ROTARY ENDODONTICS

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Root Canal Instrumentation

 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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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
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 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
Armamentarium

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 Armamentarium

Stainless steel size 10 K-files

 Used to explore canal patency
 Filing or quarter turn pull motion
 Do not rotate through 360 degrees

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Armamentarium

Stainless steel size 15 and 20 K files

 Used to establish actual working length

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Armamentarium

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

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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
Other Popular Links for Law Study Material:
 BDS Lecture Notes, eBooks, Guides, Projects and Case Papers FREE PDF Download
 BDS Lecture Notes, eBooks, Guides & Handouts FREE PDF Download
 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
Profile Orifice Shapers

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Armamentarium

Profile 0.06 taper rotary files

 Used to prepare the middle third

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Armamentarium

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

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Studynama’s BDS Community is one of India’s Largest Community of Dental Students. About
19,232 Indian Dental Course students are members of this community and share FREE study
material, cases, projects, exam papers etc. to enable each other to do well in their semester exams.

Links to Popular Study Material for BDS (Dental) students:

 Orthodontic Fixed Appliances - BDS Lecture Notes PDF Download
 Amalgam Restoration - BDS Lecture Notes PDF Download
 COMPLEX NON-SKELETAL PROBLEMS IN PREADOLESCENT CHILDREN - BDS Lecture Notes
 Anatomy of Scalp - BDS Lecture Notes PDF Download
 Cerebrospinal Fluid (CSF) - BDS Lecture Notes PDF Download
 Cementum - BDS Lecture Notes PDF Download
 Recent Advances in Instrumentation Techniques - BDS Lecture Notes PDF Download
 Ameloblastoma - BDS Lecture Notes PDF Download
 Prevention of Odontogenic Infection - Principles of Management - BDS Lecture Notes
 Therapeutic Dentistry Histology of Teeth Dental Charting - BDS Lecture Notes PDF Download
 Maxillofacial Trauma and Management - BDS Lecture Notes PDF
 Technical Endodontics - BDS Lecture Notes PDF Download
And 698 more free downloads for Dental Students.
Other Popular Links for Law Study Material:
 BDS Lecture Notes, eBooks, Guides, Projects and Case Papers FREE PDF Download
 BDS Lecture Notes, eBooks, Guides & Handouts FREE PDF Download
 BDS University Previous Year Exam Question Papers & Solutions FREE PDF Download
Armamentarium

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 Estimated Working Length

Estimated working length is the distance

from the reference point to the
radiographic apex, as measured on a
parallel preoperative radiograph

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

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Estimated working length

• Length from incisal edge to

radiographic apex
•Only an estimate because of
radiograph distortion

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 Estimate canal size

 Radiographic appearance
 Crown/root morphology
 Standardized sizes (See table in manual)

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Estimate canal size

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 Explore Canal Patency

 Ensure that canal can be negotiated to

radiographic apex
 Select #10 K file
 Precurve file if necessary

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Explore Canal Patency

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Explore Canal Patency

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 Establish Actual Working length

Instrumentation should terminate at:

 The apical constriction

 1 mm short of radiographic apex

 Actual WL = Estimated WL – 1 mm

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Establish actual working length

WL can be established using:

 Radiographs

 Apex locator

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Establish Actual Working Length

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Establish Actual Working Length

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Establish Actual Working Length

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Establish Actual Working Length

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Crown Down Preparation

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Crown Down Preparation

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Crown-down preparation

Plastic incisor with transparent root

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

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 Actual Working Length

 Remove file from canal

 Subtract 1 mm
 This is the actual working length
 In this case the WL is 20 mm

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Actual Working Length

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Preparation of Coronal Third

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Preparation of Coronal Third

 The coronal third measurement is WL minus

8 mm, 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

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Preparation of coronal third

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Preparation of coronal third

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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

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Preparation of coronal third

Blue (#60) OS extends to approx. 9 mm

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Preparation of coronal third

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Preparation of coronal third

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Preparation of coronal third

Gold (#50) OS reaches 12 mm

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 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

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Preparation of coronal third

Blue (#60) OS extend to WL – 8 mm = 12 mm

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Preparation of Middle Third

Profile 0.06 taper series 29 rotary files

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 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

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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

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of middle third

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Preparation of apical third

Profile 0.04 taper nickel titanium hand files

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 Preparation of apical third

 Profile 0.04 taper nickel titanium hand files

 The measurement is the full working
length, that is 20 mm

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 Preparation of apical third

 Measure working length on #15 file

 Set rubber stop at that length
 Lubricate the canal with Prolube

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Preparation of apical third

 Advance size 15 file to working length

 Rotate file through 360 degrees
 Irrigate copiously with NaOCl after each
file

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 Preparation of the apical third

 Advance size 20 file to working length

 Continue through sequence, seating
each file to working length

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 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

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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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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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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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Preparation of apical third

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File kit on completion of
instrumentation

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Master Apical File (MAF)

 The largest file that extends to working

length
 MAF film is exposed to confirm length
and placement

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 Master Apical File

 For large canals – minimum MAF #40 - 50

 For small canals – minimum MAF #35 - 40

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 Master Apical File

 Take a radiograph
with MAF in place.
This confirms:
 Length
 Placement

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Mission Accomplished!

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