Shaping the future of endodontics

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(Webber Julian) - Dentsply

Abstract

Preparation of the root canal and it¡¯s final shape is the cornerstone for adequate cleaning and effective three dimensional obturation, thus fulfilling the biological and mechanical objectives for success in endodontics. The use of Nickel Titanium mechanical endodontic instruments has changed forever the way we prepare our canals and their advantages are many. However, many colleagues are reluctant to embrace the technology on the basis that techniques are too complicated, too many instruments are required to achieve the desired outcome and the attendant cost of this is prohibitively expensive.

ProTaper Next with its unique design is the latest iteration of ProTaper Universal with many additional benefits. The eccentric rectangular cross section and its offset mass of rotation produces a ¡°swaggering¡± or snake like movement with the versatility to shape many complex canals effectively with and in many instances only 2 files needed.

Providing the perfect Glide Path is an essential prerequisite for the use of any NiTi preparation system. In the past this was achieved with 3 PathFiles. Reducing file inventory is the goal of all clinicians and the recent introduction of Dentsply Maillefer¡¯s ProGlider, a single Glide Path file to replace 3 fulfills this goal WaveOne is a specifically designed SINGLE Nickel Titanium instrument and shapes canals utilizing a reverse reciprocating motion with minimal prior enlargement of
the canal required. Its a simple and safe approach to root canal preparation.

Whilst reciprocation is a complete paradigm shift in shaping canals many colleagues will feel more comfortable with continuous rotation. So the question to be answered is should we rotate or should we reciprocate our Nickel Titanium instruments? Or can we do both? ProTaper Next and WaveOne are two complimentary brands A well shaped canal is ideal for effective irrigation. The course will review the literature on irrigation and the role of activation in improvement of irrigation effectiveness

Simplified three dimensional obturation of the root canal system is now available to all dentists. Gutta Core manufactured using cross linked polymer chemistry is a core of gutta percha coated with gutta percha (unlike the plastic carrier of Thermafil). Participants will learn about this new technique as well as the use of Calamus Dual, a combined unit for down packing and backfilling of the root canal system with gutta percha

General dentists and endodontists will benefit from Dr Webber¡¯s incredible experience as a world-renowned clinical endodontist, which spans more than 30 years. The techniques learnt will lead to predictable outcomes and clinically superior results to a standard that can be immediately implemented into your practice

Learning objectives:

¡¤Understand the biological and clinical factors associated with success and failure
¡¤Avoid common mistakes in the preparation and filling of root canals
¡¤Appreciate the versatility of ProTaper Next in continuous rotation to confidently shape complex root canals
¡¤Understand the importance of irrigation and how to enhance it
¡¤Predictably fill root canal systems efficiently with warm gutta percha obturation techniques including Gutta Core

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DOI
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ICD 03
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