ROTARY ENDODONTICS

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Root Canal Instrumentation
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Estimate working length Verify canal patency Estimate canal size Establish actual working length

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Root Canal Instrumentation
Crown down preparation
Coronal third  Middle third  Apical third

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Armamentarium

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net .Armamentarium rxdentistry.

Armamentarium Stainless steel size 10 K-files    Used to explore canal patency Filing or quarter turn pull motion Do not rotate through 360 degrees rxdentistry.net .

net .Armamentarium Stainless steel size 15 and 20 K files  Used to establish actual working length rxdentistry.

net .Armamentarium rxdentistry.

Armamentarium Profile orifice shapers  Used to prepare the coronal one third of the root canal rxdentistry.net .

net .Profile Orifice Shapers rxdentistry.

Armamentarium Profile 0.06 taper rotary files  Used to prepare the middle third rxdentistry.net .

net .Armamentarium rxdentistry.

Armamentarium Profile 0.04 taper hand NiTi files  Used to prepare the apical third of the root canal rxdentistry.net .

Armamentarium rxdentistry.net .

Estimated Working Length Estimated working length is the distance from the reference point to the radiographic apex.net . as measured on a parallel preoperative radiograph rxdentistry.

Estimated working length   Take a pre-operative parallel radiograph Clinically. use a XCP film holder rxdentistry.net .

Estimated working length • Length from incisal edge to radiographic apex •Only an estimate because of radiograph distortion rxdentistry.net .

net .Estimate canal size    Radiographic appearance Crown/root morphology Standardized sizes (See table in manual) rxdentistry.

net .Estimate canal size rxdentistry.

net .Explore Canal Patency    Ensure that canal can be negotiated to radiographic apex Select #10 K file Precurve file if necessary rxdentistry.

net .Explore Canal Patency rxdentistry.

Explore Canal Patency rxdentistry.net .

Establish Actual Working length Instrumentation should terminate at:  The apical constriction  1 mm short of radiographic apex  Actual WL = Estimated WL – 1 mm rxdentistry.net .

Establish actual working length WL can be established using:  Radiographs  Apex locator rxdentistry.net .

net .Establish Actual Working Length rxdentistry.

Establish Actual Working Length rxdentistry.net .

net .Establish Actual Working Length rxdentistry.

net .Establish Actual Working Length rxdentistry.

Crown Down Preparation rxdentistry.net .

net .Crown Down Preparation rxdentistry.

Crown-down preparation Plastic incisor with transparent root rxdentistry.net .

Crown-down preparation  Place SS K file into canal until the tip is just visible at the apex rxdentistry.net .

Actual Working Length     Remove file from canal Subtract 1 mm This is the actual working length In this case the WL is 20 mm rxdentistry.net .

net .Actual Working Length rxdentistry.

net .Preparation of Coronal Third rxdentistry.

net . that is 12 mm Profile OS do not have rubber stops – however the cutting flutes measure 10 mm The goal is to work the largest OS to 12 mm rxdentistry.Preparation of Coronal Third    The coronal third measurement is WL minus 8 mm.

net .Preparation of coronal third rxdentistry.

Preparation of coronal third rxdentistry.net .

net .Preparation of the coronal third  Rotate OS at 300 rpm Note: Orifice shaper should be rotating at 300 rpm before it is placed in the canal    Advance the OS in 1 mm increments When resistance is encountered retract OS while still rotating Never force any instrument apically rxdentistry.

net .Preparation of coronal third Blue (#60) OS extends to approx. 9 mm rxdentistry.

Preparation of coronal third rxdentistry.net .

Preparation of coronal third rxdentistry.net .

net .Preparation of coronal third Gold (#50) OS reaches 12 mm rxdentistry.

net .Preparation of coronal third    Progress from larger to smaller orifice shaper Each smaller OS will extend further into canal Repeat the sequence until the largest OS extends to 12 mm rxdentistry.

net .Preparation of coronal third Blue (#60) OS extend to WL – 8 mm = 12 mm rxdentistry.

06 taper series 29 rotary files rxdentistry.net .Preparation of Middle Third Profile 0.

06 taper series 29 rotary files The middle third measurement is WL minus 4 mm. that is 16 mm The aim is to work the brown (#7) file to 16 mm rxdentistry.Preparation of Middle Third    Profile 0.net .

Preparation of Middle Third    Proceed from larger to smaller file Each smaller file will extend further into the canal Repeat the sequence until the largest file extends to 16 mm rxdentistry.net .

Preparation of middle third rxdentistry.net .

net .Preparation of middle third rxdentistry.

Preparation of middle third rxdentistry.net .

net .Preparation of middle third rxdentistry.

net .Preparation of middle third rxdentistry.

Preparation of middle third rxdentistry.net .

Preparation of middle third rxdentistry.net .

Preparation of middle third rxdentistry.net .

net .Preparation of middle third rxdentistry.

net .Preparation of middle third rxdentistry.

net .04 taper nickel titanium hand files rxdentistry.Preparation of apical third Profile 0.

that is 20 mm rxdentistry.Preparation of apical third   Profile 0.net .04 taper nickel titanium hand files The measurement is the full working length.

Preparation of apical third Measure working length on #15 file Set rubber stop at that length Lubricate the canal with Prolube    rxdentistry.net .

net .Preparation of apical third Advance size 15 file to working length Rotate file through 360 degrees Irrigate copiously with NaOCl after each file    rxdentistry.

seating each file to working length rxdentistry.net .Preparation of the apical third   Advance size 20 file to working length Continue through sequence.

Preparation of apical third     Progress from smaller to larger files Each file is fully seated at working length Small canals prepared to a minimum of ISO 35 or 40 Large canals prepared to a minimum of ISO 40 – 50 rxdentistry.net .

Preparation of apical third rxdentistry.net .

net .Preparation of apical third rxdentistry.

Preparation of apical third rxdentistry.net .

net .Preparation of apical third rxdentistry.

net .Preparation of apical third rxdentistry.

net .Preparation of apical third rxdentistry.

Preparation of apical third rxdentistry.net .

Preparation of apical third

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Preparation of apical third

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Preparation of apical third

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Preparation of apical third

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net .Preparation of apical third rxdentistry.

File kit on completion of instrumentation rxdentistry.net .

net .Master Apical File (MAF)   The largest file that extends to working length MAF film is exposed to confirm length and placement rxdentistry.

50 For small canals – minimum MAF #35 .net .Master Apical File   For large canals – minimum MAF #40 .40 rxdentistry.

This confirms:   Length Placement rxdentistry.net .Master Apical File  Take a radiograph with MAF in place.

Mission Accomplished! rxdentistry.net .