Overview of instrumentation used in endodontics

Yazeed Mohammad Alharbi; Amjad Ghalib Alharby; Abdullah Mahdi Alyami; Rahaf Abdulkhaliq Salem; Saeed Ali Alghamdi; Abdullah Mohammed Alrabiah; Huda Abdullah Alsakran; Abdullah Abed Alorabi; Yaser Ali Jad; Lamees Annas Zarei; Layan Saad Alshehri

doi:10.18203/2394-6040.ijcmph20223323

Authors

Yazeed Mohammad Alharbi North Jeddah Specialist Dental Center, King Abdullah Medical Complex, Jeddah, Saudi Arabia
Amjad Ghalib Alharby General Dentist, Ministry of Health, Riyadh, Saudi Arabia
Abdullah Mahdi Alyami General Dentist, Ministry of Health, Riyadh, Saudi Arabia
Rahaf Abdulkhaliq Salem College of Dentistry, Umm Al-Qura University, Mecca, Saudi Arabia
Saeed Ali Alghamdi General Dentist, 360 Clinics, Jeddah, Saudi Arabia
Abdullah Mohammed Alrabiah College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
Huda Abdullah Alsakran Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Abdullah Abed Alorabi Dental Department, Tamayuz Alhokama Healthcare Center, Mecca, Saudi Arabia
Yaser Ali Jad College of Dentistry, Jazan University, Jazan, Saudi Arabia
Lamees Annas Zarei General Dentist, Zabeedi Eye and Dental Surgery Center, Jeddah, Saudi Arabia
Layan Saad Alshehri General Dentist, Magrabi Hospitals and Centers, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20223323

Keywords:

Endodontics, Nickel-titanium file, Root canal shaping, Root canal filling

Abstract

The fundamentals of root canal therapy include thorough cleaning, suitable shape, and total root canal filling. There are numerous tools at our disposal to help us achieve these goals. A complicated range of files, filling techniques, and modern materials have been designed to speed up the process, increase its dependability, and enable the clinician to properly treat challenging patients and intricate anatomies. Hand instruments include barbed broaches, reamers, and files such as K-file, K-flex file, Flexofile, and Hedstrom files. Nickel-titanium alloys have been used to replace stainless steel in the production of endodontic equipment. Compared to stainless steel tools, these lead to more straightening of canal curvature, centering, tapering, and leading to a superior preparation. In an effort to speed up preparation of canals and lessen operator fatigue, a wide variety of electric power-run tools have been created like reciprocating handpieces, rotary NiTi files and handpieces. Accurate root canal length measurement is crucial to the effectiveness of root canal therapy. Radiography and the application of an electronic apex locator are the two methods used most frequently to confirm canal length. Instruments needed for filling canals are dependent on the procedure chosen to fill the root canal. Hand or finger spreader with a pointed tip are used in lateral condensation; hand or finger pluggers with blunt, flat ends are employed in vertical condensation; thermomechanical compaction uses an engine-powered compactor, thermoplasticized injectable gutta-percha and gutta-percha carrier devices. Careful use of canal preparation, sterilization, and obturation techniques, together with the appropriate instrument selection and use, can significantly increase the likelihood that endodontic procedures will be successful.

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