Endodontics: Advances in Hand instruments

Friday, 22 July 2011

Advances in Hand instruments


Advances in Hand instruments

TRIPLE FLEX FILE

          A hybrid instrument.
          More flutes than reamer but fewer than K-file.
          Made from triangular stainless steel blank by twisting, not ground.
          More aggressive & flexible than regular K-style instrument.

UNIFILE

          Introduced by McSpadden as modification of H- file.
          Cross section shows double helix or ‘S’ shape.
          Flutes are less deeper than  H-file, so greater bulk so less likely to fracture.
          Cutting of dentin is more efficient in withdrawal strokes.
          S-file is modification of unifile with less fragility.

HELIFILE

          Modification of H-file.
           Method of manufacture is similar to H-file.
          Cross section has three blades.
          Advantage:
          more space for removal of dentinal chips & debris.

SAFETY H – FILE

Ø  Modification of H-File done by Buchanan.
Ø  Non cutting tip to prevent ledging into curved canals.
Ø  Smooth edges on one side of file to prevent unnecessary dentin removal in curved canals.

U – FILE

Ø  Developed by Heath (1988).
Ø  Cross-sectional configuration has two 90-degree cutting edges at each of the three points of the blade.
Ø  Advantages:
  1.  The flat cutting surfaces act as a planing instrument.
  2. Aggressively planes the external convex wall while avoiding the more dangerous internal concave wall.
  3. Has a non cutting tip.

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