Introduction

Weine,

Martin, Walton and Mully were the

early advocates of this method.

Also

called Telescopic or Serial root canal

preparation

It

consists of two phases:

i. Phase I
Apical Preparation
ii.Phase II a Preparation of remaining canal
by stepping back
Phase II b Refining Phase

Phase I- Apical
Preparation
Canal

is explored with a fine instrument.

Working length is then determined.
First instrument to be inserted should
be a fine (No. 8,10 or 15) K-file, precurved and coated with a lubricant.
Motion is generally watch winding- 2 or
3 quarter turns clockwise- anti
clockwise and then retraction.

Upon removal, the

instrument is wiped clean,
recurved, relubricated and
reinserted.

Procedure is repeated until

the instrument is loose in
position.

Then the next size K-file is

used until a size 25- K file
has been used to full length.

 In

curved canals the apical preparation

with instruments of sizes > 25 would
pose a danger of zipping.
During the whole procedure
recapitulation with a smaller file &
copious irrigation is essential so as to
ensure patency of the canal.

Phase II
Stepping back in increments with recapitulation using #
25 file to ensure patency to the constriction with irrigation

In a fine canal, step back process begins with a N0: 30 K-file

with a working length set 1 mm shorter.

The instrument is pre-curved, lubricated, carried down the

canal to the new WL, watch wound and retracted.

Process is repeated till #30 file is loose within the canal.

Recapitulation to the full length with a # 25 K file follows to
assure patency to the constriction.

Thus, preparation steps back up the canal 1 mm and 1 large

instrument at a time.

 For

coronal and mid

root preparation H files
or Gates Glidden drills
No. 2,3,4 may be used
along with lubrication.
The drill should be
used with great care.
A proper continuing
taper is developed.

Phase II b- Refining
phase

Return to # 25 last file (Master Apical File) short of

working length to smooth the step back with
vertical push- pull strokes.

Canal is smoothened all around the walls to perfect

the taper from the apical constriction to the canal
orifice.

Final preparation should be an exact replica of the

original canal configuration- shape, taper and
flow,only larger.

Coke-bottle preparation to be avoided.

Advantages
Better tactile awareness
Keeps apical preperation

small in its
original position- gradual taper.
Greater taper coronally compared to
standard preperation.
More dentin removal and cleaner walls.
Avoids zipping.

Disadvantages
Chances

of pushing debris into periradicular tissues.

Working Length likely to change as
canal curvatures are eliminated.

References
Ingle,

Bakland, Endodontics. 5th Edition.

Chandra

B. Suresh, Krishna V. Gopi,

Grossmans Endodontic Practice, 12th
Edition,2012.

Internet

sources.

THANK YOU