Shaping Sequence for Retreatment of Lower First Molar in a Limited Mouth Opening Case

R1 Mini Kit (5 files)

- 1 piece Preflaring file: 19-05 (optional)

- 2 pieces Mechanical glide path file: 17-04

- 2 pieces Finishing file: 25-06

Case Description:

Retreatment of a lower molar in a patient with limited mouth opening where Mesial canals are untreated and radiographically narrow.

Step-by-Step Shaping Sequence

Orifice Location & Preflaring

- Orifices located under operating microscope then Preflaring with (19-05) file used to coronal enlargement and to facilitate the following shaping steps.

Mechanical Glide Path Preparation using file: 17-04

-Introduced to pre-measured length based on CBCT, followed by Working length confirmation using electronic apex locator (EAL).

Shaping & Apical Finishing

- File: 25-06

- Initially used passively to mid-root level for mid root  shaping followed by irrigation and cleaning the file flutes  then advanced to full working length for final apical finishing.

Irrigation & Activation

-Sodium hypochlorite (5.25%) between each file.

-Sodium hypochlorite (5.25%) and EDTA 17% for Final flush with along with Sonic and ultrasonic activation to enhance irrigation penetration.

Obturation

•Technique: Modified heat technique with gutta percha and Bioceramic sealer.

Conclusions

The R-One Mini System from Fanta Dental offers efficient and safe root canal shaping with a hybrid heat-treated design for safety. Its regressive taper preserves cervical dentin, while the double S cross-section ensures effective cutting.

Bibliography

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Manual versus mechanical endodontic glide path. John D West Dent Today 2011 Jan;30(1):136, 138, 140

You SY, Bae KS, Baek SH, Kum KY, Shon WJ, Lee W. Lifespan of one nickel-titanium rotary file with reciprocating motion in curved root canals. J Endod 2010;36:1991-1994.

Wan J, Rasimick BJ, Musikant BL, Deutsch AS. A comparison of cyclic fatigue resistance in reciprocating and rotary nickel-titanium instruments. Aust Endod J 2011;37: 122-127.