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4 Endodontics. Definition - Methods of Medical and Instrumental Treatment of Root Canals
4 Endodontics. Definition - Methods of Medical and Instrumental Treatment of Root Canals
Endodontic instruments
According to ISO endodontic instruments are classified:
Hand instruments: files(K and H), barbed broaches,
spreader and plugger (vertical and lateral gutta percha
condensors ).
Rotary instruments: H-files and K-reamers for slow
handpiece, lentulo spiral ller/rotary paste ller.
Rotary instruments: Gates Glidden drills, Peeso reamer
drills.
Pins: gutta percha pins, silver pins.
Files These are used either with a longitudinal rasping or a rotary action (e.g.
clockwise direction).
The main types of file available are:
K-flex file Similar to K-file but made by twisting a rhomboid shape blank
alternating blades with acute and obtuse angles. More flexible than K-file
but becomes blunt more quickly.
A solution of EDTA
Verifix (Spad)
Canal+ (Septodont)
HPU15 (Spad)
RC-prep (Premier)
(-)
Pulp chamber floor If small perfortion, one can cover with calcium
hydroxide and fill with GP or GI, but if large, hemisection or extraction may be
necessary.