Endodontic Management of a Curved Upper Left Molar using the Rising Files
09/04/2025
Andreas Louloudiadis
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One of the main goals of the endodontic treatment is to perform a proper shaping and cleaning of the root canal system in order to achieve a successful outcome. Fanta has introduced into the market a new sequence of files, called RISING, aiming to simplify the endodontic management of all types of root canals. The AF Rising with its variable tapered and cross-sectional anatomical instrumentation allows for Minimal Inansive Shaping while its passive tip avoids the possibility of perforations.
The AF Rising kit includes five instruments with different NITI phase for every file making this system unique and efficient to deal with the challenges of root canal anatomy:
RR 17/10
R1 13/P3
R2 25/04
R3 30/04
R4 28/05
Fig. 1
Tooth #26
Diagnosis of Symptomatic Irreversible Pulpitis and Symptomatic Apical Periodontitis was established for the first maxillary molar on a 25 years old female patient with clear medical history.
The pre-op radiograph indicated a a challenging anatomy on the mesial root with curved and narrow canals that required extra attention and care to negotiate them.
Video of Shaping procedure
After removing the existing composite restoration and establishing a correct access into pulp chamber, all canals were identified and WL was determined.
As you can see the files work smoothly and efficiently inside the canals exhibiting good cutting efficiency and optimal removal of debris.
Fig. 2
Post - Operative radiograph.
Obturation performed with BC sealer and Cold Hydraulic Condensation.
Fig. 3
AF RISING Kit suitable for all types of canals.
Conclusions
The new sequence of files from Fanta, AF RISING appears to be effective in dealing with challenging canals resulting in a successful outcome while respecting and maintaining the original anatomy of the canals.
Bibliography
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2. Akkoc Halil I, Keskin C, Aslants K. Dynamic analysis of a Niti rotary file by using finite element analysis: effect of cross-section and pitch length. Aust Endod J 2024; 50(3): 649-657
3.Chaniotis A, Zapata-Ordinola R. Present status and future directions: Management of curved and calcified root canals.
Int Endod J 2022; 55:656-684
4.Yum HW, Oh S, Perinpanayagam H, Gu Y, Chang SW, Yoo YJ, Kum KY. Phase Transformation and mechanical behavior of different heat treated NiTi rotary instruments. Article in press Int Dent J Aug 2024
