Beruflich Dokumente
Kultur Dokumente
2
Mastering the concept
The success of using instruments while reventing
failure depends on how the material, design and
technique relate to the forces exerted on the
instruments.
5
Why Nickel-Titanium?
Exotic metal
Super-elastic metal
Molecular crystalline
phase transformation
6
7
Common terms related to forces exerted on files
have the following definitions:
Cutting ability,
Operational fatigue,
Stress concentration points,
Design Operational torque,
effectiveness Torque at breakage,
Flexibility,
Screwing-in forces,
Ability to maintain the central axis,
Tip mechanics
Mastering Endodontic Instrumentation -John T McSpadden 13
“The ultimate goal for anyone using
rotary instrumentation is not only to be able
to recognize that pivotal instant just before
complications occur, but to recognize the
most appropriate approach for achieving
solutions. That goal can only be accomplished
by thoroughly understanding the
function of design.”
-John MCspadden
14
Components of rotary root canal instruments
• Rotary root canal instruments consist of two basic parts, each
of which performs a specific function
Attachment Part
1.The tip
2.The cutting part
3.The non-cutting part.
• The overall length of cutting and non-cutting parts determines the whole length
of the working section. This length is usually pointed out on the package.
• There are three common variants of root canal instruments depending on the
working-part length: 21 mm, 25 mm and 31 mm.
• NiTi rotary instruments may have a working part of differing length; for
example 17 mm, 23 mm or 27 mm.
16
Design Features
Koch, K., & Brave, D.G. (2002). Real World Endo : Design Features
of Rotary Files and How They Affect Clinical Performance. 18
Kim, Hyeon-Cheol. (2011). Mechanical and geometric features of
endodontic instruments and its clinical effect. Restorative Dentistry and
19
Endodontics. 36. 10.5395/JKACD.2011.36.1.1.
Taper
25
The helical angle (HA) or flute
angle is the angle formed by the
instrument’s cutting surface
and the dentin wall as observed
in longitudinal section
26
Core
Cylindrical center part of the file
having its circumference
outlined and bordered by the
depth of the flutes.
27
Although the two files above have the same basic design and are
of the same series, the ratio of the depth of the flute to the
external diameter differs significantly.
The depth of flute of the small instrument is approximately the
same as for the larger instrument resulting in excess
susceptibility to failure, whereas the larger instrument has
adequate flexibility and adequate resistance to torsion failure.
28
Rake angle and
Cutting angle
29
30
The ProTaper file
The ProTaper file rake angles
(red line angle of left image) and
cutting angles (red line angle of
right image) have the same
relationships to the surface
to be prepared.
31
The Hero file, with asymmetrical flutes
34
File Failure
Strength of a file is due to the cohesive forces between
atoms.
Canal curvature
Khasnis SA, Kar PP, Kamal A, Patil JD. Rotary science and its impact on
instrument separation: A focused review. J Conserv Dent 2018;21:116-24. 36
Torsional Failure
Torsion is the axial force of being twisted when one part of a file rotates at a different
rate than another part.
Any distortion of a file that results from twisting, such as un-winding, is caused by
stress of torsion.
37
Torsional failure is accompanied by an apparent deformation of a file
and the separation occurs as a result of slippage between the planes of
its crystalline boundaries, most often due to the excessive forces of
torsion.
38
What is torsion?
Torsion stress on a file is primarily the result of:
(5) Force the debris exerts on the wall of the canal as it accumulates
in the flutes. 39
Cyclic Fatigue
40
Relationships of the components of
file designs and
canal anatomies
41
A file with a more efficient cutting design requires less
torque, pressure or time to accomplish root canal
enlargement.
42
The torque required to rotate a file varies directly with the
surface area of the file’s engagement in the canal
43
The more spirals a flute has per
unit length around the shaft of The fewer spirals a flute has per
a ground file, the less resistance unit length around the shaft of a
to torsion deformation ground file, the more it resists
there is, but the more flexible torsion deformation, but the
the file is. more rigid it is.
44
Degree of curvature & its impact on file
46
History
47
History
48
• The first manual and mechanical rotary files
were formed from straight piano wire that had
flats ground on its sides and twisted to result in
the configuration of files still used today.
49
Introduction of Nickel-
Titanium
1991
Graduated Taper
1993
50
Parents design
K Gyro Quant
K File Unifile
Reamer File ec k-3
1900K File 1978
1904 1965 1996
1900
Vortex
HeRo
TF Mtwo
Edge
HyFlex F-360
Zendo
RaCe Recipro
Evolve c
Typhoon
51
Modification of
designs
60
Vulnerable Tip
54
First-generation files
In 1994, Dr.Johnson introduced a line of files which became known as the ProFile
0.04 tapered series. Following soon after were the ProFile 0.06 tapers and the
“Orifice Shapers.” Their cross-sectional shapes were made by machining three
equally spaced U-shaped grooves around the shaft of a tapered NiTi wire
55
First
commercial
nickel
titanium
manual and
rotary files
were
introduced by
NT Co.
