A clinician s guide to root canal therapy
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A Clinician’s Guide to Root Canal Therapy. Dr. Michael Gonsky D.D.S. Poconorootcanal.com [email protected] Dentsply , Tulsa Dental. ProFile Rotary Files ProFile Vortex Files, Vortex Blue and Vortex Orifice openers GT and GT series X Files ProTaper and Protaper next Wave one.

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A clinician s guide to root canal therapy

A Clinician’s Guide to Root Canal Therapy

Dr. Michael Gonsky D.D.S.

Poconorootcanal.com

[email protected]


Dentsply tulsa dental
Dentsply, Tulsa Dental

  • ProFile Rotary Files

  • ProFile Vortex Files, Vortex Blue and Vortex Orifice openers

  • GT and GT series X Files

  • ProTaper and Protaper next

  • Wave one



Edge endo
EDGE ENDO

  • Edgefile X1 for Waveone users

  • Edgefile X3 for Protaper users

  • Edgefile X5 for GT and GTX users

  • EdgefileX7 for Vortex, Profile,K3 Twisted file and EndoSequence users



Twisted files
TWISTED FILES

  • Safer, faster, more flexible


Hybridized passive crown down instrumentation technique
Hybridized Passive Crown Down Instrumentation Technique

  • Hybridized refers to using multiple systems

  • Passive means having a gentle touch that follows established guide paths

  • Crown down starts at coronal orifice and works to apical terminus

  • Advantages


Hpcd technique
HPCD Technique

  • Orifice Widening

  • Glide path into apical third of the canal

  • Coronal Preflare

  • Glide path to apical foramen

  • Extension of access into apical terminus of preparation

  • Preparation of the apical seat





Establishing a glide path
Establishing a Glide Path

  • Scouting files

  • Working length

  • Apical glide path (#20 file)

  • Recapitulation


Glidepath into apical third
Glidepath into Apical Third

  • After orifice widening

  • Niti instruments require a glide path

  • In this technique it must extend beyond the 17 mm depth of the GT files

  • 08 and 10 file into apical one third using lubricant and irrigation


Coronal preflare
Coronal Preflare

  • All Niti instruments require a glide path

  • Preflare reduces cyclic fatigue and taper lock

  • Allows debris removal early to prevent apical extrusion of infected material

  • Select job specific instrument (GT #20 17mm .12 .10 .08 .06)



Glide path to a pical f oramen
Glide Path to Apical Foramen


Extension of a ccess to apical terminus
Extension of Access To Apical Terminus


Preparation of the apical s eat
Preparation of the Apical Seat

  • Everything preceding this step is designed to promote complete control of this most critical step

  • This is the BIOLOGICAL ZONE

  • Hybridization is key


The apical seat
The Apical Seat

  • Apex Locater and then 08 file to radiographic apex (seat is 1mm short of radiographic apex)

  • Flexible files, Balanced force technique

  • Narrow vs wide apical preparation



Senia s working width
SENIA’S WORKING WIDTH

  • Apical preps approaching size 100


Working width
WORKING WIDTH

  • Round instruments cleaning oval canals


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