Dr. Filippo Santarcangelo

DDS, MSc in Endodontics; Adjunct professor, Endodontics and Dental Prosthetics, University of Padua, Clinical practice, endodontics – Bari, Italy

Anatomically Guided Shaping: Science and Practice

The scientific literature indicates the “Gold” metallurgy as a very powerful process creating a new generation of rotary and reciprocating files. In particular the most recent studies from peer reviewed journals demonstrate that a new reciprocating file, Wave One Gold is a very interesting technological option. The gold alloy along with a unique design and specific degrees of reciprocation makes this file very flexible and resistant, so finally the shape respects the original canal anatomy. From a clinical point of view all of these are good news for the dentists: the can do an excellent job of shaping, reducing the risk of file separation and other iatrogenic complications. Wave one gold, above all, is a single file technique, only one file is needed to completely achieve the shape and this leads to a dramatic reduction of the duration of the procedure. Once clinicians understand the anatomy they are in front of, they can select the right WOG for that specific anatomy, in other words anatomy dictates the file choice, it is an anatomically guided shaping! This lecture has the goal to analyze clinical and technical aspect of the procedure emphasizing the good impact of the new technology on the endodontic daily practice