Root canal treatments require precision, efficiency, and reliability, characteristics embodied by the Rogin INO-Shaper Blue files, Use a root canal rotary files to perform the procedure, as evidenced by its successful use by renowned endodontists Dr. Hidetaka Ishizaki and Dr. Francisco Abrego. These experts have provided insightful case studies showcasing the practical applications and advantages of this advanced endodontic instrument.
A Case Study by Dr. Hidetaka Ishizaki D.D.S. , Ph.D
Dr. Hidetaka Ishizaki presented a compelling case of a 42-year-old patient who visited his clinic due to discomfort in the mandibular left central incisor. The patient reported no spontaneous pain but experienced tenderness upon percussion and palpation. Preoperative radiographs revealed insufficient root canal filling, along with large periapical and periradicular lesions, indicating the need for a root canal retreatment.
Steps operated by Dr. Hidetaka Ishizaki
1. Initial Assessment and Access:
– The composite resin of the access cavity on the lingual surface was removed using a diamond bur.
– Gutta-percha was removed with R-Shaper files, sizes #15/.04 and #20/.04.
2. Irrigation and Canal Preparation:
– The root canal was irrigated with 2.5% sodium hypochlorite (NaOCl).
– Patency was achieved, and root canal length was measured using size #10 PF files.
– The canal was prepared with Rogin INO-Shaper Blue up to size #25/.06.
– Continuous irrigation with 2.5% NaOCl was performed, supplemented by a sonic instrument with a size #15/.02 tip during each file exchange.
3. Medication and Final Filling:
– The root canal was medicated with calcium hydroxide and left for two weeks.
– After this period, the canal was obturated with gutta-percha size #25/.04 and CSBS Sealer.
– The access cavity was sealed with composite resin.
4. Outcome:
– Intraoperative and postoperative radiographs confirmed that the gutta-percha reached the root apex, ensuring sufficient root canal filling.
Dr. Ishizaki’s methodical approach highlights the Rogin INO-Shaper Blue’s efficiency in achieving thorough canal preparation and its compatibility with modern irrigation techniques.
A Case Study by Dr. Francisco Abrego D.D.S.
In this detailed case study, Dr. Francisco Abrego, a respected general dentist, shares insights from a successful root canal treatment utilizing the advanced Rogin INO-Shaper Blue files.
Age: 63-year-old female,Chief Complaint: Discomfort during chewing and presence of a fistula in the RL6 dental organ, Amalgam restoration in poor condition,Diagnosis: Necrosis with a chronic apical abscess, Favorable crack in the tooth due to amalgam
Dr. Abrego decided to perform conventional endodontics in a single session, utilizing rotary instrumentation with Rogin INO-Shaper Blue files.
Steps operated by Dr. Francisco Abrego
1. Instrumentation Technique:
– Apex Crown Technique: Pre-flaring of the cervical third using half of a 20.05 file
– Manual Instrumentation: C+ files 10, 12 up to the working length
2. Irrigation Protocol:
– Sodium Hypochlorite (NaClO) 5.25%: Applied abundantly between file changes
– Glide Path Preparation:Rogin INO-Shaper 15.04 followed by shaping with a 20.05 file
– Passive Ultrasonic Activation: To enhance the cleaning process
– Saline Solution: Used for the final rinse
3. Obturation:
– Single-use technique with bioceramic cement to ensure a secure seal
4. Post-Treatment Reconstruction:
– Resin Reconstruction: Restored structural integrity
– Cusp Reduction: To protect the treated tooth
– Referral for Overlay or Crown: For long-term durability
Outcome and Follow-Up
The treatment was successful, and the patient was referred for further restoration with an overlay or crown to ensure the longevity of the tooth. A follow-up control slope was scheduled to monitor the healing process and ensure the absence of infection.
Conclusion:
This case highlights the efficacy of Rogin INO-Shaper Blue files in endodontic procedures. Dr. Abrego’s meticulous approach, combined with advanced instrumentation and effective irrigation, ensured a successful outcome. The use of bioceramic cement and comprehensive post-treatment reconstruction further underscores the quality of care provided, offering the patient a durable and pain-free solution.
