Management of Complex Root Canal Anatomy: Clinical Strategies and Case Reports

Abstract

Identification, negotiation, disinfection, and blockage of the whole root canal system are key elements of the success of root
canal treatment by clinicians. Additional canals, C-shaped, dens invaginatus, and taurodontism are all anatomical variations
which often present a diagnostic and treatment challenge. A lack of identification and handling of such complexities can lead
to a chronic infection and poor treatment results. This paper provides a literature review on prominent clinical modalities
on the management of complex root canal anatomy, such as, cone-beam computed tomography (CBCT), magnification,
ultrasonics, advanced nickel-titanium instruments, and better irrigation and obturation methods. Chosen case reports
reflect how these approaches practically apply in different clinical situations and the significance of technology-based
diagnostics and individual clinical decision-making. The results support the idea that effective endodontic treatment of
complicated anatomy predetermines a combination of good biological principles with the latest tools and techniques.