Technique for preparing a curved root canal using profiles and an NSK endomotor

Endomotor

A small electronic device with a tip - an endomotor

— allows:

  • treat even severely curved dental canals with the highest quality possible,
  • reduce processing time,
  • ideally prepare the canals for subsequent filling - completely remove infected tissue from the canals.

The dentist works with an endomotor quickly, efficiently, safely and as comfortably as possible, since modern models of endomotors are so advanced that the doctor’s task comes down to the simplest thing - choosing the desired mode of operation of the instrument. The rest, as they say, is “a matter of technique.”

And the “technique” often depends on the tools that the dentist uses in his work.

Innovative dental instruments Reciproc

- made of an alloy of titanium and nickel - indispensable when working with complicated forms of caries.

Reciprocal instruments in dentistry have long proven themselves to be the best, as they are both flexible and super-strength, helping to create the canal shape that is necessary for high-quality filling.

In addition, a tool that works in reciprocal mode has the superpower of first moving clockwise and then vice versa. This feature allows you to easily separate the instrument from the canal walls.

Reciprocal files reduce the risk of tool breakage from cyclic and torsional fatigue due to the fact that the reciprocal movement settings preset in the endomotor ensure that the tools rotate clockwise and counterclockwise at angles that do not exceed their elastic limit. In addition, as the study showed, reciprocal movement significantly reduces tool fatigue compared to tool operation with continuous rotation.

If you decide to buy reciprocal instruments, the price will pleasantly surprise you. Comfort at work will be an excellent motivation to solve complex professional problems. And instructions for working with machine reciprocity files will bring clarity to the workflow.

A good solution would be to purchase a SILVER RECIPROC endomotor, which is specifically designed to work with nickel-titanium systems in rotary and reciprocal modes. Silver allows you to form a root canal using one tool, without first forming a carpet.

We will consider other models of endomotors with reciprocity below.

The process of root canal treatment

Step 1 Anesthesia of part of the gum in the area of ​​the affected tooth;

Step 2 Isolation of the tooth requiring endodontic treatment from saliva;

Step 3 Preparation of the tooth and opening of the pulp chamber;

Step 4 Mechanical treatment of the root canal system with rotary instruments on the Endomotor, rinsing the canal with antiseptic solutions;

Step 5 Drying the root canals;

Step 6 Filling the canals;

Step 7 Restoration of the coronal part of the tooth, or installation of pins in the canal for subsequent reconstruction of the tooth.

Types of endomotors

Today there are two options for endomotors - wired and wireless.

Each model has its own advantages.

Endomotors with an apex locator allow the dentist to accurately determine the size of the apical constriction using a sound or light signal, and see where the instrument is, even while working in a humid environment.

If the endomotor is not equipped with an apex locator, but it is possible to connect one, the apex locator can be purchased separately.

Considering the fact that an apex locator is simply irreplaceable in dentistry, approach your choice seriously and judiciously.

If you want to buy the best new generation apex locator, don't hesitate to choose the Raypex apex locator. The price of the device is absolutely acceptable, given its European quality and a whole list of advantages.

If you need a portable apex locator, the Propex portable apex locator is at your service. Compact dimensions, color display, battery operation, sound indicator with four volume modes and, of course, price are the main advantages of the device.

Which endomotors are better and how to choose an endomotor - we will look in detail using the example of branded models of endodontic miracle technology.

Cofferdam in dentistry

A rubber dam is a latex shell that dentists use to isolate the treatment area from the moist environment of the mouth.
During dental procedures, this device is fixed with a frame or rim made of plastic, making the doctor’s work easier - he does not have to be distracted by changing tampons in the patient’s mouth or removing excess fluid. A hole of the required size is made in a latex napkin and placed on the dentition, allowing access to the diseased tooth.

Due to the film, the treated tissues do not come into contact with blood and saliva during the treatment process, which affects the final result.

The active use of rubber dams in dentistry is determined by the rules of International Standards.

Review of the best endomotors

E-Cube Saeshin (South Korea)

E-Cube Saeshin, an ultra-modern endomotor designed for high-quality treatment of dental canals with rotating “Ni-Ti” instruments, significantly reduces the dentist’s work time and, accordingly, significantly reduces the patient’s time in the chair.