Dr. Francisco Abrego’s expertise and the use of cutting-edge tools like the Rogin INO-Shaper Blue files demonstrate the high standards achievable in modern endodontics, delivering excellent patient outcomes and advancing the field.
A Case Study by Dr. M. Kalantar Motamedi
At DENCO, we are dedicated to providing dental professionals with advanced instruments that enhance the precision and efficiency of their procedures. We are pleased to share an insightful case study by Dr. M. Kalantar Motamedi, DDS, MSc, a prominent endodontist and lecturer, who recently utilized our Rogin Ino-shaper Blue rotary files in a complex root canal treatment.
Dr. Kalantar Motamedi treated a 28-year-old patient referred to his office for root canal treatment (RCT) of the mandibular right first and second molars. The referring dentist had noted anatomical complexities in the pre-operative radiograph, which required advanced handling and precise instrumentation.
Steps operated by Dr. M. Kalantar Motamedi
1. Diagnosis and Treatment Plan:
The patient was diagnosed with irreversible pulpitis and symptomatic apical periodontitis in both molars. Dr. Kalantar Motamedi planned to complete the RCT for both teeth in a single visit.
2. Root Canal Instrumentation:
After isolating the area with a rubber dam and preparing the access cavity, Dr. Kalantar Motamedi began the instrumentation process using the Ino-shaper files. He followed a crown-down approach to maintain the original anatomy of the canals.
– Coronal and Middle Third Preparation: He used 15/.04 and 20/.05 files to prepare the coronal and middle thirds of the canals.
– Reaching the Working Length: Pre-curved K-files numbers 8 and 10 were used to reach the working length.
– Complete Canal Shaping: The Ino-shaper files, in sizes 15/.04, 20/.05, and 25/.06, were then used in sequence to complete the shaping of all canals. Throughout the process, copious irrigation with 5% NaOCl was performed between each file.
3. Root Canal Filling:
Once the canals were dried with sterile paper points, a modified single-cone obturation technique with a bioceramic sealer was used to fill the canals.
Feedback from Dr. Kalantar Motamedi:
Dr. Kalantar Motamedi shared his positive experience with the Ino-shaper Blue files, emphasizing their efficiency and reliability:
“Using Ino-shaper Blue files made it a breeze, as I could complete the instrumentation of two adjacent teeth promptly in a single visit. The notable advantage of these files lies in their high cutting efficiency, effectively reducing working time. I also trust the flexibility of these files.”
A Case Study by Dr. Antonis Glynis, DDS
In this case study, Dr. Antonis Glynis, a renowned specialist endodontist, and key opinion leader in dental product innovations, shares his expert approach in performing root canal treatments on upper right first molar (UR7) teeth with complex pathologies, utilizing cutting-edge rotary instrumentation techniques and advanced endodontic protocols.
Case 1: Necrosis with Symptomatic Apical Periodontitis
Diagnosis and Treatment Plan:
A 65-year-old patient presented with severe pain and swelling in the upper right first molar (UR7). Upon clinical examination and radiographic analysis, necrosis and symptomatic apical periodontitis were diagnosed. Given the severity of the infection and the patient’s discomfort, a meticulous root canal treatment (RCT) was planned to eradicate the necrotic tissue and infection, aiming for complete symptom resolution and long-term tooth preservation.
Root Canal Instrumentation:
Utilizing the latest generation of Rogin Ino-shaper Blue rotary files, the procedure commenced with precise access cavity preparation under rubber dam isolation. The canals, exhibiting complex curvatures and calcifications, were initially scouted with size 10 and 15 handfiles. The unique flexibility and superior cutting efficiency of the Ino-shaper Blue files allowed for gentle navigation through intricate canal anatomy with minimal effort.
Working length was determined with electronic apex locators, and pre-curved K-files #8 and #10 were employed to negotiate to the full working length. The canals were subsequently shaped using a crown-down approach with sizes 15/.04, 20/.05, 25/.06. Irrigation was performed with 5% NaOCl and passive ultrasonic activation ensured thorough debridement and eradication of bacterial biofilms.
Root Canal Filling:
Post-instrumentation, the canals were meticulously dried with sterile paper points. A bioceramic sealer, known for its superior sealing properties and biocompatibility, was used. This approach ensured a hermetic seal and optimal adaptation of the filling material. Post-operative radiographs confirmed the precise obturation and we are looking forward the successful healing.
