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Good morning
Root Canal Preparation Techniques
Dr. Ali Hani Hassan
The principles of root canal preparation are to remove all
organic debris and microorganisms and to shape the walls
of the root canal so that the entire root canal space may be
obturated
The root canal filling material of choice is gutta-percha,
which requires a gradual even funnel-shaped preparation
with the wides part coronally and the narrowest part 1.0
mm short of the root apex
Canal enlargement procedures
The standardized procedure (conventional technique)
• This technique was used for many years and
instrument, file or reamer, to be placed to the full
working length.
• The canal was enlarged until clean white dentin
shaving were seen on the apical few millimeters of the
instrument.
• The filing was continued for a further 2 or 3 sizes, to
complete the preparation.
1) As This method was satisfactory in straight canals, but was quite
unsuitable for curved canals.
2) the instrument sizes increase, they become less flexible and cause
errors in curved root canals.
3) The common problems are ledging, zipping, elbow formation,
perforation and loss of working length owning to impaction of dentin
debris.
Disadvantages:
Flaring
techniques
Apical to
coronal
Coronal to
apical
1- The smaller, more flexible files are used in apical portion, and the stiffer files
need not be forced but are used short of the apex.
2- More apical dentin is available for the dentin matrix,
3- In curved canals, files are more effective and may retain original canal shape
better.
4- the intracanal irrigant have more room to gain access to the irritants and
necrotic debris.
5- easier placement for finger spreaders and gutta-percha cones.
6- The desired shape of the canal preparation is obtained,
The flared preparation has several physical advantages:-The flared preparation has several physical advantages:-
Step-back technique:-
In this technique, we usually prepare the apical part with flexible instruments (i.e. small sizes, 10, 15, 20, 25,
30), but sizes beyond size 30 are considered as a non-flexible instruments.
The first step in this technique is the selection and determination of initial size of instrument according to width of
apical third
Initial size:
Is the first instrument, which is inserted inside the canal and goes to the full length and has slight engagement to the
walls.
Recapitulation: - is to ensure that the canal is remained patent.
It is mean shaping the coronal aspect of a root canal first before apical instrumentation commenced.
Step down technique (Crown down technique):-
Gates Glidden drill
1. the technique permits straighter access to the apical region,
2. it eliminates coronal interferences,
3. it removes the bulk of tissue and microorganisms before apical shaping,
4. it allows deeper penetration of irrigants,and the WL is less likely to change.
Advantages:
Balanced force technique
Thank you

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Endo 8

  • 2. Root Canal Preparation Techniques Dr. Ali Hani Hassan
  • 3. The principles of root canal preparation are to remove all organic debris and microorganisms and to shape the walls of the root canal so that the entire root canal space may be obturated The root canal filling material of choice is gutta-percha, which requires a gradual even funnel-shaped preparation with the wides part coronally and the narrowest part 1.0 mm short of the root apex Canal enlargement procedures
  • 4. The standardized procedure (conventional technique) • This technique was used for many years and instrument, file or reamer, to be placed to the full working length. • The canal was enlarged until clean white dentin shaving were seen on the apical few millimeters of the instrument. • The filing was continued for a further 2 or 3 sizes, to complete the preparation.
  • 5.
  • 6.
  • 7. 1) As This method was satisfactory in straight canals, but was quite unsuitable for curved canals. 2) the instrument sizes increase, they become less flexible and cause errors in curved root canals. 3) The common problems are ledging, zipping, elbow formation, perforation and loss of working length owning to impaction of dentin debris. Disadvantages:
  • 9. 1- The smaller, more flexible files are used in apical portion, and the stiffer files need not be forced but are used short of the apex. 2- More apical dentin is available for the dentin matrix, 3- In curved canals, files are more effective and may retain original canal shape better. 4- the intracanal irrigant have more room to gain access to the irritants and necrotic debris. 5- easier placement for finger spreaders and gutta-percha cones. 6- The desired shape of the canal preparation is obtained, The flared preparation has several physical advantages:-The flared preparation has several physical advantages:-
  • 10. Step-back technique:- In this technique, we usually prepare the apical part with flexible instruments (i.e. small sizes, 10, 15, 20, 25, 30), but sizes beyond size 30 are considered as a non-flexible instruments. The first step in this technique is the selection and determination of initial size of instrument according to width of apical third Initial size: Is the first instrument, which is inserted inside the canal and goes to the full length and has slight engagement to the walls.
  • 11.
  • 12.
  • 13. Recapitulation: - is to ensure that the canal is remained patent.
  • 14.
  • 15.
  • 16.
  • 17. It is mean shaping the coronal aspect of a root canal first before apical instrumentation commenced. Step down technique (Crown down technique):-
  • 19.
  • 20. 1. the technique permits straighter access to the apical region, 2. it eliminates coronal interferences, 3. it removes the bulk of tissue and microorganisms before apical shaping, 4. it allows deeper penetration of irrigants,and the WL is less likely to change. Advantages: