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Step Down Technique

The Step Down Technique is a method for root canal preparation that involves first cleaning the coronal third before shaping the apical portion. The technique includes establishing canal patency, using various files and drills for coronal flaring, and careful apical instrumentation while ensuring proper irrigation and recapitulation to avoid clogging. Modifications to the technique include crown down pressure-less, double flare, and balanced force techniques, which aim to improve access, control, and minimize debris extrusion.

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nushathhimna
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448 views17 pages

Step Down Technique

The Step Down Technique is a method for root canal preparation that involves first cleaning the coronal third before shaping the apical portion. The technique includes establishing canal patency, using various files and drills for coronal flaring, and careful apical instrumentation while ensuring proper irrigation and recapitulation to avoid clogging. Modifications to the technique include crown down pressure-less, double flare, and balanced force techniques, which aim to improve access, control, and minimize debris extrusion.

Uploaded by

nushathhimna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

STEP DOWN

TECHNIQUE
Nushath Himna.H
CRRI
CONTENTS
Introduction
Principle
Technique
Modifications
Advantage
INTRODUCTION
The concept of first
instrumenting the
coronal third of the
root canal before
apical shaping was
first advocated by
Goerig et al.
The original crown
down technique is
known as step
down technique
Principle of STEP DOWN TECHNIQUE
Coronal aspect of the root canal is prepared and cleaned before
the apical part
TECHNIQUE
 Patency of canal is first
established with a size 8 or 10k
file
 This procedure involves the
preparation of the coronal two
third of the canal using
hedstorem file of size 15,20 and
25 to a working length depth of
16-18 mm or to the point where
the files starts binding
 This is followed by flaring the
coronal segment of the canal
with the help of the Gates
Glidden drill Nos.2 and 3 and
sometimes no.4 with each drill
being used sequentially shorter.
 Care should be taken in
directing the Gates drills away
from the furcation to avoid strip
perforation.
The next phase involves
apical instrumentation
with a small size 10 or 15
k file followed by working
length determination
A large (ISO K-file size 60)
is then placed in the canal
to the level of binding and
the canal is instrumented
using a watch winding
motion until resistance is
encountered
The process is repeated
with sequentially smaller
files until the working
length is reached
• Recapitulation with a size 10 or 15 file in
between each change of instrument is
necessary to ensure that the canal does not get
clogged
by the dentin debris being created.
• Canals should be irrigated
with appropriate irrigants in
between each change of the
instrument to facilitate
• The
debridement
apical and cleaning
portion of the of the
canal is now canal
enlarged to the
appropriate MAF size
which would vary from canal to
canal and from tooth to tooth
• The final taper is accomplished by
the MAF used in a circumferential filling
motion
MODIFICATI
MODIFICATI
ONS
 Crown down pressure less technique
 Double flare technique
 Balanced force technique
1 MODIFICAT
ONS
 Crown down pressure less technique
 Double flare technique
 Balanced force technique

1
CROWNDOWN PRESSURELESS
#35TECHNIQUE
K-file
01
This technique was suggested
to the point
of canal binding
by Marshall and Pappin. Early
coronal flaring with Gates-
Glidden drills is followed by an
incremental removal of dentin
GG drills Nos. 2 and 3 from coronal to apical direction
and hence called crown down
technique. Straight K-files are

Coronal to apical shaping with


K files up to the working
then used in a large to small
sequence with a reaming motion 1
length
and no apical pressure- hence
1

1
1

1
Better access
Shaping of and control
the canal is over the
subjectively apical
easier than enlarging
the step instrument,
back decreasing
technique the incidence
of zipping

Removal of
coronal
obstructions Allows
allows removal better
of the bulk of penetration
tissue, debris &
microorganism
of the
before apical irrigants
shaping

Minimizes
the extrusion Working
of debris length is
through less likely
apical to change
foramen, while
thereby employing
preventing this
postoperativ
e discomfort technique

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