logoedu_0.tmp C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg Shaping with Protaper - Rotary and Hand use - Protaper Obturators C:\Documents and Settings\NobsD.DENTSPLY_MA\Local Settings\Temporary Internet Files\Content.IE5\U62ILR9P\j0434810[1].png CONTINUING EDUCATION CLINICAL EDUCATION N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\protaper_2 universal\Images\logo.jpg C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp http://photos-libres.fr/wp-content/uploads/blogger/_8UpG9PF094k/RhoSppIspGI/AAAAAAAAAXo/jhARbxmeDVo /s400/La%2Btour%2BEiffel%2BIllumin%C3%A9e%2B11.jpg The “Eiffel –Tower” shape Instrument VARIABLE TAPERED INSTRUMENTS ImageProTaper - Variable Taper: - Prevents screw-in effect - Allows increased apical tapers (Finishing Files) - Allows excellent shaping with few instruments Dent1 Shape the coronal and the middle third of the canal Shaping Files (S1 & S2 – Accessory Sx) Shaping Files Variable Increasing Taper (Eiffel Tower shape) S1 19 20 18 Sx S2 S2 Dent2 Finishing Files F1, F2, F3, F4, F5 Shape the Apical part of the canal F3 F2 F1 Finishing Files (Variable Decreasing Taper) F4 40-6% F5 50-5% 20-7% 25-8% 30-9% 3mm ProTaper Universal Finishing Files Shaping Files Fixed Taper Resistance Flexibility Flexibility - Cutting blade (no radial land) : Efficiency ProTaper Universal Characteristics Figure5 SectionConcave Concave : F3, F4, F5 Convexe : S1, S2, SX, F1, F2 - Triangular concave cross-section : Flexibility - Triangular convexe cross-section : Resistance Characteristics « Triangular » Cross-Section - Safe non cutting tip : acts as a guide Characteristics SHAPING SX (accessory) SX 19 For Relocating Canal Orifice (only when needed) CasMolairePréOp SX Sx is used with a brushing motion to relocate the orifice and insure a straight line access protaper Dr. WJ Pertot Dr. WJ Pertot Treatment Sequence LOGO-pos C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp CONTINUING EDUCATION CLINICAL EDUCATION SCOUTING THE CANAL : profinder_gamme ProFinder Files 10,13,17 OR NiTi ROTARY INSTRUMENTS : Pathfiles N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\K-Files Series_A0010_A0011_A0012\Photos K-Files\KFILE08.tif N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\K-Files Series_A0010_A0011_A0012\Photos K-Files\KFILE10.jpg K-File 008 or 010 Then hand instruments to the level they are accepted in the canal. N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\C+ File_A012X\Images\JPEG\Prodonly.jpg C+ File 08,10,15 The lubricating action of Glyde helps the instruments to slide in the canal qPathFile™ #013 to working length q q qPathFile™ #016 to working length qPathFile™ #019 to working length 013.png 016.png 019.png Establish WL before N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\PathFile\Photos logos\PathFile Logo.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A6 - accessories\Glyde_A0901\Images\logo_glyde.jpg If needed, use SX with a brushing motion to relocate the orifice of the canal and create a straight line access (don’t use Sx deep in the canal) SXblanc SXVertical Use S1 with a brushing motion and enlarge the canal, no deeper than the level of the penetration of the scouting file (to make sure that the tip of S1 is never blocked) Using Pathfile, go to working length that you established right before S1blanc S1Vertical LTmanuelleBlanc Determine WL fig4-8d(LTréglette) LocalisateurElectrode Apex Locator 1 2 After going to length with a stainless steel file size 15, use : S1 to working length with a brushing motion. Using Pathfile this step is skipped S1longueurBlanc S1Vertical When S1 reaches working length, use : S2 to working length with a brushing motion S2Longueurblanc S2Vertical When S2 reaches working length, use : F1 to working length. CAUTION ! NEVER USE A BRUSHING ACTION WITH THE FINISHING FILES !!! F1LongueurBlanc F1Vertical When a finishing file reaches the working length, It is immediately withdrawn. Gauge the diameter of the foramen with stainless steel files and if the foramen is larger than 20, use F2, F3, F4 or F5 to working length, according to the real apical diameter. F2Vertical F3Vertical F4Vertical F5Vertical ProTaperJaugeblanc CAUTION ! NEVER USE A BRUSHING ACTION WITH THE FINISHING FILES !!! When a finishing file reaches length, it is immediately withdrawn. Rotary Instruments sequence [USEMAP] VIDEO S1Vertical LOGO-pos Treatment Sequence C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\Protaper for hand use_A0416_A0417\Images\logo\logo.tif CONTINUING EDUCATION CLINICAL EDUCATION For Hand SS File Users For NiTi Rotary Users - Less Instruments - No Canal Transportation - Less Extruded Debris - Excellent Apical Taper -In Case of Contra Indication to Continuous Rotation. (Example : Apical Hooks, joined canals) F2_treat_manuel45 N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\Protaper for hand use_A0416_A0417\Images\logo\logo.tif deloffre1 Dr. Ludovic Pommel S1 18 S2 20 Sx 19 S1_treat_manuel N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\Protaper for hand use_A0416_A0417\Images\logo\logo.tif F3 30-9% F2 25-8% F4 40-6% F5 50-5% F1 20-7% 3mm N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A2 - Treatment\Protaper for hand use_A0416_A0417\Images\logo\logo.tif VIDEO VIDEO N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\logos_thermafil\logo_thermafil_72.jpg C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp Core-Carrier (PP) - Gutta-Percha Filling Technique N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\Thermafil A0166 photo.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\Section_Thermafil.jpg logoedu_0.tmp C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\thermaprep.tif Core-Carrier Gutta-Percha Filling Technique N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\Section_Thermafil.jpg Obturators PROTAPER Calibrated Gutta-Percha Cones F1 F2 F3 F4 F5 Sterile Paper Points Finishing Files (Apical shape) F1 F2 F3 F4 F5 Paper points - Protaper sizes Obturators - Protaper sizes F2 ProTaper Obturator calibrated to each Finishing File F1 F2 F3 F4 F5 fig5-9a fig5-10i fig5-9b fig5-9d fig5-9e 3D Filling of the Root-Canal System with THERMAFIL Or PROTAPER OBTURATOR Thermacut bur Post space bur N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Thermafil_A0169\Images\Section_Thermafil.jpg Size verifier to measure the apical size Thermaprep Oven ThermafilMol 1st step : Opening cleaning Shaping … Core-Carrier Obturator Technique thermafil_1bis copier MolMandLT Gauge the Canal with Verifiers, which should snug within 0,5mm form Working Length 1 2 3 Place the Obturators Heat The Obturator Select the right size and start Dry the Canals with Sterile Paper Points N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Pointe papier\paperpoint for ProTaper A022W\images\A022W_PackshotProTaper.jpg thermafil_3 copier Mix the Sealer and coat thewalls of the canal with a thin layer using a Probe or a paper point N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\TopSeal MIX\Seringue.TIF N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A4 - obturation\Topseal\tubes.TIF Topseal MIX thermafil_4 copier thermafil_5 copier RécupérationThermafil 1 2 3 Take it out and insert it in the canal thermafil_7 copier thermafil_6 copier A289S_2X.jpg A0400.jpg A281S.jpg Use of a selected Plugger to ensure homogeneity of the filling. Heat Carrier Plugger 0.5 0,6 0,8 1.0 thermafil_8 copier ThermafilMesial2 MolMandPostOpOrtho copie MolMandPostOp