Endodontics Redefined

Endodontics Redefined Endodontics Redefined is a small attempt to make sure everyone understand and deliver their best effort in terms of Endodontic treatment.

Today in the era of high end gadgets, we lack the understanding of basic principles and the science..

Gradual curvatures along the apical third!Few important Rules!Pre-curving Files: Place a smooth, gradual curve along the...
01/02/2026

Gradual curvatures along the apical third!
Few important Rules!

Pre-curving Files: Place a smooth, gradual curve along the apical 3–4 mm of stainless steel hand files rather than a sharp bend to follow the natural curvature.

Crown-Down Approach: Use rotary files to remove coronal and middle-third restrictions first, which reduces binding and stress on instruments in the apical curve.

Glide Path Management: Utilize small, flexible files (sizes 08, 10, or 15) to establish a smooth, unobstructed path to the apex before using larger files.

Balanced Force Technique: Employs clockwise (insertion) and counter-clockwise (cutting) movements with gentle pressure to maintain the file centrally in the canal.

Copious Irrigation: Frequent, active irrigation with sodium hypochlorite (NaOCl) is essential to remove debris and prevent blockage.

Keep scouting!!

Scouting doesn't just help you explore the anatomy, it can literally raise the prognostic value in these complex cases!...
25/01/2026

Scouting doesn't just help you explore the anatomy, it can literally raise the prognostic value in these complex cases!
An absolute challenging case, referred by a clinician after multiple attempts managing the constant draining tract along the lingual aspect!

Cbct is a huge game changer, planning such deep splits / accessory canals at an offset angle. Tricky culprit noted and scouted so as to seal the portals predictably.

We used, hybrid complete reciprocation/ symmetrical oscillation to make sure we manage this anatomy without any possible transportation!

Cheers, keep scouting!

Premolar complexities demand better control over your manual scouting approach!We can't rely on motor driven files in su...
11/01/2026

Premolar complexities demand better control over your manual scouting approach!
We can't rely on motor driven files in such intricate canal spaces where your primary canal has an abrupt multiplaner curvature and a complex canal path before exiting at the apical foramen.

One of those cases where you would test your manual tools and their behaviour under multiple binding points along the trajectory. We scouted the lateral exit, but ended up separating an instrument further bypassed and retraced buccal canal path along the same plane!

Hopefully the separated instrument would not affect the prognosis!

Keep scouting, Cheers !!

Some intricate anatomies of 2025! It's been a wonderful year!! A year filled with memories, few amazing cases that we ma...
04/01/2026

Some intricate anatomies of 2025!

It's been a wonderful year!!

A year filled with memories, few amazing cases that we managed to handle, some amazing group of clinicians across the country we met, new learnings as always, few setbacks making us realise that we are not the best.

I learned one important lesson this year, thought of sharing with you all!

When you start thinking, you have reached the top of mountain ⛰️ just look down, you won't find anyone cheering or clapping for you. You need to motivate and pat on your back by yourself.

So somewhere in your practice you must cheer for yourself. Be your own cheerleader!!
You need to motivate yourself!!
Be consistent with your work , don't look for any sort of motivation from outside.

I hope I tried this entire year, to be someone's cheerleader!! Keep pushing ✨️

Wishing you all a great year ahead!! We are a strong community of passionate clinicians across the world! Keep taking it ahead.

Instrumentation of MB2 can often be difficult. The canal often has an abrupt mesial curvature in the coronal 1-3mm makin...
28/12/2025

Instrumentation of MB2 can often be difficult. The canal often has an abrupt mesial curvature in the coronal 1-3mm making it challenging to negotiate initially. I find that spending time initially gaining correct access and coronal flaring to
gain straight line access can prevent ledges, which once formed are very difficult to bypass.

I strongly advise fully preparing the MB1 canal prior to locating and instrumenting MB2. The MB2 often joins MB1 at a sharp angle, and it makes negotiation much easier if the MB1 is already enlarged.
Similar case with an absolute acute bend while mb2 joining mb1 in middle third.

Keep scouting!! Cheers.

28/12/2025

Deep splits are always tough to treat!!
Scouting into another complex lower molar with midroot split!

Full case coming soon!

Middle mesial canal scouting needs a little more attention to your access cavity design!! Well , sometimes you got to be...
28/12/2025

Middle mesial canal scouting needs a little more attention to your access cavity design!! Well , sometimes you got to be conservative with your approach without disturbing the fundamentals of debridement and biomechanics of root canal instrumentation technique!

Keep scouting, the anatomy could be more intricate than what you think hiding in there.

Middle mesial scouted through Truss access!

Probably one of the craziest cases I have ever managed. An absolute nightmare treating this lower second molar.The main ...
21/12/2025

Probably one of the craziest cases I have ever managed. An absolute nightmare treating this lower second molar.

The main challenge waa because of the large area of canal space, it is doubtful that intracanal instruments can reach and debride the entire portion of the continuum, making irrigation procedures more significant.
Obtaining a three dimensional fill of a C-shaped canal may prove to be a problem due to the various intricacies present within the root canal system. If a cold condensation technique is adopted for obturation, deeper pe*******on of condensation instruments in several sites will be necessary but I chose to sq**rt here, making sure we can seal the portals efficiently.

Endo never fail to amaze us!!
Keep scouting, cheers!!

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