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Rotary

Endodontic
Systems
Dr. Mohammed Ibrahim

ldo$ok

Dr.M.Eldosoky

10:08:46 AM

Rotary
systems

Protaper system

ProTaper nickel-titanium rotary files

substantially simplify root canal preparation,


particularly in curved and restricted canals

ProTaper Configurations:
1) Three shaping files ---------

S X, S1 &

S2
2) Three finishing files ----- ---- F 1, F 2, F3
+
3) Accessory finishing files F 4 & F 5
All files are available
in 21 mm ,25 mm and
31mm lengths.

File Design Features :


ProTaper shaping instruments have a convex

triangular cross-section which reduces the contact


area between the file and dentin.

But F-3, F-4, & F-5 has a reduced cross- sections with

a U- shape to facilitate a higher degree of flexibility

Shaping Files:
The S-X Shaper

is an auxiliary instrument used


in canals of teeth with shorter roots or to extend and
expand the coronal aspects of the preparation, similar to
the use of Gates-Glidden drills or orifice openers.

(Sx) has no identification ring color on its gold-colored handle

and a shorter overall length of 19 mm. The Sx has a D0


diameter of 0.19mm and a D14 diameter approaching 1.20
mm. The shaping instruments have increasingly larger
percentage tapers over the length of their cutting blades
allowing each instrument to engage, cut and prepare a specific
area of the coronal aspect of canal relocates canal orifices
resulting in straight line access. Sx has a much quicker rate of
taper between D1 and D9 as compared with the other ProTaper
Shaping files.

S-1 and S-2 files


Shaping File S-1 is designed to prepare the

coronal 1/3 of the canal, whereas


Shaping File S-2 enlarges and prepares the
middle third in addition to the critical coronal
region of the apical third.

Finishing Files.

The three finishing F-1, F-2, F-3 + 2 Accessory

finishing files F-4, F-5


have been designed to plane away the
variations in canal diameter in the apical onethird.
F-1, F-2, F-3 have tip diameters (D0) of ISO sizes
20, 25, and 30, respectively

F-4, andF-5 Accessory files are added under

the name ProTaper Universal these files


has have tip diameters (D0) of ISO sizes 40
and 50 tapers

Only one finishing file is


used according to canal
cross sectional diameter

Canal Preparation

1- Fill the pulp chamber with either Glyde or


Sodium Hypochlorite (NaOCl) for all initial
negotiation procedures. Explore the coronal
two-thirds of the canal with stainless steel
Nos. 10 and 15 hand files, using a
reciprocating back and forth motion. Work
those instruments passively and progressively
until they are loose.

2. re-irrigate
3. Using S1 to remove the crownal ledge in
brushing motion for better straight line
access. it will have a glide path of the hand
file preceded it. complete finishing the
crownal area this accomplished when a light
resistance is encountered

4- Re irrigate , recapitulate using file 10k to


negotiate the rest of the canal and establish
patency then use hand file 15K to confirm
working length and verify a glide path

5-Use S1 to the full length it will go easily Once


it reached remove .you should never force any
rotary instrument

Irrigate , recapitulate with


hand file 10 ,reirrigate

6- Shaping file S-2 is now used to full working


length. Once it reached remove and Irrigate,
recapitulate, and re- irrigate.

Now the crownal 2/3 of the


canal is optimally prepared

Finishing files

With the canal flooded with irrigant, work the

F1 (yellow 20) to length in one or more


passes.
If the F1 ceases to advance deeper into the
canal, remove the file, clear its blades , then
continue with its use until it reaches length.
Irrigate, recapitulate and re-irrigate.

Following the use of F1 to length, gauge the

foramen with a 20 hand file. If the 20 hand file


is snug at length, the canal is shaped and
ready to fill.
If the 20 hand file is loose at length, proceed
to the F2 and, when necessary, the F3,
gauging after each Finisher with the 25 and
30 hand files, respectively.

Click toWatch vedio

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