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Rotary Instruments

Rotary Instruments

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Published by eman_helmy

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Published by: eman_helmy on Dec 01, 2011
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07/11/2013

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 NiTi Rotary Instruments
 By Eman Helmy
 
 NiTi Rotary Instruments
 Eman Helmy
INTRODUCTION
Endodontics can be considered a game, the degree and consistency of endodontic success depends on the vigilance and resolve with which theendodontic game is played.Over the last few years endodontics has undergone a complete revolutionwith the introduction of the NiTi alloy for the manufacture of initiallymanual and then rotary endodontic instruments.
COMMON FEATURES OF NICKEL-TITANIUM FILES:
Manufacturers have placed great emphasis on various NiTi rotary design details butonly two major factors have been identified that impact shaping potential:1)Tip configuration and2)Cross-sectional design.1)
Tip configuration :
Cutting Tip
:
Transportation of canal in less experienced hands.
Going long with it, creates an elliptical tear at the end of the root.
Making apical seal and obturation difficult.
 Negotiating tip that cuts as it moves apically, following canal pathways andminimizing stress. 
 Non-Cutting Tip
:
Going long with it, creates a concentric circle at the end of theroot.
Making apical seal and obturation easier.
Guides the instrument in the canal.
Reduces the risk of ledging, scratching or gouging
2)Cross-sectional design:
File cross-sections. (A) K-file, RaCe. (B) ProFile, GT,LightSpeed. (C) Hero 642. (D) K3. (E) ProTaper,Flexmaster. (F) ProTaper F3.2
 
 NiTi Rotary Instruments
 Eman Helmy
3)Flute design:
A.Landed flute design (with radial lands):
-
In which cutting edges had been flattened, named "radial lands" giving aU-file design.
-
This flattening was necessary because every permanent rotating systemhas the tendency to screw into the canal.
-
Prepare canals in a planning action and need to be
 
advanced with light pressure in order to engage the perimeter of the canal and then cut thedentin there.
-
Make preparation slower but safer.
-
Increase strength and decrease flexibility. Note:
-
The flute of the file is the groove in the working surface used to collectdebris removed from the wall of the canal.
-
The land is the surface that projects axially from the central axis as far as the cutting edge between flutes.
-
The land helps:
Centering the instrument in the canal.
Preventing any binding or catching (screwing) into dentin.
Adding peripheral mass increasing strength.
Permitting easy smoothening of the canal walls.
Supporting the cutting edge.
Reducing the propagation of cracks inherent in the cutting edge.
-
The landed flute design with radial land relief reduces friction on canalwalls as in K 
3
.B.Non-landed flute design :
-
Sharp cutting edges resulting from a triangular cross sectional design thatcuts more rapidly but can lead also to preparation errors.
-
Considered more efficient but require more operator skill to avoid procedural mishaps compared to radial-landed files.
-
Prepare canals with more of a cutting action (aggressive cutting); their Should never be used long to avoid the occurrence of apical zipping, perforation or an elliptical shaped foramen that is difficult to obturate.3

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shawtyishere added this note
thank you so soooo much.. i hope this can help me :)
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