WELCOME TO THE LEADING RESOURCE ON ROTARY ENDODONTICS
Read on or click on the links on your Right.
Mission: To promote quality Endodontics based on science rather than myths.
Vision: To train Endodontists who strive for excellence and achieve predictable results.
Read this page and click on the links on right side of this page to browse other sections of Rotary Endo and we promise that you will experience what you have been missing !!!! Rotary Nirvana.
Want to see MORE, click on this link to see a web presentation on What is science behind rotary endodontics
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Do not believe marketing gimmicks. Here are two ways you can see proof yourself.
1. When you extract a tooth, see which is the smallest instrument that
can enter from the apex (uninstrumented), often you will see that it is size 30
or larger (see pic below), if you have finished with an F1 or F2 that means that you have not
done any apical cleaning.
You can also cut 1/3 apex of an extracted tooth and see which instrument goes in
?
2. Do RCT on extracted tooth and section apical 1-2
mm and examine under a magnification device. OR do RCT on a tooth which will be extracted (eg. orthodontic etc) and then after extraction examine
tooth under magnification (after sectioning apical 1-2 mm).
This way you will yourself see the TRUE comparison of different systems.
3. What is the basis for apical surgery ? We open and seal the apex, which again is the proof that apical area is the MOST important. BUT when you finish apex 20 or 25 with a tapered system, you will be shocked to see the amount of debris, when you section and examine apical area under magnification. In a Sept-Oct 2007 issue of General dent. an article by Francis W. Allen points out that in past 20% apical cleaning was achievable with hand instruments, tapered instruments clean only 18% in the apical 1mm, no wonder we spend so much energy on referrals/retreatment, to read the full paper CLICK HERE
4. Have you heard that during extraction of a tooth if root tip breaks, easiest way is to screw in a headstrom file and root tip easily comes out. And do you know what file size is normally used ? 35 yes that shows the canal size in apical area is larger than 35 (Ref is JADA: STONER 133 (4): p 473, 2002) to read full ref click HERE
People show coronal pictures (scopes) all the time, its surprising why NO ONE shows pics of apical sections. It is a proven fact that apical area is the most CRITICAL, if you do not clean it well your chances for FAILURE are much higher.ARE you guilty of not doing the best, Give the Very Best to your patient CLICK HERE
Intra oral X ray shows only two dimensional view, 3D systems are right now very expensive. So IOPA can not be a criteria to judge quality of RCT and there can be no proper RCT without APEX/ Foramen locator.
LightSpeed, a boon for EndodontistsPracticing endodontics for the past three decades, I have always been on the look out for instruments and techniques that will give predictable results for root canal treatment and reduce the time of treatment.
Smart Endodontics = Predicable endodontics - anxiety, in other words great endodontics BUT NO Tension.
The concept of Coronal Flaring came as a major breakthrough in endodontics. Instead of heading directly to the apical area, this approach cleaned up the coronal part, of thousands of micro organisms, thus preventing their entry to the apical part. But an unfortunate thing that has happened is that while so much stress is being given to the coronal enlargement, the apical area has been neglected.
Every Endodontist knows that the apical third of the root canal is the critical area that influences the outcome of root canal treatment. It has to be thoroughly cleaned, enlarged and given a hermetic seal. Can we enlarge this critical area to just #20 or 25 instrument and obturate? How many canals will then have hermetic seal, with the exception of those few cases where the canals were calcified and very narrow to start with?
The role of irrigating solutions ( eg.
Sodium Hypochlorite ) in root canal treatment has never been
clearer. For the irrigant to even reach the apical region, this area
needs to be enlarged to minimum # 30. Increase in file size was shown to be
important in allowing the NaOCl to be an effective antibacterial
irrigant.
Journal of Endodontics. 26(12):751-755, December 2000. Shuping, George B. DDS, MS; Orstavik, Dag DDS, PhD; Sigurdsson, Asgeir DDS, MS; Trope, Martin DMD )
With these concepts clear in mind, anybody would jump at the idea of LightSpeed instrumentation. It is the only rotary endo system that addresses the canal width and can really clean the canal walls all around. And do you know that even with hand instruments larger than size 20 they will transport the canal but LightSpeed stays centered in canal because of its unique features. Try it to see for yourself.
On popular discussion groups you see enough microscopic pictures of coronal portion, but you need to look at the apex. If apical pulp is alive you may get away doing any technique, BUT for infected cases you will have much better chances of success with LightSpeed LSX. Don't believe me ? do as given in next para...
Take an extracted tooth, use your favorite system ( so many Systems to choose) of instrumentation and do LightSpeed instrumentation in another tooth. Obturate both, and then take cross sections of root apices and see under magnification. Examine the gutta percha seal in this critical area (apical third). Well, no one will need any more convincing. See the pics here , First tooth was obturated after hand instrumentation, see the apical section in A, and Tooth B was done with LightSpeed.
| A |
B |
There is enough literature to show that uninstrumented apical diameter is large (.3 -.6) but we have been blinded by marketing forces. See this latest article published in Sept 2006.
We have compiled some more evidence to show you where tapered instrument binds and HOW it does not clean the apical AREA. CLICK HERE to See this exciting ENDO TRUTH.
Give a try to Smart Endodontics (rotary) LSX instruments are the best thing that has happened to Rotary endodontics, Its a promise, you will never stop smiling and so also your patients.Want to continue to
learn and discuss rotary endo, come on jump and join the discussion
group
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