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roots - international magazine of endodontology No. 4, 2016

canal shaping case report | 31 roots 4 2016 particular. The coronal restoration was topped off with a composite and a core build-up of glass fibre reinforced composite. Further indirect restoration is planned to be done by the referring dentist. The post-operative X-rays illustrate two interesting aspects (Figs. 10 & 11): first of all, the obturation ma- terialwassafeinplaceandtogetherwiththetightseal of the coronal restoration should keep another re- infection at bay. Secondly, the steps were still visible. Especially the mesio-buccal and distal canals looked imposinginrelationtotheirnormalsize.However,the composition as a whole appeared to be stable with enough dentine surrounding the apex. We were able to save the tooth and the patient left our endodontic practice with an uplifting prognosis despite his un- fortunate entry. Experts for root canal treatment In our line of work, we often witness patients that dread visiting an endodontic specialist. This some- times leads to a situation were the general practi- tionertriestoperformacomplexnsRCThimselfturn- ing it in an even more complex treatment. Of course, the enormous technical progress in endodontic in- struments helps dentists to work professionally and confidently—almost irrespective of their level of experience. Modern endo equipment like a state- of-the-art NiTi system allows newcomers and col- leagues who do not perform endodontic treatments on a regular basis to create convincing results in a short period of time. Dentistswhohavenotgotthetimeordesiretoper- sonally invest in endo should nevertheless improve the service level of their practice by cooperating with a skilled and well-versed endodontic practice. In Bel- gium, dentists specialize in a three year intensive course to become experts in root canal treatments. Equippedwiththelatestinstrumentsexperienceden- dodontiststhereforecanofferalotofadviceandhelp with cases that are otherwise deemed to be untreat- able. A good working referral system can bring huge benefitsforbothgeneralpractitionersandendodon- tists who know their way around the root canal. Summary Modern rotating instruments help the endodontist and general dentist to operate both confidently and safely.RefinedNiTisystemswith“ControlledMemory”-­ effectareextremelyflexibleandfractureresistantdue totheirspecialmaterialproperties.Withpre-bendable files root canals can be shaped efficiently without making any concessions to the natural anatomy of a given root canal. Even referral cases with an eventful history can have a promising prognosis, if the RCT is performed according to the rules, i.e step by step._ about Dr Christophe Verbanck obtained his Master of Dentistry at the University of Gent (Belgium) in 2009.He specialized in endodontology,graduating after a three year postgraduate training at the University of Gent.Since 2014 he works together with two colleagues in an endodontic practice in Hasselt (Belgium). In January 2016 he started together with his wife his own referral practice for endodontics“Lovendo”in Lovendegem (Belgium). Christophe regularly teaches general dentists in endodontology and holds workshops in the application of endodontic techniques. Dr ChristopheVerbanck Grote Baan 90 9920 Lovendegem Belgium tandarts@lovendo.be www.lovendo.be More information at:www.coltene.com Figs.10 & 11: Post-operative radiographs. Fig.10 Fig.11 42016

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