A Microscope-Assisted Root Canal Shaping Protocol for Clinical Practice

This course is an intensive microscope-assisted hands-on training program specifically designed for dentists and final-year dental students who wish to enhance their knowledge and clinical skills in endodontics.

**Day 1 – Theory**

During the morning session of the first day, participants will explore the clinical decision-making process that determines success in endodontic treatment, including case selection, restorative and technical difficulty assessment, and prognosis evaluation. Following the principle of *'Anatomy determines the system,'* topics such as access cavity design, working length determination, and the biomechanical principles of irrigation will also be covered.

**Day 1 – Hands-on**

In the afternoon session, the theoretical concepts will be translated into practical application. Participants will learn how to establish a safe glide path using hand files and evaluate root canal anatomy through hands-on exercises. This will be followed by controlled canal shaping with rotary file systems, with particular emphasis on taper awareness. Using resin training blocks, participants will perform apical analysis and shaping protocols while experiencing the clinical differences between .04 and .06 taper preparations.

**Day 2 – Theory**

The second day focuses on the management of complex root canal anatomy. Theoretical sessions will cover the risk of canal transportation in curved canals, the clinical characteristics of oval canals, and modern irrigation activation techniques. During the demonstration session, the instructor will present clinical approaches to curved canal management and minimally invasive preparation techniques.

**Day 2 – Hands-on**

Participants will perform irrigation activation and oval canal preparation on specially designed training models. All practical sessions will be conducted under the direct supervision of the instructor, with individualized feedback provided throughout the course.

Sponsors

Kurs Programı

09.00 - 09.45
Initial Assessment and Decision-Making in Endodontic Treatment
- Restorative Potential – “Is this tooth restorable?”
- Periodontal and Support Status – “Can this tooth be maintained mechanically?”
- Endodontic Complexity – “Is the treatment technically predictable?”
- Patient Factors – “Is long-term success realistic?”
09.45 - 10.15
Classification of Three Cases by the Participants
- Good
- Fair
- Questionable
- Hopeless
10.15 - 10.30
Coffee Break
10.30 - 12.00
Root Canal Shaping Strategy
- Key Considerations in Access Cavity Preparation
- Tips and Tricks for Accurate Apex Locator Use
- Reading the Anatomy – “Anatomy determines the instrumentation system.”
- Controlled Enlargement – “Shaping is the art of control.”
- Preserving the Restorative Future – “Today’s taper determines tomorrow’s fracture risk.”
12.00 - 13.00
Lunch
13.00 - 15.00
Hands-On: Microscope-Assisted Glide Path Creation and Anatomical Assessment
- Initial Negotiation with #08, #10, and #15 Files
- Recapitulation Discipline
- Working Length Control
- Maintaining Patency
15.00 - 15.30
Coffee Break
15.30 - 17.00
Hands-On: Shaping with Controlled Rotary Files
17.00 - 18.30
Hands-On: Understanding Canal Taper and Apical Assessment

09.00 - 10.30
Decision-Making in Different Root Canal Anatomies
Curved Canals
- The Tendency to Straighten the Curvature
- Identifying the Onset of Canal Transportation
- Small Taper – Controlled Advancement
Oval Molar Canals
- Especially Oval Distal or Palatal Canals
- The Pitfall of Over-Roundification
- Dentin Thinning on the Furcation Side
10.30 - 11.00
Coffee Break
11.00 - 13.00
Hands-On: Glide Path and Centering in Moderately Curved Canals
Stage 1 – Glide Path Preparation
- Careful progression with #08, #10, and #15 files
- Recapitulation discipline
- Maintaining working length
Stage 2 – Centering with Rotary Files
- Reducing apical pressure
- Selecting a smaller taper
- Preserving the original canal curvature
- Early detection of canal transportation
13.00 - 14.00
Lunch
14.00 - 15.30
Hands-On: Irrigant Activation Techniques
15.30 - 16.00
Coffee Break
16.00 - 17.30
Hands-On: Oval Canal Preparation and Dentin Preservation
17.30 - 18.00
Q&A Session & Certificate Ceremony