Dentaltown December 2024 - 56
negotiation with hand fi les. Never
push this fi le while it is running down
the canal. Allow it to run down the
canal by itself and just hold it in place
with passive hands.
5
6
ing length, the Primary gutta percha
cones should also.
7
8
Perform activated irrigation
with sonic activation (e.g.,
SLP EndoActivator) or laser
irrigation with SWEEPS (e.g., Fotona)
and achieve enhanced disinfection.
Use QMix or a 17% EDTA and remove
the smear layer.
Dr. Reid Pullen graduated from University of Southern California
School of Dentistry in 1999, then was stationed in Landstuhl,
Germany, for three years with the U.S. Army. He completed a oneyear
Advanced General Dentistry residency, then practiced general
dentistry in Yorba Linda, California, before doing an endodontic
residency at the Long Beach, California, VA. Board-certified in
endodontics, Pullen has owned a private practice in Brea, California,
since 2007, teaches 2-Day Root Camp Boot Camp live-instruction
classes and runs Root Canal Academy. Email: reidpullen@
rootcanalacademy.com
DECEMBER 2024 | 56 | DENTALTOWN.COM
Select the ProTaper Gold
Shaper 1 (S1) and use shaping
passes to advance down the
canal to shape the middle third. On
average it takes two shaping passes
for the S1 to advance to working
length. Between each pass, irrigate
with sodium hypochlorite to remove
all the debris created by shaping and
then recapitulate (check patency)
with a #10 K fi le.
Bring in the apical fi nisher.
I use the WaveOne Gold
Primary, a reciprocating fi le
system that requires the correct type
of endodontic motor. Use the fi le to
fi nish the apical third. On average,
it also takes two shaping passes to
advance to working length. Once the
fi le has advanced to working length,
create a deep apical shape by running
the fi le back to working length three
times. Remove the fi le, irrigate and
recapitulate.
Perform an apical verifi cation
with a #25 K hand fi le. If the
#25 K fi le fi ts snugly at workFigs.
3 and 4: Pre-op and post-op #30, respectively. In both of these cases the Slider
advanced to working length in each canal without the use of a hand file.
9
the fi t.
10
Dry the canals and obturate
with your technique
of choice.
Case examples and conclusion
Here are a few examples of the fi nal
product using the method discussed
(Figs. 1-4). Th is method is so fast and
easy to use that once you locate the
Fit gutta-percha cones and
then take straight and shift
cone fi t radiographs to verify
canals it takes less than fi ve minutes
(sometimes two minutes total) to
completely shape the canals. Th is concept
mostly holds with simple to medium-diffi
cult endodontic cases. Since
negotiation and shaping are blended,
the procedure can be performed
extremely quickly. Th is then allows
plenty of disinfectant soak time and
enhanced irrigation and disinfection.
Th is method does require a rotary and
reciprocation motor, as well as one
fi le each from three diff erent systems.
Happy nerve hunting! DT
STEP
STEP
STEP
STEP
STEP
STEP
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Dentaltown December 2024
Table of Contents for the Digital Edition of Dentaltown December 2024
Dentaltown December 2024 - Intro
Dentaltown December 2024 - Cover1
Dentaltown December 2024 - Cover2
Dentaltown December 2024 - 1
Dentaltown December 2024 - 2
Dentaltown December 2024 - 3
Dentaltown December 2024 - 4
Dentaltown December 2024 - 5
Dentaltown December 2024 - 6
Dentaltown December 2024 - 7
Dentaltown December 2024 - 8
Dentaltown December 2024 - 9
Dentaltown December 2024 - 10
Dentaltown December 2024 - 11
Dentaltown December 2024 - 12
Dentaltown December 2024 - 13
Dentaltown December 2024 - 14
Dentaltown December 2024 - 15
Dentaltown December 2024 - 16
Dentaltown December 2024 - 17
Dentaltown December 2024 - 18
Dentaltown December 2024 - 19
Dentaltown December 2024 - 20
Dentaltown December 2024 - 21
Dentaltown December 2024 - 22
Dentaltown December 2024 - 23
Dentaltown December 2024 - 24
Dentaltown December 2024 - 25
Dentaltown December 2024 - 26
Dentaltown December 2024 - 27
Dentaltown December 2024 - 28
Dentaltown December 2024 - 29
Dentaltown December 2024 - 30
Dentaltown December 2024 - 31
Dentaltown December 2024 - 32
Dentaltown December 2024 - 33
Dentaltown December 2024 - 34
Dentaltown December 2024 - 35
Dentaltown December 2024 - 36
Dentaltown December 2024 - 37
Dentaltown December 2024 - 38
Dentaltown December 2024 - 39
Dentaltown December 2024 - 40
Dentaltown December 2024 - 41
Dentaltown December 2024 - 42
Dentaltown December 2024 - 43
Dentaltown December 2024 - 44
Dentaltown December 2024 - 45
Dentaltown December 2024 - 46
Dentaltown December 2024 - 47
Dentaltown December 2024 - 48
Dentaltown December 2024 - 49
Dentaltown December 2024 - 50
Dentaltown December 2024 - 51
Dentaltown December 2024 - 52
Dentaltown December 2024 - 53
Dentaltown December 2024 - 54
Dentaltown December 2024 - 55
Dentaltown December 2024 - 56
Dentaltown December 2024 - Cover3
Dentaltown December 2024 - Cover4
Dentaltown December 2024 - ElitePractice1
Dentaltown December 2024 - ElitePractice2
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