牙体解剖学精品课件（中山大学）HERO642操作.pptVIP

642 K3 Profile Protape Lightspeed 1.x-ray 牙片 2.根管初探 3.初步预备（10，15锉） 根管弧度的评估 简单根管 5°(10 °)(10-15全长)-30(06.04.02.)-(较大根管适时选用，35-40全长) 中等复杂根管  10° and 25° 复杂 25° 轻微的上下运动 轻微振动和上下运动 简述使用指南 Iso colors of diameter A special color to each taper First penetration can also be operated after the first instrument (taper 06) Some canals more complex might be defined as ??difficult?? if calcified or very narrow or diameter hardly visible on the Rx. Just 3 instruments ! 5 instruments Follow the red arrow 6 instruments The taper 06 will free the coronal part. At this stage, it is recommended to check the Working Lenght. In and Out motion. Not too much pressure (like writing with a sharp lead pencil without breaking the tip) Circumferencial filling to make it cleaner all around the canal walls. 镍钛机动根管预备NiTi System 三个角度（三种锥度） 6%, 4% 2% 三段步骤 （Crown Down 冠向下预备法) 三个直径(三个号码) 20, 25 30 HERO 642 评估根管的弧度 选择不同的根管针 操作步骤 简单根管 5° to 10° 中等复杂根管 10° to 25° 复杂根管 25° Difficult canals Dr S. Bal Dr S. Bal Dr S. Bal Dr S. Bal 6% Coronal third 去除污物 : 达到光滑表面 6% 4% Middle third = WL - 2 mm WL 根管修整 : 根管扩大 6% 4% 2% Apical third 最后2mm : 轻微振动 + more + 2) 周边修正 确保稳定低转速. 不要在根管锉上加力 选择合理的治疗顺序 每次使用后清洗根管 工作时间 : 连续转动不要超过20秒 定期检查根管锉表面,有问题必须及时更换. 当遇到较大阻力时,应将根管锉退出 保证冲水 ! 确认根管开放 不要永远反复根管锉,设计寿命 10次 施加轻微的力 Iso colors of diameter A special color to each taper First penetration can also be operated after the first instrument (taper 06) Some canals more complex might be defined as ??difficult?? if calcified or very narrow or diameter hardly visible on the Rx. Just 3 instruments ! 5 instruments Follow the red arrow 6 instruments The taper 06 will free the coronal part. At this stage, it is recommended to check the Working Lenght. In and Out motion. Not too much pressure (like writing with a sharp lead pencil without breaking the tip) Circumferencial filling to make it cleaner all around the canal walls.