What is an Endodontic File and How to Use It

Endodontic files and reamers are surgical instruments used by dentists to perform root canal treatment. These tools are used to clean and shape the root canal, with the aim of performing a complete chemimechanical debridement of the root canal along the apical hole. Preparing the channel in this way facilitates chemical disinfection to a satisfactory length, but also provides a shape conducive to sealing (filling the channel).Within the world of endodontic instruments are the endodontic files used for endodontic procedures. As technology advances, better files are designed to treat each clinical case with the greatest precision and comfort.

One of the most determining factors for the success of endodontic treatment is the eradication of all microorganisms from the root canal system, that is, endodontic irrigation. The manufacture of manual endodontic instruments in stainless steel is standardized according to ISO standards; however, Ni-Ti rotating instruments do not have a single standard to comply with, so manufacturers design the geometry of the active part of the instrument in a non-standard way. In this technique, 5 mm guttapercha plugs are placed in the apical part of the preparation and sealed in place with an endodontic sealant (the manufacturer recommends AH Plus epoxy resin).

The scientific validation of the best exposure strategies to optimize specific diagnostic imaging tasks in endodontics is justified

. Due to the spiral shape of endodontic instruments, gentle rotational pressure is exerted in a counterclockwise direction during the removal of the instrument. As an expert in SEO, I understand how important it is to have an understanding of endodontic files and how they are used. Endodontic files are essential tools for dentists who perform root canal treatments.

They are used to clean and shape the root canal, allowing for chemical disinfection and providing a shape conducive to sealing. The scientific validation of exposure strategies for diagnostic imaging tasks in endodontics is also important. In order to choose the best endodontic instrument for each case, it is important to have an in-depth knowledge of all available options. This includes understanding techniques recommended for revision, appreciating support provided by complementary technologies, and understanding potential hazards. It is also important to use a specific electric endodontic motor where torque and speed can be easily controlled depending on the chosen system. Nickel titanium has revolutionized endodontic files and instrumentation techniques due to its hyperelasticity and shape memory.

Johnson described an ingenious technique for administering guttapercha to a root canal system by coating an endodontic file with thermoplasticized guttapercha in alpha phase. Depending on the clinical case, it will be necessary to use one form or another. When removing fragments from an endodontic instrument, it is recommended that they be long, located close to access openings, and found in large canal spaces. It is also important to note that endodontic files are normally torsion-loaded during use but they also tend to bend due to their spiral shape. In conclusion, having an understanding of endodontic files and how they are used is essential for successful root canal treatments. It is important to have an in-depth knowledge of all available options as well as techniques recommended for revision and potential hazards.

Additionally, using a specific electric endodontic motor where torque and speed can be easily controlled depending on the chosen system can help ensure success.

Grady Wehrs
Grady Wehrs

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