11/13/2023 0 Comments Endodontic systems![]() ![]() ![]() A similar search using Google Scholar and the search term “ProTaper AND Dentistry” shows 7,530 results from 2007 to 2017. A search in the Journal of Endodontics from “all available dates” reveals 256 articles where “ProTaper” appears in the abstract. Using PubMed, there are also 19 studies returned from searching the term “ProTaper Gold” within the last five years. Using PubMed to search the keyword “ProTaper” yields 912 published studies in the last 10 years. Mechanical rotary and reciprocation articles are abundant in the literature. The ProMark and X-Smart iQ endodontic motors and handpieces (Dentsply Sirona Endodontics) produce both continuous rotation and reciprocation motions within a single motor (Fig. Put crudely, the motion resembles that of a Roto-Rooter. Reciprocation, in the context of this article, refers to mechanical radicular endodontic shaping using unequal bidirectional clockwise/counterclockwise (CW/CCW) directions. Put crudely, the motion resembles that of the common drill. Rotary, in the context of this article, refers to mechanical radicular endodontic shaping where the cutting blades function in a continuous clockwise (CW) direction. The principles of The Challenge Testing essentially remain the same. You can substitute any rotary brand for my ProTaper Gold distinctions and any reciprocation brand for my WaveOne Gold distinctions. These are the file systems I helped design and know the most about. In this clinical article, the examples I use for Rotary vs Reciprocation are ProTaper Gold (PTG) and WaveOne Gold (W1G) (Figs. However, if you take the self-test that I suggest at the end of this article, your choice of Rotary vs Reciprocation will be self-evident, perfectly scientific, and all about your and your patients’ needs. This article is an invitation to be self-educated about your best way to produce endodontic preparations that can be easily obturated.Īs a disclaimer, please note that I am a co-inventor of ProTaper and WaveOne file systems (Dentsply Sirona Endodontics). The goal of this article is to explore and explain these three critical distinctions of Rotary vs Reciprocation so that the clinician is aware of these differences, understands his or her options, and makes the best choice for his or her particular practice and patient needs. When I am asked the question “Rotary vs Reciprocation: How Do I Choose?” my answer is “Rotary and Reciprocation,” because the predictability of both methods is similar they are just different in sequence, purpose, and motion. The purpose of endodontics is to heal lesions of endodontic origin (LEOs) where they exist and prevent LEOs where they do not exist. If we are careful and do it right, nature does the rest. We have a direct relationship to endodontic predictability. Predictable endodontic success, therefore, depends on (1) our knowledge of what to do, (2)our skill set in doing what we need to do, and, finally and most essentially, (3) our willingness to do it right. ![]() We are a self-selected culture that yearns to be better and to be our best.Įndodontic success rarely depends on a dental lab or whether or not the patient even cleans his or her teeth! Endodontic success does depend on the thoroughness of cleaning, shaping, and 3-D obturation – the classic and time-tested Endodontic Triad. As dentists, we are built that way and that’s how we think. As a practicing endodontist and a clinical endodontic educator for more than 30 years, the most frequent question I am asked about technique is, “Is it predictable?” While every dentist wants his or her endodontic treatment to be easier, more efficient, simpler, and profitable, in the end, it is predictability that trumps all considerations. ![]()
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