The inability to achieve patency to the apical third, asymmetrical dentine removal leading to transportation, perforation, and instrument fracture inside the curved tr...
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Veröffentlicht in: | International endodontic journal 2022-05, Vol.55 (S3), p.656-684 |
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creator | Chaniotis, Antonis Ordinola‐Zapata, Ronald |
description | Root canal curvature and calcification introduce factors that increase the risk of procedural accidents during root canal treatment. The inability to achieve patency to the apical third, asymmetrical dentine removal leading to transportation, perforation, and instrument fracture inside the curved trajectories are some of the procedural problems that might jeopardize the management of intraradicular infection and result in poor treatment outcomes. In fact, curved and constricted canals introduce such complexity that total instrumentation concepts and specially designed instruments have been developed to deal with the challenge. This narrative review seeks to provide and consolidate the principles necessary for understanding the dynamics of curved and constricted canal management and to improve the understanding for future developments in this field. |
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The inability to achieve patency to the apical third, asymmetrical dentine removal leading to transportation, perforation, and instrument fracture inside the curved trajectories are some of the procedural problems that might jeopardize the management of intraradicular infection and result in poor treatment outcomes. In fact, curved and constricted canals introduce such complexity that total instrumentation concepts and specially designed instruments have been developed to deal with the challenge. 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This narrative review seeks to provide and consolidate the principles necessary for understanding the dynamics of curved and constricted canal management and to improve the understanding for future developments in this field.</description><subject>Calcification</subject><subject>Endodontics</subject><subject>engine‐driven instruments</subject><subject>instrumentation techniques</subject><subject>manual instruments</subject><subject>root canal anatomy</subject><subject>root canal curvature</subject><subject>Root canals</subject><issn>0143-2885</issn><issn>1365-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp10E1LwzAcBvAgipvTg19ACl700C2vbeJNxtTJRA-7lywv0tE2M2mVfXuzdXoQzOXhDz8ewgPAJYJjFN-kNOsxIhlnR2AYk6WYCXQMhhBRkmLO2QCchbCGEDJI0CkYEIZglgs8BMs3b4Jp2iS0su1CIhud2K7tvEl06Y1qS9eEu-RFNvLd1DvobKI6_2n03ipZqdKW8fLOtfFsZBXOwYmNYS4OOQLLh9ly-pQuXh_n0_tFqggjLCVaISGFtDxf5YRAqinCjGmUEaQZNlRpm7PMZFxoyZmAxApCrdCUUM4lGYGbvnbj3UdnQlvUZVCmqmRjXBcKnGEqGBI4i_T6D127zu_-GlWOOMGcsqhue6W8C8EbW2x8WUu_LRAsdksXceliv3S0V4fGblUb_St_po1g0oOvsjLb_5uK-ey5r_wG8oCGKQ</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Chaniotis, Antonis</creator><creator>Ordinola‐Zapata, Ronald</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2844-5338</orcidid><orcidid>https://orcid.org/0000-0001-9738-0828</orcidid></search><sort><creationdate>202205</creationdate><title>Present status and future directions: Management of curved and calcified root canals</title><author>Chaniotis, Antonis ; Ordinola‐Zapata, Ronald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-3dc19a9af87b73304d41255d1631d52e4cdf756e689da85903f934f9d43488a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Calcification</topic><topic>Endodontics</topic><topic>engine‐driven instruments</topic><topic>instrumentation techniques</topic><topic>manual instruments</topic><topic>root canal anatomy</topic><topic>root canal curvature</topic><topic>Root canals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chaniotis, Antonis</creatorcontrib><creatorcontrib>Ordinola‐Zapata, Ronald</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chaniotis, Antonis</au><au>Ordinola‐Zapata, Ronald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Present status and future directions: Management of curved and calcified root canals</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2022-05</date><risdate>2022</risdate><volume>55</volume><issue>S3</issue><spage>656</spage><epage>684</epage><pages>656-684</pages><issn>0143-2885</issn><eissn>1365-2591</eissn><abstract>Root canal curvature and calcification introduce factors that increase the risk of procedural accidents during root canal treatment. 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subjects | Calcification Endodontics engine‐driven instruments instrumentation techniques manual instruments root canal anatomy root canal curvature Root canals |
title | Present status and future directions: Management of curved and calcified root canals |
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