• In 1994, NT Co. also introduced the first series of nickel titanium rotary files
having multiple non-conventional tapers: the McXIM Series
• six graduating tapers ranging from the conventional 0.02 taper to a 0.05
taper file
(“An Initial Investigation of the Bending and the torsional
Properties of Nitinol Root Canal Files,”).Journal of
Endodontics, Volume 14,No.7, July 1988, pages 346-35156
LightSpeed
58
Triangular cross-section
60
https://nanoendo.com/ 61
RACE Files (Reamers With Alternating Cutting Edges)
https://nanoendo.com/ 62
RACE Files (Reamers With Alternating Cutting Edges)
https://nanoendo.com/ 63
Khasnis SA, Kar PP, Kamal A, Patil JD. Rotary science and its impact on instrument
separation: A focused review. J Conserv Dent 2018;21:116-24 64
THIRD GENERATION
What's New
Improvements in NiTi metallurgy
HyFlex CM (HyFlex;
Heat treatment Coltene Whaledent,),
K3XF
Thermo mechanical (SybronEndo, Orange, CA)
processing ProFile GT Series X
(GTX; Dentsply Tulsa Dental Specialties,
ProFile Vortex (Vortex) and Vortex
Blue (Dentsply
Tulsa), TYPHOON™ Infinite Flex
M-wire
NiTi(TYP CM;
Clinician’s Choice Dental Products, New Milford,
CT), and Twisted Files (TFs;
CM Wire SybronEndo) 65
• M-wire (SportsWire, Langley,
OK) was introduced in 2007.
66
Pro file Vs vs Vortex blue
M-wire
68
Vortex blue
FLUTES: 3 (triangular)
SPIRALS PER 16MM: 4
HELIX ANGLE: 23º
CUTTING ANGLE: (-)34º
DEBRIS REMOVING AREA: 45%
ROTATION TO FAILURE: 510º
PEAK TORQUE AT FAILURE: 63.08 gf/cm
70
Hyflex CM
FILE NAME: HyFlex CM
COMPANY: Coltene
MANUFACTURER: D&S Dental
MADE IN: USA
WEBSITE: HyFlexCM.com
FLUTES: 3
SPIRALS PER 16MM: 2.4
SIZE: 25/04
FLUTES: 3
SPIRALS PER 16MM: 4
HELIX ANGLE: 10º (at apical 1/3)
CUTTING ANGLE: (-)30º
DEBRIS REMOVING AREA: 55%
Initially, all reciprocating motors and related handpieces rotated files in large equal angles of
90° clockwise (CW) and counterclockwise (CCW) rotation.
In 2008, Dr. Ghassan Yared identified the precise unequal CW/CCW angles that
would enable a single reciprocating 25/0.08 ProTaper file to optimally shape
virtually any canal.
In 2011, both WaveOne (Dentsply Tulsa Dental Specialties and Dentsply Maillefer) and
Reciproc (VDW) were launched as single-file shaping techniques.
74
Wave one
75
Wave-one Gold
76
Fifth-generation files
Whats New
ProTaper Next
Center of mass and/or the center of (PTN; Dentsply Tulsa Dental
rotation are offset. Specialties/
Design produce a mechanical wave of Revo-S, One Shape®
motion that travels along the active length of (Micro-Mega®, Besançon,
the file. France), Dentsply Maillefer).
77
ProTaper Next
Successor to the ProTaper Universal system
CHARACTERISTICS:
SIZE: X2 (.25 tip/0,04-1.2 taper)
FLUTES: 4 (rectangular)
SPIRALS PER 16MM: 3
HELIX ANGLE: 18.5º
CUTTING ANGLE: (-)45º
DEBRIS REMOVING AREA: 46.4%
ROTATION TO FAILURE: 640º (bound
5.7mm from tip)
PEAK TORQUE AT FAILURE: 10.42
gf/cm
60 ̊ DEFLECTION: 3.97 g
79
80
Asymmetrical cross section of the.
Inactive tip.
81
Characteristics
Its equilateral section (3 identical
edges) ensures a perfect guidance of the
instrument up to the apical region of
the canal, owing to the balance of the
forces.
82
MAX Wire
83
MaxWire® Technology
Booster Tip 84
A universal NiTi-based instrument
measuring ISO 25 in diameter and with
zero taper (25/.00).
85
86
87
GOAL
The Goals of effective Technique
is to maximize efficacy while
minimizing stress
88
1. Advance a file into a canal with no more than 1
mm increments with insert and withdrawn motion
90
91
3.When changing file Always
change to file with different
taper
92
6mm 4.Engage not more than
6mm a file if engaged in
curvature(Exception : A Size
20/04 or smaller
93
5.In most of the curvature file
diameter should be limited to
.60 for .02
.55 for .04
.50 for .06
Remember resistance to
torsion increase's directly
with the square of files
diameter
94
95
Most Effective Sequence for maximizing efficacy
and minimizing risks durning instrumentation
incudes these 4 steps
96
CREATING A VISUAL IMAGE WITH
THE X RAY
Distance from
reference point to CEj
97
98
1 Determine the
terminus of the
coronal zone.
99
Determine the diameter needed in the final enlargement at the
terminus of the coronal zone.
100
Enlarge the apical zone to a size 25/.02.
101
Determine the diameter and taper permissible in the
final enlargement at the terminus of the Apical zone.
102
Enlarge the apical zone to the desired
dimensions permissible.
103
Bibliography
• Mastering Endodontic Instrumentation -John T McSpadden
• Khasnis SA, Kar PP, Kamal A, Patil JD. Rotary science and its
impact on instrument separation: A focused review. J Conserv
Dent 2018;21:116-24
• Koch, Ken and Dennis G Brave. “Real World Endo : Design
Features of Rotary Files and How They Affect Clinical
Performance.” (2002).
• Peters OA, Paque F. Current developments in rotary root canal
instrument technology and clinical use: a review. Quintessence
Int. 2010;41(6):479-488.
• Grande, Nicola & Plotino, Gianluca & Butti, A. & Buono, L..
(2005). Modern endodontic NiTi systems: Morphological and
technical characteristics part I: «New generation» NiTi
systems. Endod Ther. 5. 11-16.
104
• HYFLEX-CM_bro.pdf
• vortex-next-generation-rotary-file-technology
brochure
105