Professional Documents
Culture Documents
Guided by:
Presented by:
Dr. Karunakar R.DEEPIKA
Dr.Raji.V.Solomon Pg 3rd yr
Dr sravan kumar
8/18/20 2
CONTENTS : part 1
• Introduction
• History
• Rotary revolution
Changes in files
Changes in handpiece
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HISTORY
Super-elasticity
Properties
Shape memory effect
Better resistance to torsional fracture
Low modulus of elasticity .
METALLURGY OF NICKEL-TITANIUM ALLOYS
14
• Other materials with superelastic properties
Copper zinc,
Copper aluminium,
Gold cadmium,
nickel nobidium
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55 NiTi
(55% wt Ni)
NiTi
60 NiTi
(60% wt Ni)
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• shape memory : A shape-
memory alloy is an alloy that
"remembers" its original
shape and that when
deformed returns to its pre-
deformed shape when heated.
Application of
stress
Accomodates greater
stress without increasing
the strain, making the
material more flexible
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• Parent phase
• Stable, stronger
• Cubic lattice form
• At High temperature
• At lower stresses
• Daughter phase
• Weaker form
• Monoclinic hexagonal lattice
• At lower temperature
• At higher stresses
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Cooled
Heating
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• = 17 c
CM Wire = 55 c
M-Wire = 50 c
Flexibili
R-Phase = 17 c
ty
Conventional NiTi = 16-31 c
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Less cutting
efficiency (60%)
Gives false sense of
security- doesn't
show any sign of
deformation
More flexible
More resistance to
fracture in clockwise
torsion
Better wear resistance
Less corrosive
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MANUFACTURING:
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Strategies For Improved Niti Instruments :
Surface Treatment
Electropolishing
Ion implantation :
Physical vapour deposition (PVD)-
8/18/20 24
NiTi Stainless steel
Each successive file only engages a minimal aspect of the canal wall, which
reduces frictional resistance and less torque, is required to run the file .
RAKE ANGLE
31
32
Clinical significance :
33
K3, Protaper, Hero 642,
RaCe & Flex master.
Profile etc..
Rake angle and cutting angle?
• The cutting angle (effective rake angle) is a better indication of the cutting ability of
a file
• Angle formed by the cutting(leading edge) and the radius when the file is sectioned
perpendicular to the cutting edge
• In some quantec files , a file may have a negative rake angle and a positive cutting
angle
• If the flutes of the file are symmetrical ,the rake angle and cutting angle will
essentially be the same
36
RADIAL LAND
• A radial land is a surface that projects axially from the central
axis, between flutes, as far as the cutting edge.
• The best way to explain this is blade support. Blade support is
defined as the amount of material supporting the cutting blades
of the instrument. .
37
Clinical significance :
Instruments with
It is the combination of a
smaller diameter radial
non-cutting tip and
land and taper are better
radial land that keeps a
able to negotiate the
file centered in the canal.
curved canals.
39
HELICAL ANGLE
• Spiral angle
• The angle that the cutting
edge makes with the long
axis of the file.
40
Bigger this angle = Higher the
no.of striae, inc flexibility, Smaller the angle = lower
the no of striae, decreases
no.of contact points , cutting flexibility, contact points
efficiency & probability of & cutting efficiency
fracture .
41
Clinical
significance :
Constant helical angle :
Debris
accumulate,
“Screw in” effect.
Profile
Variable helical
angle : Debris will
be removed in a
more efficient
manner, No screw
in effect
Alternating
helical angle :
reduces rotational
torque, reduces the K3 , GT series ,
sucked in effect in
to the canal. Protaper,
42
PITCH
44
FLUTE
• Groove in working surface used to collect soft tissue and dentin chips
removed from the wall of canal
• Effectiveness of flute–
45
Clinical significance :
46
FILE CORE
47
CORE TAPER
48
TIP DESIGN
49
Clinical significance :
50
51
IMPORTANCE OF SPEED AND TORQUE
• Speed refers not only to revolutions per minute but also to the surface feet
per unit that the tool has, with the work to be cut.
