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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Main Authors: Gianluca Gambarini, Ivona Bago, Adrianna Adamek-Mrozowska, Byron Tsivos
Format: Article
Language:English
Published: Publymed 2024-04-01
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
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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