Journal of Conservative Dentistry
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CASE REPORT
Year : 2022  |  Volume : 25  |  Issue : 5  |  Page : 573-577

A simple predictable triple protocol for the management of double-curved canals (Case report of three cases)


Department of Restorative and Endodontics, Faculty of Dentistry, University of Damascus, Damascus, Syria

Correspondence Address:
Dr. Mohammad Yaman Seirawan
Department of Restorative and Endodontics, Faculty of Dentistry, University of Damascus, Al-Mazzeh St., Damascus 30621
Syria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcd.jcd_289_22

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Double-curved canals, despite their rarity, pose a great challenge to complete endodontic treatment, and the difficulty lies in negotiating these canals and reaching their apex, whereas the greatest difficulty lies in their shaping, disinfection, and obturation. Conventional methods require excessive preflaring to the level of the first curvature to facilitate access and handling of the second one. Modern technologies facilitate dealing with these cases without compromising the dental tissues, metal alloys have become more flexible, and activation techniques have made it possible to deliver irrigants deeper. The triad of minimum shaping with tactile-controlled activation technique, hybrid irrigation, and sealing with bioceramics constitute an integrated and effective method to deal with these cases, and this protocol was used in the following three cases.


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