fundamentals of endodontics peter briggs, ahmed farooq...

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www.hodsollhousedental.co.uk Dental Simulation (Rotary Reciproc Preparation) Practical Endodontics 2015

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Page 1: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Dental Simulation (Rotary Reciproc Preparation)

Practical Endodontics 2015

Page 2: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

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Reciprocation

Page 3: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Single file systems • Reciprocation technology

• Single file systems

• A defined back and forth movement as oppose to continuous rotation

• Most popular systems are Wave One (DENTSPLY) and Reciproc (VDW)

Practical knowledge

Page 4: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Reciprocation – a alternating back-and-forth movement

CW and CCW movements determine amplitude of reciprocation

Technical knowledge

Page 5: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Need a motor that reciprocates

- Instrument is first driven in a cutting direction and then reverses to release the instrument.

- Several reciprocating movements complete one 360 degree rotation.

-The angle in the cutting direction is greater than the angle in the reverse direction.

- Angles set in the motors

Technical knowledge

Page 6: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Reciproc Technique • Access cavity/ straight-

line access

• EWL from rad

• Irrigate access cavity

• Select instrument R25, R40 or R50

Practical knowledge

Page 7: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

• Introduce instrument into orifice

• Press foot pedal when instrument at orifice

• Push on the peck

Practical knowledge

Page 8: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

In and out ‘Pecks’

• Slow in-and-out pecks

• 3mm movements

• “3-pecks and out!”

• 1 in-and-movement = 1 peck

3 X

Practical knowledge

Page 9: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

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• Remove instrument and clean/ inspect

Practical knowledge

Page 10: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

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Simulation preparation of MB2

Practical knowledge

Page 11: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Clinical Reciproc re-treatment ‘in and out pecking’

Practical knowledge

Page 12: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Reciproc Technique • Re-irrigate and maintain canal

patency with #10 K file

Practical knowledge

Page 13: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

Rotary Instrument Advantages / Disadvantages

-Safety

-Shorter working time

-Instruments cantering ability

-Greater taper shapes for effective disinfection

-Less number of instruments required

Practical knowledge

Page 14: Fundamentals of Endodontics Peter Briggs, Ahmed Farooq ...hodsollhousedental.co.uk/wp-content/uploads/2014/01/...Fundamentals of Endodontics Peter Briggs, Ahmed Farooq and Tracy Watford

www.hodsollhousedental.co.uk

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