Curv root cana

Department of Conservative Dentistry and

Dental Radiology
Presented by
Dr. Md. Nafizuzzaman Bhuiyan

Introduction
A tooth with a straight root and a straight root
canal is an exception rather than being normal
because most teeth show some curvature of the
canal.
Appropriate removal of pulpal tissues with
proper cleaning and shaping, followed by an
obturation system and coronal seal, will satisfy
both mechanical and biological objectives.

Continues..
These curves cause a host of problems, including
ledge formation, perforation, apical
transportation, zip formation, and file separation.
So there are some techniques using in curved
canal preparation.

Techniques using in curved canal preparation

Apical to coronal approach Coronal to apical approach

Balanced force
technique
Step back technique
Circumferential filling
technique

Step down technique

Figure: Curved root canal

Step back technique

Also known as telescopic canal preparation or serial
root canal preparation.
It emphasizes keeping the apical preparation small, in
its original position and producing a gradual taper
coronally.
It has two phase
Phase I - Preparation of apical constriction.
Phase II - Preparation of remaining canal.

Phase I

i. Working length
established.
ii. Motion watch
winding.
iii.Apical preparation
upto the file no. 25
to full length.
iv.Recaputulation using
prior size

Phase II
i.

Stepping back
procedure in 1
mm increments,
No 25 through
45.
ii. Recapitulation
with a no 25 file
in full working
length.

Refining Phase II-A

Gates Glidden
drills No. 2,3,4
used to prepare
coronal and mid
root portion.

Refining Phase II-B

i.

Return to 25 last
file.
ii. Short of working
length to smooth
the step back with
vertical push pull
strikes
(circumferential
filling) by H- file.

Completed preparation
A continuous
flowing flared
preparation from
the C-E junction to
the crown.

Step back technique

Advantages:
a) It is designed to overcome instrument transportation in the
apical 1/3 of the canal.
b) Avoid zipping.
c) It can be used for the preparation of straight canal.
d) Suitable for slight to moderate curved canal.

Step back technique

Disadvantages:
a) Chances of pushing debris into peri-radicular tissues.
b) Difficult to irrigate apical region.
c) Working length likely to changes as canal curvatures are
eliminated.
d) More chances of instrument fracture.
e) Time consuming.
f) Not suitable for severely curved canal.

Experimental study for the success rate of step

back technique

Conclusion
Step-back process creates a flared, tapering
preparation while reducing procedural errors.
The step-back preparation is superior to
standardized serial filing and reaming techniques
in debridement and maintaining the canal shape.
This technique results in more pulpal walls being
planed when compared to reaming or filing.

References
1. Ref:
http://dentistry.about.com/od/specializeddentistry/a/r
ootcanal
2. Ref : Ingles endodontics 5th edition,537 page
3. Ref : Ingles endodontics 5th edition,527 page
4. Ref : www.ijos.org.cn | International Journal of Oral
Science

Thank you