The E-Cube endomotor is equipped with:

  • control unit
    , which can be powered either from the built-in rechargeable battery or from the mains. The battery charges in no more than 2 hours, while the device holds a charge for 8 hours, that is, it can work continuously for a whole working day;
  • a large LCD display
    with an intuitive interface that displays basic information as concisely and clearly as possible, which helps the doctor concentrate on the work process;
  • intuitive membrane keyboard
    , with which you can easily set torque (torque), rotation speed, direction of rotation, gear ratio;
  • “M” memory button
    , which allows you to quickly select the desired program (out of 9 available);
  • an “auto-reverse” button, which is responsible for protecting the tool from overload. So, for example, if the maximum permissible torque (specific for each specific file) is exceeded during operation of the endomotor, then the file will automatically rotate in the opposite direction and immediately after removing the excess load, the tip will either stop working, or after stopping it will begin to spin as expected, clockwise;
  • branded handle-micromotor
    , made of plastic, with a pleasant design, brushless micromotor, which operates almost silently and ensures the smoothest running of “Ni-Ti” tools;
  • lowering contra-angle handpiece (16:1)
    .

The E-Cube endomotor is successfully used by dentists to treat tooth canals with rotating Ni-Ti instruments. The kit includes a foot pedal, 9 programs and auto reverse.

E-Cube is compatible with all NSK end heads.

Advantages of the E-Cube endomotor:

  • 9 memory programs,
  • auto reverse function,
  • micromotor torque from 0.6 to 5.2 N/cm,
  • maintaining constant torque,
  • transmission ratio: 16:1,
  • foot pedal with on/off function,
  • compact,
  • convenient, functional design,
  • operation from a rechargeable battery and directly from the network,
  • The battery holds a charge for up to 8 hours.

The E-Cube endomotor is No. 1 for the dentist. If the doctor works with the E-Cube, then the canal filling will be 100% successful.

E-Cube is an analogue of X-Smart, an endomotor that is highly valued by all endodontists, including because of the ideal price/quality ratio.

X-SMART Plus, Dentsply-Maillefer (Switzerland)

The X-Smart Plus endomotor is compact and ergonomic, easy to operate, has 8 programs and a large display, and does not have a foot pedal.

X-Smart Plus operates in sequential and reciprocal modes, is equipped with an auto-reverse function, can last 2 working hours without recharging, and is fully charged within 5 hours.

Advantages of X-Smart Plus:

  • Doesn't block the view.
  • Clear interface.
  • Color display.
  • Small size and weight.
  • Angle handpiece rotation speed from 100 to 800 rpm.

X-Smart Motor, Dentsply-Maillefer (Switzerland)

X-Smart Motor is an endomotor complete with a handpiece and a 16:1 reduction head.

X-Smart Motor has 9 programs, each of which is very easy to adjust both in terms of rotation speed (120-800 rpm) and torque (0.6-5.2 Ncm). Switching programs is also easy.

The device is equipped with auto reverse. The motor is turned on and off using a button on the handpiece. There is no pedal, but it is possible to connect one.

Advantages of X-Smart Motor:

  • A light weight.
  • Torque table included.
  • Two power sources - built-in battery and power cord.

X-Smart Plus Protape, Dentsply-Maillefer (Switzerland)

The X-Smart Plus Protaper Kit endomotor is easy to operate, reliable and ergonomic.

Main advantages:

  • Compact size.
  • Miniature head.
  • 12 programs.
  • Lightweight tip handle.
  • Reciprocal mode.
  • Torque control function.

X-Smart Plus Protaper does not have a foot pedal, but this does not deprive the dentist of comfort.

Y1001-027 Endo-Mate TC 2, NSK (Japan)

Endo-Mate is a cordless dental handpiece with min. head, equipped with a torque control function and auto reverse. Endo-Mate has only 5 programs, but the quality of work does not suffer from this.

Benefits of Endo-Mate:

  • Ease of control.
  • Liquid crystal display.
  • Auto reverse function.
  • Sound alarm function.
  • Compatible with many tools from major manufacturers.

Endo-Mate TC 2 MPA Pack, NSK (Japan)

This is a portable, wireless endodontic micromotor with an MPA head, auto reverse and the ability to connect an apex locator.

Benefits of Endo-Mate TC 2 MPA Pack:

  • Miniature head and thin neck.
  • Wide LCD display
  • Intuitive interface
  • 5 programs for files
  • Memory function for used settings.
  • Contactless charging in 1.5 hours.
  • It is possible to connect an apex locator.
  • Compatible with many brand tools.

You can always buy endomotors profitably in the Dental Stom online store. Call by phone 8

.

Our specialists are always happy to answer any of your questions and are ready to help you choose a product and place an order.

Useful qualities of rubber dam

The product simplifies the dentist’s work, while the patient also receives a lot of advantages, some of which are:

Guarantee of high-quality work and long-lasting treatment results

Medicines and filling material do not get into the mucous membranes and throat

The risk of allergies is reduced as the treated area is isolated

Saliva can be safely swallowed during treatment

The mucous membrane dries out less, you don’t need to put in a lot of effort to keep your mouth open

Prevents the gag reflex when inserting tampons in some patients

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