Case 2: Irreversible Pulpitis with Symptomatic Apical Periodontitis
Diagnosis and Treatment Plan:
A 35-year-old patient presented with excruciating pain in the upper right first molar (UR7), unresponsive to analgesics. Clinical and radiographic evaluations indicated irreversible pulpitis and symptomatic apical periodontitis. A comprehensive root canal treatment was planned to alleviate pain, remove inflamed pulp tissue, and disinfect the canal system.
Root Canal Instrumentation:
Employing the advanced Rogin Ino-shaper Blue rotary files, the procedure began with precise access cavity creation and rubber dam isolation. The challenging canal morphology, characterized by narrow and curved canals, was managed effectively with the exceptional flexibility of the Ino-shaper files.
Initial coronal flaring was achieved with 15/.04 and 20/.05 files, followed by careful working length determination using apex locators and radiographic verification. The canals were further shaped with sequential rotary files size 25/.06, following a crown-down technique. Continuous irrigation with 5% NaOCl, enhanced by the use of sonic agitation device by Rogin, ensured maximum removal of debris and pathogens.
Root Canal Filling:
The canals were dried with sterile paper points, and obturation was performed using warm vertical compaction with Rogin Elite Fill-G and Fill -P. This technique provided an exceptional seal, preventing microleakage. Post-operative radiographs demonstrated successful canal filling and the clinical review indicated resolution of symptoms.
Dr. Antonis Glynis emphasizes the transformative impact of Rogin Ino-shaper Blue files and state-of-the-art endodontic techniques in managing complex cases. The unparalleled flexibility, cutting efficiency, and adaptability of these files significantly reduced treatment time while ensuring comprehensive cleaning and shaping of intricate canal systems. The innovative obturation warm devices and techniques further enhanced the clinical workflow, achieving optimal healing and tooth preservation.
Dr. Glynis’s expertise and the advanced instrumentation used underscore the significant advancements in endodontic therapy, showcasing how modern technology and skilled hands can resolve even the most challenging dental pathologies with precision and excellence.
The Versatility of Rogin INO-Shaper Blue: Mastering Complex Canal Anatomies with Precision and Safety | root canal rotary files
The Rogin INO-Shaper Blue root canal files offers a range of specialized files designed to master canal anatomies from simple to complex. Here are the standout features that make it an indispensable tool for modern endodontic practices:
1. Pre-Bent Capability:
– The files can be pre-bent to ensure a smoother and safer progression even in curved canals. This feature is particularly beneficial for navigating difficult and intricate canal systems, reducing the risk of perforations and ensuring comprehensive cleaning.
2. Special Heat Treatment:
– The Rogin INO-Shaper Blue undergoes a special heat treatment process that imparts a distinctive blue color to the files. This treatment enhances the flexibility and cyclic fatigue resistance of the files, allowing them to withstand the mechanical stresses of root canal procedures without compromising their integrity.
3. Reduction in Root Canal Deviation:
– The flexibility provided by the heat treatment significantly reduces the possibility of root canal deviation. The files can adapt to the natural curvature of the canal, minimizing the risk of ledging or zipping, and ensuring a more predictable and controlled preparation.
4. Respect for Natural Canal Anatomy:
– The instruments follow the natural canal anatomy smoothly, thanks to their enhanced flexibility and cutting efficiency. This respect for the natural structure of the canal ensures that the original anatomy is maintained, reducing the risk of procedural errors and improving long-term outcomes.
5. Efficient Debris Removal:
– The Rogin INO-Shaper Blue as root canal rotary files niti features an adapted S cross-section, which provides more space for debris removal. This design ensures that debris is efficiently cleared from the canal during preparation, reducing the risk of blockages and promoting thorough cleaning.
The Rogin INO-Shaper Blue Rotary file as Endodontics rotary files stands out as a highly effective instrument for mastering a wide range of canal anatomies, from simple to complex. Its ability to be pre-bent, combined with excellent flexibility and cyclic fatigue resistance due to special heat treatment, ensures a safer and more efficient endodontic procedure. The tool’s design respects the natural canal anatomy and promotes efficient debris removal, making it a reliable choice for endodontists seeking to enhance their practice and patient outcomes.
