Clinical management of confluent canals
Confluent canals are potentially dangerous for endodontic rotary instruments because they are rarely detected with periapical radiographs and they usually create an abrupt curvature, with a small radius less than two millimeters and a high degree of the curvature close up to 90 degree. The purpose o...
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Format: | Article |
Language: | English |
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Publymed
2024-04-01
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Series: | Annali di Stomatologia |
Online Access: | https://www.annalidistomatologia.eu/ads/article/view/362/354 |
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author | Gianluca Gambarini Ivona Bago Adrianna Adamek-Mrozowska Byron Tsivos |
author_facet | Gianluca Gambarini Ivona Bago Adrianna Adamek-Mrozowska Byron Tsivos |
author_sort | Gianluca Gambarini |
collection | DOAJ |
description | Confluent canals are potentially dangerous for endodontic rotary instruments because they are rarely detected with periapical radiographs and they usually create an abrupt curvature, with a small radius less than two millimeters and a high degree of the curvature close up to 90 degree. The purpose of this clinical article is to show first how to manage this confluent canal according to the Vertucci technique, and also provide some clinical guidelines about determining if a confluence is present or not, at which level and which is the working length for each instrument, and which is the canal to be instrumented first. If all these recommendations are correctly followed, a very common and dangerous clinical problem for endodontists can be very easily and quickly resolved, significantly reducing the risk of intracanal failures without any additional special devices but only by using knowledge and clinical skills |
format | Article |
id | doaj-art-0d2575c4c11848b687b56124213db19a |
institution | Kabale University |
issn | 1971-1441 |
language | English |
publishDate | 2024-04-01 |
publisher | Publymed |
record_format | Article |
series | Annali di Stomatologia |
spelling | doaj-art-0d2575c4c11848b687b56124213db19a2025-01-30T18:19:40ZengPublymedAnnali di Stomatologia1971-14412024-04-0115423524010.59987/ads/2024.4.235-240ads2404-235-240Clinical management of confluent canalsGianluca Gambarini0Ivona Bago1Adrianna Adamek-Mrozowska2Byron Tsivos3University of Rome La Sapienza, ItalyUniversity of Zagreb, CroatiaUniversity of Lodz, PolandPrivate practice, UK and GreeceConfluent canals are potentially dangerous for endodontic rotary instruments because they are rarely detected with periapical radiographs and they usually create an abrupt curvature, with a small radius less than two millimeters and a high degree of the curvature close up to 90 degree. The purpose of this clinical article is to show first how to manage this confluent canal according to the Vertucci technique, and also provide some clinical guidelines about determining if a confluence is present or not, at which level and which is the working length for each instrument, and which is the canal to be instrumented first. If all these recommendations are correctly followed, a very common and dangerous clinical problem for endodontists can be very easily and quickly resolved, significantly reducing the risk of intracanal failures without any additional special devices but only by using knowledge and clinical skillshttps://www.annalidistomatologia.eu/ads/article/view/362/354 |
spellingShingle | Gianluca Gambarini Ivona Bago Adrianna Adamek-Mrozowska Byron Tsivos Clinical management of confluent canals Annali di Stomatologia |
title | Clinical management of confluent canals |
title_full | Clinical management of confluent canals |
title_fullStr | Clinical management of confluent canals |
title_full_unstemmed | Clinical management of confluent canals |
title_short | Clinical management of confluent canals |
title_sort | clinical management of confluent canals |
url | https://www.annalidistomatologia.eu/ads/article/view/362/354 |
work_keys_str_mv | AT gianlucagambarini clinicalmanagementofconfluentcanals AT ivonabago clinicalmanagementofconfluentcanals AT adriannaadamekmrozowska clinicalmanagementofconfluentcanals AT byrontsivos clinicalmanagementofconfluentcanals |