Unlocking Success in Endodontics: The Power of Denco Super Files III
In the complex world of endodontics, the anatomy of mandibular first molars poses unique challenges, particularly with the elusive middle mesial (MM) canal. Dr. Julian from the Philippines recently shared insights from his successful treatment using Denco Super Files III, highlighting the clinical significance of this canal's detection.
With a prevalence ranging from 1-46%, the MM canal is often overlooked, yet its identification is crucial for successful root canal outcomes. Dr. Julian meticulously employed a comprehensive shaping and irrigation protocol, beginning with anesthesia and utilizing a dental operating microscope for precision.
The treatment involved using Denco Super Files III in conjunction with the Crown Down Technique, ensuring effective canal preparation. An SX opener file facilitated cervical preflaring, followed by careful negotiation of the canals with ISO #08 & #10 K files. Establishing a glide path, Dr. Julian expertly enlarged the MB, MM, ML, and distal canals to size 25 / 0.06.
Irrigation was conducted using copious amounts of 3% sodium hypochlorite followed by 17% EDTA, with ultrasonic agitation enhancing the final rinse. This meticulous approach underscores the importance of understanding root canal anatomy and utilizing advanced technology for better detection rates.
Dr. Julian's experience reinforces that with the right tools, like Denco Super Files III, dentists can significantly improve treatment success in endodontics, ensuring better patient outcomes.
Case Summary DENCO Super Files III By Dr Miled Wong, General Dentist, Mexico.
Clinical case:
Female patient arrives at the dental clinic referring a sharp, localized, stabbing pain, increasing with temperature changes and chewing, in the right upper second molar (tooth 17).
- Diagnosis
After a clinical and radiographic examination, the initial diagnosis was acute irreversible pulpitis, without the presence of periapical injury, so it was recommended to perform root canal treatment on this tooth.
A local block was placed with 2% lidocaine and epinephrine 1:100,000. Subsequently it was isolated with a rubber dam to begin the endodontic treatment, removing the remains of a previous restoration along with softened tissue and opening access to the pulp chamber. The mesiobuccal, distobuccal and palatal canals were located with the aid of a 3.5 x magnifying loupes For the preparation of these canals, the Step-Down technique was used with the DENCO Super Files III rotary system. Cervical opening was started with the SX file, included in the system, to reduce the coronal interferences. Canal negotiation was started with ISO #10 K files, and the working length was determined with the help of an apex locator and radiographic confirmation. Subsequently, the canals were instrumented under the system protocol, finishing the buccal canals with the F2 file and the palatal canals with the F3 file.
During the preparation of the root canal system, abundant irrigation was provided with a 5.4% sodium hypochlorite solution, rinsing with physiological solution followed by 17% EDTA. For the final rinse, the same hypochlorite solution was used together with sonic agitation equipment. 4.Intracanal medication A paste of calcium hydroxide and iodoform was placed with a plastic cannula inside the root canals and the access cavity was sealed with a temporary obturation material. 5.Obturation One week later, at the following appointment, the patient reported no symptoms in the treated tooth. After anesthesia, absolute isolation and removal of the provisional obturation, the irrigation protocol was repeated, the canals dried with paper cones. Gutta-percha cones then placed, and their length confirmed by radiography.
The Super Files III rotary file system offers a flexible and resistant alloy, capable of generating clean cuts that do not lose their sharpness during use, the thermal activation makes them safe and reliable, highly recommended for almost any type of clinical cases, they are an essential set in a dental office.
