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roots - international magazine of endodontology No. 3, 2017

| industry news VDW Fig. 1 Fig.2 Fig. 1: R-PILOT fl exibility. (Image courtesy of VDW) Fig. 2: A case of an upper fi rst molar with symptomatic irreversible pulpitis, glide path preparation with R-PILOT, VDW, shaping with HyFlex™ CM, Coltène/Whaledent. (Image courtesy of Dr Bogdan Moldoveanu) this problem are a lack of knowledge and a lack of patience. The mechanical glide path technique solves these issues by reducing human error. Therefore, the knowledge required to perform an adequate mechanical glide path is reduced to a minimum and the time it takes to do it correctly is dramatically reduced. With a procedure that only presents benefi ts, I cannot understand why anyone would not want to switch from manual to mechan- ical glide path management. Glide path management and reciprocating mo- tion—do they work well together? I believe so. We now have huge amounts of liter- ature regarding the benefi ts of reciprocating mo- tion, so it was just a matter of time until the fi rst re- ciprocating instrument, designed exclusively for glide path, was introduced. If you think about the mechanics of the reciprocating motion, then you can understand why a glide path instrument that uses reciprocating motion is very effective for the task at hand, making the ‘taper lock’ issue a thing of the past. When would you use fi les such as R-PILOT for glide path creation? I will always choose mechanical glide path for any necrotic or vital tooth. On the other hand, I think a manual glide path is particularly necessary for retreatment cases, where you have to battle huge ledges, false paths, perforations and so on. So, I would not say it is a matter of middle or coronal third, but more a matter of adequate case selection. If we want to talk about the proper tools (instru- ments) for the proper job, I believe we should keep in mind that endodontics is a beautiful fi eld because it is very diverse. Every case must be analysed and the procedure planned only afterwards. I rarely mix things up when it comes to the glide path pro- cedure, so either I am doing everything manually or everything mechanically. Thank you very much for the interview. R-PILOT and RECIPROC are registered trademarks of VDW GmbH. 54 roots 3 2017

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