ROOT CANAL PREPARATION
TECHNIQUES
PRESENTED BY
DR FASAHAT AHMED BUTT
CONTENTS
• OVERVIEW OF ROOT CANAL TREATMENT
• OBJECTIVES OF ROOT CANAL PREPARATIONS
• TYPES OF PREPARATIONS
• FILING TECHNIQUES
Access cavity
preparation
Working length
Initial filing
Cleaning &
shaping
Obturation
Core buildup
OBJECTIVES
BIOLOGICAL
COMPLETE REMOVAL OF
• PULPAL TISSUE
• BACTERIA
MECHANICAL
• CONTINUOUSLY TAPERING
PREPARATION
• MAINTAINING ORIGINAL
ANATOMY
• MAINTAINING POSITION OF
APICAL FORAMEN
• NARROW APEX
RECAPITULATION
TYPES OF ROOT CANAL PREPARATIONS
• CROWN DOWN
• STEP BACK
• HYBRID
CROWN DOWN
Caries removal &
access cavity
GG drills
WL#15 k file
Smaller file inserted
& repeated until
working length is
reached
Watch windingLarger file inserted
ADVANTAGES
• ELIMINATES CORONAL INTERFERENCES
• EASY ACCESS
• IMPROVED DISTRIBUTION OF IRRIGANT
• FACILITATES REMOVAL OF DEBRIS
• REDUCES CHANGE IN WL DURING APICAL PREPARATION
DISADVANTAGES
• INCREASED REMOVAL OF TOOTH STRUCTURE
STEP BACK
ADVANTAGES
• APICAL PREPARATION KEPT SMALL
• REDUCES PROCEDURAL ERRORS
• IMPROVES DEBRIDEMENT
• SMALLER FLEXIBLE INSTRUMENTS ARE USED IN THE APICAL REGION
WHILE LARGER USED SHORT OF THE APEX
DISADVANTAGES
• BLOCKAGE OF THE CANAL MAY OCCUR
• IRRIGATION CAN BE DIFICULT
• RISK OF DEBRIS EXTRUSION
• ALTERATION IN WORKING LENGTH
ADVANTAGES
• IT PERMITS CANAL MORPHOLOGY TO DICTATE PREPARATION SHAPE
• DOES NOT REQUIRE FORCING OF FILES INTO CANAL THAT CANNOT
ACCOMMODATE THEM
• MINOR CANAL OBTURATION
• SLIGHT ENLARGEMENT OF THE CANAL IN APICAL TO CORONAL DIRECTION
HYBRID TECHNIQUE
Canal
negotiation
Apical clearing
WL
determination
MAF
determination
Straight line
access
Rotary preparation of
the middle one thirds
of the root
Apical step back
ADVANTAGES
• LESS CHANCES OF LEDGE FORMATION
FILING TECHNIQUES
• WATCH WINDING
• REAMING
• FILING
• CIRCUMFERENTIAL FILING
• ANTICURVATURE
• BALANCED FORCE TECHNIQUE
WATCH WINDING
REAMING
FILING
CIRCUMFERENTIAL FILING
ANTICURVATURE FILING
BALANCED FORCE TECHNIQUE
REFERENCES
• TORABINEJAD
• COHEN’S PATHWAY OF PULP
• GOOGLE
THANK YOU

Root canal preparation techniques