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Miscellaneous endodontic instruments. From left: Lentulo spiral, reamer, K-file and H-file. Hand files can provide tactile sensation when cleaning or shaping root canals. This allows the dentist to feel changes in resistance or angulation, which can help determine curvature, calcification and/or changes in anatomy, in which two dimensional radiographs may not always identif
Instruments may separate (break) during root canal treatment, meaning a portion of the metal file used during the procedure remains inside the tooth. The file segment may be left behind if an acceptable level of cleaning and shaping has already been completed and attempting to remove the segment would risk damage to the tooth.
Nickel titanium rotary file used in dentistry. A nickel titanium rotary file is an engine-driven tapered and pointed endodontic instrument made of nickel titanium alloy with cutting edges used to mechanically shape and prepare the root canals during endodontic therapy or to remove the root canal obturating material while performing retreatment.
A Lentulo spiral. The notches at left allow it to fit into a slow-speed latch handpiece. A Lentulo spiral is a dental instrument used to properly distribute root canal sealer and cement evenly throughout the root canal system, as when performing endodontic therapy or a post and core cementation.
In dentistry, debridement refers to the removal by dental cleaning of accumulations of plaque and calculus (tartar) in order to maintain dental health. [1] Debridement may be performed using ultrasonic instruments, which fracture the calculus, thereby facilitating its removal, as well as hand tools, including periodontal scaler and curettes, or through the use of chemicals such as hydrogen ...
Air turbine used in a dental handpiece Correlation between rotational speed and torque Correlation between rotational speed and turbine output power. The turbine is powered by compressed air between 35 and 61 pounds per square inch (~2,4 to 4,2 bar), [1] [2] which passes up the centre of the instrument and rotates a Pelton wheel in the head of the handpiece.
Lateral perforation occurs when an instrument has perforated the root during cleaning & shaping of the canal by the dentist. If it happens, one should finish cleaning & shaping of the canal, irrigate the canal with sodium hypochlorite to disinfect it and dry it with a paper point. The perforation can be sealed with a thick mixture of an MTA ...
There is a risk of rubber dam clamps breaking during application due to the chemical effects of sodium hypochlorite, an antimicrobial solution used during root canal treatments, repeated stresses of clinical use, [25] or autoclaving, [26] all of which can potentially weaken the material. To avoid swallowing or aspiration of broken clamps, the ...