• Greater the speed, more the cutting efficiency
Breakage of
Change in
Loss of tactile instruments
anatomical Loss of control
sensation preceded by flute
curvature of canal
distortion
52
TORQUE IN DENTISTRY
Marzouk
53
IMPORTANCE OF TORQUE- DURING
CLEANING AND SHAPING
Difficult instrument
Instrument locking progression in canal
Forcing of instrument by
Deformation operator
Instrument locking,
Separation Deformation and Separation
54
Low torque control motors- torque values set on the motor are supposed to be less
than the value of torque at deformation and at separation of the rotary
instruments.
High torque control motors- torque values are relatively high compared to the
torque at deformation and at separation of the rotary instruments.
55
Low torque control High torque control motors
motors
Instrument torque at
Motor will stop deformation and separation
rotating reached
56
HANDPIECES USED IN ENDODONTICS
57
HANDPIECES USED IN ENDODONTICS
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First generation without torque control
59
INSTRUMENT FAILURES
Torsional fractures
Flexural fractures
60
TORSIONAL FRACTURES
Instrument tip is
larger than canal
section to be
Large surface of shaped
instrument rubs Operator exerts
excessively excessive
against canal pressure on
walls (taper handpiece
lock)
Torsional
failure
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TAPER LOCK
Crown down
technique
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INSTRUMENT TIP AND CANAL WIDTH
• If the tip binds and the gearing of the motor is higher than the maximum
torque that the instrument can withstand
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EXCESSIVE MANUAL FORCE ON HANDPIECE
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FLEXURAL FRACTURES
8/18/20 66
Every 180°
Compression on
rotation- Cyclic fatigue
inner side and
instrument and eventual
Tension on outer
flexes and fracture
side
stretches
Larger sized or greater taper files- increased metal mass- more compressive
and tensile forces- Quicker cyclic fatigue
8/18/20 67
PREVENTION OF INTRA-CANAL BREAKAGE
OF ROTARY INSTRUMENTS
Assessment of
Straight line Canal orifice
canal
access enlargement
curvature
Rotational
Establishment Crown Down
speed and
of glide path technique
torque control
Straightening of Cracking of
twisted flutes instrument along
its long axis
Peeling of metal at
Full fracture of
blade edges
instrument
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CLASSIFICATIONS
8/18/20 71
According to ISO and FDI:
Group Endodontic instruments for hand use only. Ex : K-files,H-files ,K- reamers,R-type rasps
I ,Barbed broaches,Smooth broaches,Pluggers,Spreaders.
Group Endodontic instruments with same design as Group-I but are engine
II driven latch type. Ex : Lentulo spirals
Engine driven latch type drills or reamers. Ex: Gates Glidden Drills
Group (G-type),Peeso reamers (P-type),A-type reamers,D-type reamers,Ko-
III
type reamers,T-type reamers,M-type reamers,Root facer.
8/18/20 72
Grossman's classification: Based on use of
an instrument:
Shaping
EXPLORING Debriding/Extirpa Obturating
/Enlarging
INSTRUMENTS ting Instruments : Instruments :
Instruments :
•to locate orifice •to extirpate pulp •To shape the •e.g.
assist in to remove debris canal laterally Lentulospirals,
obtaining and foreign and apically. spreaders,
patency of root material •e.g. files, reamers, pluggers,
canal •eg. barbed powered •Instruments for
•eg. broaches, broaches, rat-tail instruments. thermoplastisizin
endodontic files, hedstrom g gutta-percha.
explorer, probe. files
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According to manner of activation
• Manual
• Engine driven
• Power driven
• Sonic and Ultrasonic
Webber’s classification
Reamers
Files
Broaches
Rotary instruments
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Harty’s classification :
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Based on generations :
Ex : Protaper,
Ex : Twisted File,
Biorace ,
Hyflex, GT and
Endosequence Ex : Revo-S, One Shape
Ex : Profile series 29, Vortex Ex : WaveOne,
and
Greater taper, Profile Reciproc
ProTaper Next
THE SHAPING MOVEMENT 5TH GENERATION TECHNOLOGY by Drs. Clifford J. Ruddle, Pierre Machtou and John D. West.
DENTISTRY TODAY April 2013
8/18/20 76
Endodontic machine-assisted instrumentation can be classified into five groups
according to the instrumentation kinematics as follows:
rotary motion,
rotational reciprocating motion,
vertical vibration plus rotational reciprocating motion,
vertical vibration and
rotary motion plus rotational reciprocating motion
(adaptive).
