Warm Vertical Compaction Continuous Wave Technique All animations & pictures for Calamus are courtesy of Dr Clifford Ruddle and are under copyright. Cone Fit & Plugger Selection Irrigation and desinfection of root canal system Manual Pluggers for compaction Fit a nonstandardized tapered master cone Schilder Pluggers Heat-Carrier Plugger Machtou Pluggers Selection large size manual plugger Selection medium size manual plugger Selection small size manual plugger 4-5 mm Selection of the Heat Plugger 4-5 mm Down-Pack handpiece Plugger 3 sizes 1 warm pulp-tester Mesured paper point to Working Length Trim the master cone Insert lubricate (sealer) master cone VIDEO Dr Clifford Ruddle © Cone Fit and Plugger Selection Downpack : Vertical Condensation Activate Calamus and sear off the master cone Select the larger prefit, manual plugger and move Gutta Percha apically Activate Calamus and plunge 3-4 mm into the gutta-percha Desactivate Calamus 1-2 seconds, then remove “bite” of Gutta Percha Select the medium size, manuel plugger and move Gutta Percha apically Press apically for 5 seconds Activate Calamus, plunge deeper 3-4mm and wait 1-2 seconds after desactivate it Select small size manuel Plugger, move gutta-percha apically Press small Plugger 5 seconds into the apical third VIDEO Dr Clifford Ruddle © Vertical Condensation Downpack : Continuous Wave Technique Activate Calamus and sear off the master cone Select the larger prefit, manual plugger and move Gutta Percha apically Activate Calamus In one continuous motion press until the “stop” is at 2 mm of the reference point Desactivate Calamus, maintain firm apical pressure till the reference point is reached Maintain firm pressure for 10 seconds Activate Calamus for 1-2 seconds and desactivate , then remove the plugger This will separate and remove Gutta-Percha Select the small size, prefit manual plugger and condense the Gutta-Percha VIDEO Dr Clifford Ruddle © Continuous Wave Technique Downpack : Hybrid Technique Activate Calamus and sear off the master cone Select the larger prefit, manual plugger and move Gutta Percha apically, press 5 seconds to compact gutta-percha Activate Calamus and plunge 3-4 mm into the gutta-percha Desactivate Calamus maintain 5 seconds pressure to compact gutta.percha Activate Calamus Desactivate and maintain 5 seconds . Maintain apical pressure till the working depth is reached Activate Calamus 1-2 seconds Desactivate and remove the plugger. Select the small size, prefit manual plugger and condense the Gutta-Percha VIDEO Dr Clifford Ruddle © Hybrid Technique BACKPACK Technique: “Calamus Flow” Calamus flow handpiece Internal view of activated flow handpiece Cartridge of Gutta-Percha Cartridge-tip bender Position the tip against the packed filling material #20(0,8) and #23(0,6) Placing warm tip against packed-material re-thermosoftens gutta-percha Activate Calamus flow , dispense 2-3 mm warm gutta-percha Select smaller prefit manuel plugger and condense material With the same plugger, press 5 seconds to avoid shrinkage during cooling phase Position tip 5 seconds aginst packed material Activate Calamus flow and dispense 3-4 mm warm gutta-percha With a prefit, medium size manual plugger condense the material And press the material for 5 seconds (avoiding shrinkage) Continue the backfilling in the same manner until the canal is full OR stop to accommodate a post for restorative