牙体解剖学精品课件（中山大学）14.根管预备与消毒.pptxVIP

Root canal Preparation And Intracanal AntisepsisGuanghua School of Stomatology, Sun Yat-sen UniversityHongyan Liu 2015.05 根管治疗(动画演示)%20标清.flvRoot canal theray.flv Root canal preparation to remove all contents of the root canal system Cleaning:Root canalpreparation Shaping:to establish a specific cavity form Root canal preparation to remove all contents of the root canal system Cleaning:Root canalpreparation Shaping:to establish a specific cavity form Endodontic instruments for preparation Barbed broachHand instruments（ Stainless steel ）： file (根管锉) and reamer(根管扩) Stainless steel rotary instruments ： G钻（Gates-Glidden bur), P钻(pesso reamer) Nickel-titanium instruments ：Hand , rotaroy working length determination instrument irrigation instruments Barbed Broach Removing the pulpal tissue from the inside of the root canalNumerous hooks as part of a blade which is at 45°along the shaftFractures easilyTrue indication: large and straight canals Endodontic instruments for preparationmain_4.swfK instruments K Reamer 根管扩（A） K file K型锉（B）H锉--- Hedstroem filesModified files改良器械252525main_4.swfStandardization of main_4.swfendodontic instruments Ingle 1958For reamers and files (针对扩和锉) Sizing (编号)：Color coding (手柄以不同颜色标记)Blade/cutting edge length (刃部长度):16mmTaper：0.02Length of blade and shaft: 21/25/28/31mmD16D10.32 mm diameter increaseD10.96 mm diameter increaseD1616mm增加0.32mm锥度0.02=0.32/1616mm增加0.96mm锥度0.06=0.96/16锥度：自器械尖端始，每后退1mm，直径增加的量 main_4.swf改良器械 modified instruments种类主要特点用途K-Flex锉横截面菱形，切刃锋利刃部高低相间排列切削效率、柔韧性、清理效果增强Triple-Flex锉横截面三角形尖端改良柔韧性 切削效果增强Flex-O锉非切削尖端切削清理效果好，柔韧性好，安全尖端，利于弯曲根管预备Flex-R锉尖部为抛物线形更好定位于根管内，适合弯曲根管预备C+锉尖端锥度大，中上段小钙化和细小根管疏通Profinder锉减锥度设计，弹性好无切割尖端细小根管探查和疏通C+ fileFacilitate the location of the canal orifices and the initial exploration of calcified canalsResistance to deformation抗弯曲形变Robust quadrangular cross-section正方形截面Pyramidal tip favors the penetration in calcified canals金字塔尖端易于疏通钙化根管Electropolished电镀抛光 机用不锈钢器械Stainless steel rotary instruments T