Claudia Hoffman
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ALWAYS LIKE to reflect on the past year and share some new things that
I have learned, implemented, or changed. First, I use the reciprocating
handpiece or the Endo-Express® on all my cases. NiTi is a thing
of the past for me. (I was formerly a big NiTi user!) My results
are just as good, and I have less stress during procedures. The reciprocating
handpiece prevents binding, and the reamers engage dentin only during the
clockwise rotation. I love the fact that on challenging cases I can
pre-bend the reamers and place them in the canal and then attach the handpiece
and clean and shape away. I have no more fear of breakage and no
more hand fatigue. There is really no reason not to use the reciprocating
handpiece.
The Pleezer® from EDS is a tapered Peeso reamer.
This instrument creates a beautiful-looking tapered canal and eliminates
the use of the # 2 Peeso and the # 2 Gates Glidden. I use the Pleezer
after I get my 20 reamer to length, and in a tight canal I may use it again
before using my 30/.04. The fact that we are using one instrument
instead of two saves time and money.
The 25/.06 NiTi reamer from EDS was introduced this year.
It is a wonderful shaping and cleaning instrument. Sometimes the
jump from the 30/.04 to the 25/.08 can be severe, and the 25/.06 creates
a nice transition. I am happy to get the 25/.06 to my working length
loosely. I can obturate with a Diadent 25/.06 point and EZ-Fill®
and get a beautiful and successful result.
We all know that things come up and we cannot always finish
root canal therapy in one visit. Rinsing with liquid EDTA and chlorhexidine
before filling removes the smear layer from the dentinal tubules and has
anti-bacterial effects. I have improvised and started using calcium
hydroxide powder mixed with chlorhexidine and an intra-canal medicament
between visits. I have had success with this slurry.
I hope this helps, and I hope that everyone has a wonderful,
healthy, and happy 2007!
January - March 2007
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NiTi
is a thing of the past for me.
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