A review of instrumentation kinematics of enginedriven
nickel–titanium instruments
I. D. C apar1 & H. Arslan2. International Endodontic Journal,
49, 119–135, 2016 8/18/20 77
General Guidelines for Using Rotary NiTi
Instruments
Ruddle CJ. “Cleaning and Shaping the Root Canal System” in Cohen S, Burns RC
(eds). Pathways of the Pulp. 8th ed. St. Louis: Mosby 8/18/20
pg. 242-258 78
STEEL ROTARY INSTRUMENTS
LA axess burs
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• Size recognition- circular notches/rings
• #1 has one notch; #2 has two notches…
• #1 – 0.50mm, #2 – 0.70mm… #6 – 1.50mm
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• Overall length = 28mm ; active part = 15mm
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84
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ROTARY ENDODONTICS
85
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ROTARY ENDODONTICS
• Weakest point at the start of the shank– easier to remove in case of
fracture within canal
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• Side cutting instruments
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TWO PROCEDURAL SEQUENCES PROPOSED
WITH GG –
Step-down technique
Step back technique
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FlexoGates/Handy Gates –
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X-Gates –
8/18/20 91
The X-Gates may be used for three purposes:
To initially open,
flare and smoothly
blend the canal
orifices to axial
walls
To intentionally
relocate the coronal-
To remove internal
most portion of a
triangles of dentin
canal away from
furcal danger
8/18/20 92
Peeso reamers/Largo drills
Non-cutting tip
Six sizes
#1 – 0.70mm
#6 – 1.70mm
8/18/20 93
• Differ from GG in that the blades are
spread over a wider surface area and the
shape is cylindrical
8/18/20 94
ISO Size Gates-Glidden Drills Peeso Reamers
50 1 Stripe -----
70 2 Stripes 1 Stripe
90 3 Stripes 2 Stripes
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LA AXXESS BURS • (Sybron Endo)
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ENDO-EZE A.E.T. FILES
8/18/20 97
Shaping Files
Shaper 2- tip
Shaper 1- tip
diameter of 0.13
diameter 0.10 mm
mm and .045
and .025 taper
taper
8/18/20 99
Apical Files
8/18/20 101
PATHFILETM (DENTSPLY)
• Create glide path rapidly and safely, in place of stainless steel files
• Available in 3 ISO sizes (013, 016 and 019) and 3 lengths (21, 25
and 31mm)
8/18/20 102
Strength- Square cross-section and .02 taper
Simplicity of use
8/18/20 103
• The most significant features of these revolutionary new instruments are
as follows.
• Ensuring great resistance to cyclic fatigue. that facilitates the progression
of the files without the need for strong axial pressure which better
maintains the original canal anatomy.
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• Light speed technology, San Antonio, TX,
Light speed
USA.
• Introduced by Dr. Steve Senia in
1992.
• Has a long shaft and a working part
in the shape of a very short flame.
• U – shaped, three edges
• Neutral rake angle
• Rotational speed = 750-2000 rpm
• Thin, taperless, non cutting shafts
• Maximizes flexibility
8/18/20 106
• Availability :
• Total 26 lightspeed inst from size 20 to 140.
• with nine intermediate sizes (half sizes) of 22.5, 27.5, 32.5, 37.5, 42.5, 47.5,
52.5, 57.5 and 65.
• Lengths available- 21, 25 and 31mm
Cutting heads
• 3 radial lands and 3 U-shaped spiral grooves
between the lands
• Cutting surface-
• size 20(smallest) – 0.25mm
• size 140(largest) – 2.25mm
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First 5 LS (20 32.5- Transition
35 to 140
to 30) instrument
• Short, non- • slightly • Longer &
cutting pilot longer, non- slender, non-
tip cutting pilot cutting pilot
• 75° cutting tip tip
angle • 33° cutting • 21° cutting
angle angle
8/18/20 109
SHANKS AND HANDLES
8/18/20 110
SIDE VIEW OF LS BLADE
0.1 mm
Very short (non-cutting)
tip
8/18/20 111
FRONT VIEW OF LS BLADE
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• Dentsply Maillefer, Ballaigues, Switzerland
Profile system
8/18/20 116
Design features :
• “U” shaper
• Three cutting edges
• Negative rake angle
• Radial lands present
• Rotational speed 150-300 rpm
• Non cutting tip = Bullet nose
• 21 and 25 mm length
•
8/18/20 117
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Profile GT series
8/18/20 120
Passive, radiused tip geometry that dramatically
reduces the chances of apical ledging.
