All About The ProTaper Gold

Dental Specialties Tulsa Dental Specialties announced today the introduction of the next generation of its ProTaper(r) older model ProTaper(r) legacy ProTaper Gold.(tm) These have the same high-quality, flexible shape and reliable performance that dental professionals have come to expect and trusted since ProTaper Universal,(r) but with greater flexibility.

ProTaper Gold’s unique advanced metallurgy makes a difference the clinician can feel and feel. This is due to the fact that ProTaper Gold rotary files feature the same geometrical features that is found in ProTaper Universal, but offer more flexibility. This is particularly important for the final files that have to navigate the challenging curves within the apical area in the canal. They also have smaller handles of 11 millimeters for greater access to teeth.

Along with its adaptability, ProTaper Gold provides more than double the resistance to fatigue from cyclics as ProTaper Universal. This is a major benefit for clinicians since this is the primary reason for separation of files.

ProTaper Gold’s longevity is due to the patented, continuously tapered design that helps to dramatically improve cutting efficiency and ensure safety. action , while decreasing friction of the cutting blade with the the dentin. Design allows each tool to follow the secure section of the canal. the small flat portion on the tip increases the ability of the instrument to find its route through the soft tissue and other debris.

ProTaper Gold produces the same stable, flexible tapered forms that are found in ProTaper Universal, but with substantial new benefits. Clinicians are able to have more ability to move around and resist fatigue due to cyclic while still having the security of the complete file system they have come to trust. ProTaper Gold has the same rotary motion and uses identical motors that are used in ProTaper Universal.

This ProTaper Gold technique includes a sequence of shaping and finishing files that are designed to be used by a single patient. For more details on ProTaper Gold and the features it offers go to Qedendo’s website. Qedendo website.

ProTaper Gold Tackles for Narrow Canals

Case Summary

After determining tooth #19 to have necrotic pulp as well as chronic abscess on the apical side I suggested RCT for an elderly woman aged 66. The challenges in this case are finding a path that allows for a glide route to the working length, canals that have been calcified as well as a tense curvature. The versatility offered by ProTaper Gold files proved useful. After the event I reflect on the importance of creating the glide route.
Diagnosis

The case concerns a 66-year-old female with a lengthy medical background. The patient has a history of High Blood Pressure, High Cholesterol and anxiety and also the recently discovered Melanoma in addition to Breast Cancer. She has had a background of radiation and chemotherapy treatment. She is currently taking Anastrozole, Zocor, Lexapro and HCTZ. She has also had blood transfusions, and has an allergic reaction to the drug Levoquin.

Her main complaint was that her “dentist observed something on the xray however, I didn’t feel any actual pain.” When she had completed the major portion of her cancer treatment she was able to treat the mouth infection.

The radiograph shows the tooth #19 that has been restored using an amalgam filling. This PDL is thickened, and the lamina dura appears diffuse. There is a significant radiolucency periapically associated the tooth number 19. The radiograph also shows apical calcium.

Clinically speaking, the tooth has sinus drainage. The tooth showed normal probing depths and no discomfort from percussion, and no reaction to cold.

This tooth was identified as having Necrotic Abcess and Pulp. It was also diagnosed as Chronic.
Access and Shaping

The entrance was easy There was however an uncut pulp stone inside the chamber.

The canals measured 22mm in length and finding my glide path to work length was the main difficulty in this particular. In the beginning, I employed C Files and EDTA to get an even patency. I utilized my handpiece from the endo along and the C files to become more efficient in the procedure.

The other issue was the curvature of MB root. The combination of curvature and calibration creates an unorganized file, which is why I would like to give this portion of the process more time.

Once the glide path had been established, I was sure I had my motor good to go. My favorite is ProTaper Gold, especially in the case that has a curvature that is similar to this one.I am confident that it can go through the bend easily. This kind of metallurgy has greater flexibility and performs better with my hands since I don’t experience as the same amount of resistance. Through the process I made sure to use a steady stream of sodium hypochlorite 6. If I encountered any calcifications, I switched to 17 percent EDTA to aid in clearing any obstruction. After my instrumentation was completed I then performed an end-of-day flush consisting of 5cc of 17 percent EDTA along with 5cc sodium hypochlorite.

My master apical record was one of 25/.04 for the canals of mesias as well as a 30/.04 on the canals that were distal. There were four canals total.

I utilize a hybrid approach of S1, F2, and then I switch to ProFile 25/.04 and 30/.04.
Obturation and Irrigation

In this particular instance I didn’t activate my irrigants as I do not find them effective in situations that I have narrow canals. However, I prefer to use a 30 gauge ProRinse needle for my irrigation to ensure the maximum needle penetration to ensure more efficient irrigation.

I removed the tooth using hot vertical condensation. Then I sealed the tooth with ThermaSeal’s the Ribbon Plus Sealer.

Restoration

The flowable material was positioned over each orifice to create an orifice blocker and a cavit and sponge were put in. The patient was sent for a return visit to her GP to be restored.

Things to Remember:

In this kind of situation the main takeaway is to establish your glide path to ensure that you are secure when working with your rotary files. Don’t expect your rotary files to perform miracles. Instead learn to take take care of it just like any other. The rotary files aren’t foolproof however if you take the time to provide your rotary precisely what it requires it can make your life much easier and help keep your treatments safe.