Navigating Pathological Aberrations of Root Canals: A Review

Abstract

Management of aberrant pathological root canal morphologies poses significant challenges in endodontic therapy, affecting cleaning, shaping, and obturation.  potentially compromising treatment outcomes. This review explores contemporary strategies and techniques emphasizing preoperative assessment with cone-beam computed tomography (CBCT) for accurate canal mapping. It highlights the use of dental operating microscopes for improved visualization and precision. Advanced instrumentation techniques, such as flexible nickel-titanium files and adaptive motion systems, aid in negotiating irregular canals while minimizing errors. Additionally, the role of irrigation dynamics and novel delivery systems in thorough debridement is evaluated, along with thermoplasticized obturation for optimal sealing. Emphasis is placed on personalized treatment planning and the integration of emerging technologies to enhance endodontic success.