Fig. 1

Tooth #26

Diagnosis of Previously initiated and Symptomatic Apical Periodontitis was established for the first maxillary molar on a 76 years old male  patient with clear medical history.

The pre-op radiograph indicated a challenging calcified anatomy on all canals with periapical pathology associated with all of them, and a separated instrument on the db canal that required extra attention.

 

Fig. 2

An ultrasonic tip was used from the inner wall side to vibrate the fragment until it got loose and jumped out of the canal.

Fig. 3

WL Determination.

Despite troughing with US under microscope, no mb2 was identified.

After removing the existing fractured file 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 , flexibility and optimal removal of debris.

Fig. 4

 Post - Operative radiograph.

Obturation performed with BC sealer and Cold Hydraulic Condensation.

Fig. 5

R-one Mini Kit Sequence system.

19/05 :  This file is called an Early Flarer-  0.19 tip and 0.5 variable taper with the same diameter coronal as the last file of the sequence and it is used in Continuous rotation at slow speed of 250 Rpm.

17/04 : This is the Glide path file 0.17 tip and 0.4 variable taper design. It is made of AF-L wire alloy making it less flexible  that the 25/06 in order to progress nicely and smoothly into the calcified canal, preparing the canal for the finishing file.

25/06- The last file of the sequence, the finishing file, which is also of variable taper 0.6 and 0.25 tip. It is made of AF-R wire alloy to increase flexibility and flexural resistance. The 25/06 completes the preparation of the canal in a minimal invasive way preserving the valuable pericervical dentin due to its thiner coronal diameter.

Conclusions

The R-One Mini Kit by Fanta demonstrated excellent clinical performance, combining flexibility, cutting efficiency, and tactile control. Its design supports minimally invasive shaping while maintaining the original canal anatomy, making it particularly suitable for complex or curved root canals. The simplified instrumentation sequence contributed to procedural efficiency and predictable outcomes. This case supports the R-One Mini Kit as a valuable tool for modern, conservative endodontic treatment.

Bibliography

1.Serracchiani M, Miccoli G, Di Nardo D, Zanza A, Cantore M, Gambarini G, Testarelli L. Effect of flexural stress on Torsional resistance of NiTi Instruments. J Endod 2021 Mar;47(3): 472-476

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.Nasiri K, Wrbas K-T. Management of calcified root canal during root canal therapy. J Dent Science 2023;18:1931-32

4. Yared G. Canal preparation using only one NiTi Rotary instrument: Preliminary observations. Int Endod J 2008 Apr;41(4):339-344.