SP-15 - Leakage Control in Complex Endodontic Treatments: Advanced Isolation Techniques

Operative field isolation is the standard of care for root canal treatments even in complex cases as prosthetic abutments, teeth with a severely damaged crown or during combined endodontics and restorative open-flap procedures.
The presence of leakage is recognized to be an unfavorable prognostic factor for therapy outcome. A proper isolation has to be carefully planned and it can affect the whole treatment plan for the recovery of the tooth. According with techniques and available materials, generally the clinician has many possibilities to get a proper isolation: before starting the treatment a deep and a proper analysis of pro and cons has to be done to decide the more convenient technique to apply.
The aim of this case-based presentation is to provide a practical guide for a fruitful isolation of challenging situations in endodontics, sharing protocols to get easily the leakage control, saving time and number of appointments for the recovery of the tooth.