8/18/20 121
video
y2mate.com - profile_gt_system_features_QDTiDSkqi9M_240p.mp4
8/18/20 122
GT-X files
Less is more!!
Less taper needed for apical resistance form than was previously thought
Possible to eliminate the 20-.08 and all of the .10 sizes
8/18/20 125
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• The Progressively Tapered (ProTaper) NiTi
PROTAPER rotary files (Dentsply Maillefer, Ballaigues)
• Introduced in 2000
• Prof. Pierre machtou
8/18/20 127
• to provide superior flexibility,
unmatched efficiency and greater
safety.
8/18/20 128
Shaping file Sx:
8/18/20 130
videoplayback.mp4
8/18/20 131
finishing files :
8/18/20 132
• with any instrument, increasing its D0
diameter and percentage taper
correspondingly increases its stiffness.
8/18/20 133
• In 2006 , the protaper universal was
introduced by adding two new
finishing files ,
8/18/20 134
Convex triangular = reduces the
contact area between the blade of
the file and dentin, and serves to
enhance the cutting action and
improve safety by decreasing the
torsional load.
8/18/20 135
• ProTaper files have short, 12.5
mm handles as compared to
the more standard file
handle length of 15 mm.
8/18/20 136
Silent features :
8/18/20 139
The availability of K3 canal shaping files with regard to
taper, tip size and length
Orifice
shapers
8/18/20 140
Positive rake angle
8/18/20 141
Radial lands
8/18/20 142
Wide radial land : Increased radial land of the K3
increases peripheral strength behind the cutting blade
which prevents the propagation of cracks and reduces
the chances of separations and deformation from
torsional stresses.
8/18/20 143
Third Radial land: Land without relief. prevent the file
from "screwing" itself into the canal, also prevents
over-flaring the canal by centering and stabilizing the
instrument.
8/18/20 144
The proportion of the core diameter to the
outside diameter is greatest at the tip, where
strength is most important. This proportion then
decreases uniformly as it moves up the taper,
which increases flexibility while maintaining
strength. & removes debris efficiently.
8/18/20 145
K3™XF NICKEL TITANIUM
FILES
146
08/18/2020 8/18/20 146
ROTARY ENDODONTICS
QUANTEC
McSpadden in 1996
8/18/20 147
• The original Quantec 2000 series had a 90°tip. This sharp tip
predisposes to problems like zip, elbows and perforations.
8/18/20 148
Quantec SC-
8/18/20 149
Quantec LX-
8/18/20 150
Design features-
Prevents stress
Support
cracks
Prevents Reduces
screwing in frictional
canals resistance of file
8/18/20 152
• Micro Mega, Benseneon,
Hero rotary file France
• H- High
• E- Elasticity
• Ro- Rotation
• 642 - available in the tapers 0.06, 0.04 and 0.02.
8/18/20 153
Design features :
λ - instrument pitch,
l - reduced length of
the cutting portion
SMD
8/18/20 157
• Safety Memo Disc
(SMD)-
• At the handle
• 8 removable petals
• Petals are removed depending
on the severity of the case-
Usually one petal per case
8/18/20 158
• Real World Endo, Brasseler USA,
Endosequenc Savannah, Ga
8/18/20 159
Range of instruments
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Contents part 2
• Liberator
• V taper
• Flex master
• M two
• Systems with M wire technology : Vortex
Vortex blue
Protaper next
Greater taper X
8/18/20 162
• Retreatment files
Protaper universal
D-race
Mtwo R
R Endo
• Single file systems
Self adjusting file
Twisted file
One shape
• Other advances in rotary endodontics
Hyflex files
I race
Bio race
Plastic files 8/18/20 163
references
8/18/20 164
• Dr martin trope . biorace niti system: biologically desirable apical
sizes – safely and efficiently.Endodontic practice september 2010
• Zvi metzger et al . the self-adjusting file (SAF). Part 1: respecting
the rootcanal anatomy—a new concept of endodontic files and
its implementation. JOE — volume 36, number 4, april 2010
• Ya shen et al. Current challenges and concepts of the
thermomechanical treatment of nickel-titanium instruments. J
endod 2013;39:163–172)
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