QED
The Reciproc system
I
’m a general dental prac- titioner with an interest in endodontics, working in practice in Newcastle. I was inspired in the first
few years of my career by John Whitworth, Paul Wesselink and David Brown and devel- oped my interest. I’ve been involved with undergraduate teaching at Newcastle School of Dental Sciences and post- graduate teaching in the Northern Deanery. In 2006, I got an operating
microscope in the practice and have been taking endo-
Looking at how instruments can be used in re-treatment of endodontic cases
dontic referrals since then. This article is about the Reciproc instruments and their use in re-treatment cases. We know from the work
of Kakehashi in 1965 that bacteria are the cause of our problems in endodontic treatment. What we do, there- fore, aims to remove the
bacteria and their substrate as far as possible. Endodontic disease is a contained infec- tion (Moller, Sundqvist); histological work from Nair has demonstrated that bacteria are within the root canal system and Nair states that treatment fails “when it fails to identify anatomy and eliminate bacteria to a satis-
By Paul Myers BDS (Newc), MFGDP(UK)
factory standard”. Aside from cracked teeth and restorative complications we can usually get a good level of success by removing old root filling material, identifying and negotiating the anatomy and disinfecting the root canal system. The Reciproc system claims to be a single-use instrument that does not need a guide path. Many endodontists will wince at the thought of introducing
Continued »
Fig 1 Reciproc R25 showing lumps of GP removed
Fig 2 Pre-op radiograph of 16
Fig 3
Post-op radiograph of 16 using R25 to remove the GP and R40 to prepare the canals
Fig 4
Pre-op radiograph of 12, silver point in situ
Scottish Dental magazine 71
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