Dentaltown February 2018 - 98
continuing
education
headlights or microscopes, we're more likely
to locate difficult and often calcified canals
such as MB2. Such canals are a significant
reason for endo failures in molars.2,3
We can also identify hairline fractures
better than ever. This raises the question
of how often we may have missed hairline
fractures and completed an endo procedure,
only to have the tooth-not the endo-fail
shortly thereafter. Such a failure is a common
complaint of patients and dentists after endo
treatments. They may wrongly perceive
it to be an endo failure when in fact it's a
mechanical failure. For one such case, see
Example 4 (p. 100).
Improved armamentaria
With the many new NiTi file systems
on the market, we now have files that can
manage canals so much more predictably and
safely. New generation files are less likely to
fracture, ledge or transport. A case in point
is the recent introduction of reciprocating
NiTi mechanized files, such as WaveOne
Gold files from Dentply Sirona.4 With new
engineering and file designs, a system such
as the WaveOne Gold is considered to be
able to do what traditionally would have
required several NiTi fi les. In turn, with
fewer steps and instruments needed, there's
less room for error and there's a quicker
operator learning curve.5
For those who worried about files not
being able to fully instrument a canal system,
there are now files that can better instrument
most of those nooks and crannies in canal
systems, thanks to their intentionally curved
designs. The XP-3D from Brasseler USA
Table 1:
NiTi file systems designed to instrument and negotiate calcified canals
WaveOne Gold Glider from Dentsply Sirona
XPlorer from Clinical Research Dental
ESX Scout from Brasseler USA
Size 0.15, with a 0.02 taper
apically increasing to 0.06 coronally.
SPECIFICATIONS
Sizes 0.15 and 0.20, with tapers
of 0.01 and 0.02.
FEATURES
Size 0.15, with 0.02 or 0.04 tapers.
Reciprocating motion; provides glide path
along with coronal flare as it tapers to 6
percent coronally; can be pre-curved.
Rotary motion and offered in a taper as
narrow as 0.01.
Rotary motion and offered in two tapers.
98
FEBRUARY 2018 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown February 2018
Dentaltown February 2018 - Intro
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