Nowadays “Root Canal Therapy” is a very common term used by Dental Professionals in order to save a decayed and diseased tooth, so that the strength and the aesthetic can be preserved and the normal masticatory functions can be carried out by the individual. The “Pulp” is the only vital tissue inside the tooth that carries all the blood vessels and nerves, when it gets infected with the infection is removed from the tooth with the pulp and the canals are filled. This process is known to be the Pain-Relieving Process.

Root canal Therapy entails a series of procedures that must be executed in order. Each method is underpinned by the previous one being completed correctly. If one process fails, the next one will either be more difficult to complete or will fail as well. All of this adds up to a complex and time-consuming endodontic procedure for the Dentist.

Procedural Errors in Endodontics:

Endodontic procedural errors or any mistake that happens at any stage during the Root Canal Treatment of a tooth can be caused by factors over which the operator has both control or no control. These procedural errors lead to endodontic failure.  It is essential to acknowledge the factors of failure so that they can be identified and dealt with appropriately.

Root canal failure depends on the following procedural errors during endodontic treatment:

  • Anatomical variations
  • Overfilled/Underfilled canal
  • Ledge formation
  • Improper Biomechanical preparation
  • Zipping or elliptication
  • Furcation perforation
  • File breakage inside the canal

All these Procedural Accidents occur during biomechanical preparation that hinders the success of the Root Canal Treatment. Now let’s discuss in brief the procedural errors that happen.

Anatomical Variation:

It is the most common procedural error during the root canal treatment most commonly found in Curved canals or J-shaped canals.  The shape of the canal if not maintained properly can lead to failure in the root canal and re-infection.

Overfilled/Underfilled Canal

Due to the uncontrolled Speed and Torque During Root Canal Treatment, the root canal may be filled beyond the apex or half-filled.

Ledge formation

It is the deviation from the original canal curvature, that occurs if the set of files is wrongly used or any one or more no. of the file may be missed during Biomechanical Preparation.

Improper Biomechanical Preparation

The improperly done work always leaves behind a number of problems which again is very time-consuming to solve. Improperly performed biomechanical preparations don’t clean the infected tissues and give a good shape to the Canal Preserving the original Canal Anatomy, which leads to re-infection in the canal.

Zipping or Elliptication

Again, the procedural error that happens most commonly in curved or J-shaped canals. It occurs when the file is trans-positioned from the apex and forms a zip-type anomaly inside the canal.

Furcation Perforation

It is also a most commonly occurring procedural error in Root Canal Treatment. It happens mostly in molars having more than one root. Where the two root meets, the portion is knowns as “Furcation” When the trans positioned file is pushed again forward with extra torque, it leads to the hole type structure near the apex, which again is very time-consuming for the dentist to rectify.

File Breakage Inside The Canal

In Endodontic treatment, the Ni-Ti files are used which helps in cleaning and shaping the root canals.  In case of any abnormality inside the canal for e.g. Pulp stones or narrow canals in geriatric patients, the file is fragile to be used and it breaks inside the canal, the retrieval of which becomes difficult for the dentist or impossible.

Let’s have a look at the various solutions to prevent these procedural accidents.

Solution #1: Auto-reverse function in Endomotor

The Dental Endo Motor which provides a controlled torque and speed to work also has a function known as “Auto-reverse Function”.  When the pre-set torque value has reached the file automatically reverses and again moves in forwarding motion the moment the torque load is released from the file.  This Auto-reverse function is available in all our NSK Endomotors e.g. NSK Endomate DT NSK Endomate TC2 (Cordless Endomotor)

Benefits of Auto-Reverse Function

  • Reduced procedural accidents
  • Reduce the risk of file breakage
  • Preserve the canal Anatomy
  • Enhance the life of the file


Auto-Reverse On


Auto – Reverse Stop


Auto- Reverse Off



Solution #2: Reciprocation Function

The reciprocation function is again another solution to deal with the narrow and calcified canals to reduce the chance of file breakage and an easier, safer, and quicker way to shape the canal after proper cleaning. It is accurate angle control. The reciprocating file helps in shaping the canal by eliminating the resistance factors from the canal by a large clockwise rotation followed by a reverse anti-clockwise rotation of the file inside the canal providing a drilling effect. Nowadays several Endomotors have also introduced the reciprocation function to help the Dentist perfectly overcome the failures and perform the high precision Root Canal Treatment in less chairside time. One of the best in its class endo motor from Woodpecker DTE Endoradar Plus has the function of reciprocation to meet the requirements of the dentist.

Benefits of the Reciprocation:

  • Accurate biomechanical preparation of the root canals
  • Maintenance of canal anatomy
  • Less fracture of the file inside the canal
  • Reduced procedural accidents


Solution #3: Integrated Apex Locator


The use of an Apex Locator along with the endo motor has become a trend now to get the best tapering o the canal as well as reduced the number of procedural accidents. It shows the real-time position of the file inside the canal while performing Biomechanical Preparation.  In our Endoradar Plus from Woodpecker has an integrated apex locator with active apex action which slows down the speed as approaches the apex, then automatically reverses when the file reaches the apex.


Conclusion:

From the above details, now it is clear that Root Canal Treatment is no doubt a boon to Dentistry to preserve the tooth along with its functionality. But again with the controlled speed and torque and also the new advancements matter to have a perfectly treated Root Canal with fewer numbers of procedural errors and high precision.


You can also Download NSK Dental Endomotors & Woodpecker Dental Endomotors Brochures At Our official Website www.unicorndenmart.com