Error: Subscribe to Dental Update to view, or purchase this article.

Article: Volume 42 Number 8 Page 709 - October 2015

Prev    Article P709    Next  Read article

  Dent Update 2015; 42: 709-720

Endodontics:  Modern Endodontic Planning Part 2: Access and Strategy

CPD:  CPD  1:12   (closed)      Self assess

Feedback:  0 comments, 0 ratings

      

Abstract: Poor access and iatrogenic damage can result in failed root canal treatment. Understanding tooth anatomy improves access and ensures that the clinician is cleaning and shaping the whole root canal system. If a canal is missed treatment usually fails. This paper revisits tooth anatomy and discusses how to ensure that access is optimized, but not at the expense of precious tooth structure. The concept of multi-visit root canal treatment is also addressed with emphasis on the, often overlooked, aspect of temporization.

Clinical relevance: Good anatomical knowledge of teeth is the cornerstone of endodontics. Once root treatment has begun the clinician must be logical about how many visits to take and how to temporize teeth between such visits.

Author notes: James Darcey, BDS, MSc, MFGDP, MEndo, FDS(Rest Dent), Consultant and Honorary Clinical Lecturer in Restorative Dentistry, University Dental Hospital of Manchester, Carly Taylor, BDS, MSc, MFGDP, FHEA, Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, Dental School, University of Manchester, Reza Vahid Roudsari, DDS, MFDS, MSc, PGCert(OMFS), Clinical Lecturer/Honorary Specialty Registrar in Restorative Dentistry, Dental School, University of Manchester, Sarra Jawad, BDS, BSc, MFDS, Specialty Registrar/Honorary Clinical Lecturer in Restorative Dentistry, University Dental Hospital of Manchester and Mark Hunter, BDS, MSc, Registered Endodontic Specialist, simplyendo, Altrincham, Postgraduate Clinical Teaching Fellow, Dental School, University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK.

Objective: To understand the anatomy of the root canal system and assist in pulp and canal location and treatment planning.

Belmont