Curv ro

Department of Conservative Dentistry and

Dental Radiology
Presented by
Dr. Md. Nafizuzzaman Bhuiyan

Introduction
A tooth with a straight root and a straight
root canal is an exception rather than
being normal because most teeth show
some curvature of the canal.
Appropriate removal of pulpal tissues with
proper cleaning and shaping, followed by
an obturation system and coronal seal, will
satisfy both mechanical and biological
objectives.

Continues..
These curves cause a host of problems,
including ledge formation, perforation,
apical transportation, zip formation, and
file separation.
So there are some techniques using in
curved canal preparation.

Techniques using in curved canal

preparation
Apical to coronal
approach
Balanced force
technique
Step back
technique
Circumferential
filling technique

Coronal to apical
approach
Step down
technique

Figure: Curved root canal

Step back technique

Also known as telescopic canal preparation
or serial root canal preparation.
It emphasizes keeping the apical
preparation small, in its original position
and producing a gradual taper coronally.
It has two phase
Phase I - Preparation of apical constriction.
Phase II - Preparation of remaining canal.

Phase I

i. Working length
established.
ii. Motion watch
winding.
iii.Apical
preparation upto
the file no. 25 to
full length.
iv.Recaputulation
using prior size

Phase II
i.

Stepping back
procedure in 1
mm
increments, No
25 through 45.
ii. Recapitulation
with a no 25
file in full
working
length.

Refining Phase IIA

Gates Glidden
drills No. 2,3,4
used to prepare
coronal and
mid root
portion.

Refining Phase IIB

i.

Return to 25
last file.
ii. Short of working
length to
smooth the step
back with
vertical push
pull strikes
(circumferential
filling) by H- file.

Completed
preparation
A continuous
flowing flared
preparation
from the C-E
junction to the
crown.

Step back technique

Advantages:
a) It is designed to overcome instrument
transportation in the apical 1/3 of the canal.
b) Avoid zipping.
c) It can be used for the preparation of straight
canal.
d) Suitable for slight to moderate curved canal.

Step back technique

Disadvantages:
a) Chances of pushing debris into peri-radicular
tissues.
b) Difficult to irrigate apical region.
c) Working length likely to changes as canal
curvatures are eliminated.
d) More chances of instrument fracture.
e) Time consuming.
f) Not suitable for severely curved canal.

Experimental study for the success

rate of step back technique

Conclusion
Step-back process creates a flared,
tapering preparation while reducing
procedural errors.
The step-back preparation is superior to
standardized serial filing and reaming
techniques in debridement and
maintaining the canal shape.
This technique results in more pulpal walls
being planed when compared to reaming
or filing.

References
1. Ref:
http://dentistry.about.com/od/specializedd
entistry/a/rootcanal
2. Ref : Ingles endodontics 5th edition,537
page
3. Ref : Ingles endodontics 5th edition,527
page
4. Ref : www.ijos.org.cn | International
Journal of Oral Science

Thank you