Dr. Michael Gonsky D.D.S.

Poconorootcanal.com

[email protected]

     ProFile Rotary Files ProFile Vortex Files, Vortex Blue and Vortex Orifice openers GT and GT series X Files ProTaper and Protaper next Wave one

 EndoSequence, Brasseler  Quantec K3 files, SybronEndo  Twisted File, SybronEndo  LightSpeed and LigthSpeed LSX

    Edgefile X1 for Waveone users Edgefile X3 for Protaper users Edgefile X5 for GT and GTX users EdgefileX7 for Vortex, Profile,K3 Twisted file and EndoSequence users

 Safer, faster, more flexible

    Hybridized refers to using multiple systems Passive means having a gentle touch that follows established guide paths Crown down starts at coronal orifice and works to apical terminus Advantages

      Orifice Widening Glide path into apical third of the canal Coronal Preflare Glide path to apical foramen Extension of access into apical terminus of preparation Preparation of the apical seat

    Scouting files Working length Apical glide path (#20 file) Recapitulation

    After orifice widening Niti instruments require a glide path In this technique it must extend beyond the 17 mm depth of the GT files 08 and 10 file into apical one third using lubricant and irrigation

    All Niti instruments require a glide path Preflare reduces cyclic fatigue and taper lock Allows debris removal early to prevent apical extrusion of infected material Select job specific instrument (GT #20 17mm .12 .10 .08 .06)

 Everything preceding this step is designed to promote complete control of this most critical step  This is the BIOLOGICAL ZONE  Hybridization is key

   Apex Locater and then 08 file to radiographic apex (seat is 1mm short of radiographic apex) Flexible files, Balanced force technique Narrow vs wide apical preparation

 Apical preps approaching size 100

 Round instruments cleaning oval canals