Mechanical root canal preparation with NiTi （机械与镍钛根管预备）.pdfVIP

_______________________________________________________________________________________________________________________________________________________________ Status Report _______________________________________________________________________________________________________________________________________________________________ Mechanical root canal preparation with NiTi rotary instruments: Rationale, performance and safety. Status Report for the American Journal of Dentistry LARS BERGMANS, DENT, JOHAN VAN CLEYNENBREUGEL, DR, IR, PHD, MARTINE WEVERS, DR, IR, PHD, PAUL LAMBRECHTS, DDS, PHD ABSTRACT : The growing use of NiTi rotary instruments in dental practice demands a good understanding of their concept of alloy and design in relation to improved properties and inherent limitations. Nickel titanium’s super elasticity allows more centered canal preparations with less transportation and a decreased incidence of canal aberrations. Furthermore, the production of files with increased taper became possible. This is of special importance because of concerns on the achievement of adequate irrigation and close adaptation of the filling material during endodontic treatment. Unique shaft and tip designs should permit the use of a rotary handpiece allowing different tactile awareness. On the other hand, special attention is paid to maximize cutting efficiency and cutting control throughout instrumentation. NiTi rotary instruments are generally used in a crown-down approach and a continuous reaming motion. Consequently, rounder root canal preparations, with less straightening and a smaller amount of apical extrusion is achiev