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Gianluca Gambarini, D.D.S.
Professor
University of Rome
Sapienza, Univeristy of Rome
Disclosures: sybronendo KERR: Consultant, Grant/Research Support
Martin Trope, D.MD
Founder/Director
Next Level Endodontics
Disclosures: Brasseler USA: Clinical Director, Other Financial or Material Support
Ove Peters, D.MD, M.S., PhD
Chair, Department of Endodontics; Program Director, Advanced Education Program in Endodontology
University of the Pacific Arthur A. Dugoni School of Dentistry
Disclosures: Dentsply Sirona: Consultant
In the last decade, the evolution of 3D radiographic imaging allowed for a better understanding and visualization of the complex endodontic anatomy. Such knowledge is fundamental if endodontists want to combine simplicity and quality of their clinical procedures. One goal of the lecture is to provide new concepts for clinical assessment of canal complexities, aiming at providing clinical hints whether one file can safely do it all in the shaping procedure or not. Another goal is to illustrate the different actions of endodontic instruments inside the canal (creating a glide path, opening the orifice, shaping the main canal and enlarging the apex) and define if one file can efficiently do them all, or if some accessory instruments (manual or mechanical ones) are needed. Different options will be discussed, including the different operative motions, and their role in three-dimensional shaping.