SM1

SM2

SM3

Technique
Workow K-File Hand Files

Small Canals

Medium / Large Canals

17 mm

17 mm
ML1

21 or 25 mm 21 or 25 mm 21 or 25 mm 21 or 25 mm
ML2 ML3

Axis | SybronEndo 800 W. Sandy Lake Rd., Suite 100, Coppell, TX 75019 Tel 800.346.3636 Tel 714.516.7979 Fax 714.516.7936 axisdental.com | sybronendo.com SybronEndo Europe Basicweg 20, 3821 BR Amersfoort, The Netherlands Tel +31 33 453 61 80 Fax +31 33 453 61 53 customer.endo@sybrondental.com sybronendo.com/eu SybronEndo Australia Unit 10/112-118 Talavera Road, North Ryde NSW 2113 Tel 1800 052 030 Fax 02 8875 8175 sybronendoaustralia@sybrondental.com
2012 SybronEndo Printed in the USA. 077-3142 Rev. A

10

25 tip

25 tip

40 tip

35 tip

30 tip

25 tip

15

.10 taper

.08 taper

.06 taper

.06 taper

.06 taper

.06 taper

20

25

30 millimeter

Coronal Access & Glide Path Technique

1. Place rubber dam. 2. Obtain straight line access to the coronal 1/3 of the canal. LA AxxessTM Diamond is recommended. 3. Achieve patency and establish an apical glide path using #8 through at least a #15 hand le. We recommend using the M4 Safety Handpiece and SlickGelTM as your lubricant. Irrigate with NaOCl (Sodium Hypochlorite). 4. Canal size and le sequence determination: Small Canals (SM) Using tactile feel, if you struggle to get a #15 K-File to WL then the canal size is Small. Use the Small Pack (one color band) and instrument sequence. Medium / Large Canals (ML) - Using tactile feel, if a #15 K-File is loose then the canal size is Medium/ Large. Use the Medium/ Large Pack (two color bands) and instrument sequence. 5. Establish working length using an apex locator. A radiograph may be taken to assist in length determination.

9. Wipe off the utes. Deliver irrigant to the pulp chamber and conrm canal patency with a #15 K-File. 10. Repeat steps 8 and 9 using the le you started with until working length is achieved. 11. Repeat steps 8 and 9 with the yellow SM2 or ML2 until the le reaches working length. If the desired apical size is achieved the sequence is complete. For larger apical sizes, repeat steps 8 and 9 with the red SM3 or ML3 until the le reaches working length.

Irrigate & Dry

12. When irrigating with EndoVac, in small canals, you must take SM3 to working length. In medium/ large canals, you must take at least ML2 to working length. 13. Use TF Adaptive matching Paper Points to dry canal.

Obturate
14. Use TF Adaptive matching Gutta Percha or Obturators.

TF Adaptive Canal Shaping Technique

6. Use the TF Adaptive setting on your Elements Motor. 7. Ensure the pulp chamber is ooded with NaOCl or EDTA and make sure the le is rotating as you enter the canal. 8. Slowly advance the green (SM1 or ML1) with a single controlled motion until the le engages dentin then completely withdraw the le from the canal. Do not force apically. Do not peck.

File size reference chart

SM1: #20/ .04
SMALL (SM)

SM2: #25/ .06

SM3: #35/ .04

MEDIUM/ LARGE (ML)

ML1: #25/ .08

ML2: #35/ .06

ML3: #50/ .04

Note: Techniques suggested are guidelines for the average case. It is imperative that clinical judgment always be exercised, appropriate setting adjustments are made and additional safety measures are implemented based on individual case requirements.