Endo Tribune Middle East & Africa Edition No. 2, 2018

Dental Tribune Middle East & Africa Edition | 2/2018 ENDO TRIBUNE A4 Rotary vs Reciprocation: “How Do I Choose?” By Dr John West, USA As a practicing endodontist and a clinical endodontic educator for more than 30 years, the most fre- quent question I am asked about technique is: “Is it predictable?” While every dentist wants his or her endodontic treatment to be easier, more effi cient, simpler, and profi ta- ble, in the end, it is predictability that trumps all considerations. When I am asked the question “Ro- tary vs Reciprocation: How Do I Choose?” my answer is “Rotary and Reciprocation,” because the predict- ability of both methods is similar; they are just different in sequence, purpose, and motion. This article should help to explain these 3 criti- cal distinctions of Rotary vs Recipro- cation so that the clinician is aware of these differences, understands his or her options, and makes the best choice for his or her particular practice and patient needs. It is an invitation to be self-educated about your best way to produce endodon- tic preparations that can be easily obturated. The Greatest Variable In all of dentistry, the greatest vari- able is always the clinician. While product and operatory infrastruc- ture play a signifi cant role, the answer to rotary vs reciprocation depends mostly on technique, and technique depends on the clinician’s skill, care, and judgment. Q: How Do I Choose? A: Take the Challenge Here is a simple and revealing test for each clinician to determine his or her own preferred “Rotary vs Recip- rocation” choice. Speak to your local Dentsply Sirona sales representative and explain to them that you want to do this “challenge” test: Purchase enough Rotary fi les (ProTaper Next® or ProTaper Gold™) and enough Re- ciprocation fi les (WaveOne® Gold) to treat 10 endodontic patients with Ro- tary and 10 endodontic patients with Reciprocation. You could treat every other patient alternately with Rotary and Reciprocation, or you could treat 10 patients in a row with Rotary and then 10 with Reciprocation. Reverse the order if you prefer. You can use this same telltale test for comparison with your current preferred system. Take good notes about what worked and did not work. Your answer for Rotary vs Reciprocation will be right in front of you! Closing Comments Using predictability as your critical benchmark distinction, your own testing will reveal your best choice of “Rotary vs Reciprocation.” The re- sult: clinical confi dence, consistency, and control. The marketplace has actually already answered the ques- tion of Rotary vs Reciprocation. The market’s answer: “Rotary and Recip- rocation.” Those clinicians who have done their own in-house, controlled homework and testing will be happy with their answers. Now it’s your turn! Dr. West is a co-inventor of the ProTa- per® and WaveOne® Gold endodontic shaping systems. References http://www.dentistrytoday.com/ articles/63-articlesmagazine/ Endodontics/10376-rotar. Dr John West, USA Founder and Director of the Center for En- dodontics, Dr. John West, is recognized as one of world’s premier educators in clini- cal & interdisciplinary endodontics WaveOne® Gold Now with WaveOne® Gold Glider Surf the canal with confidence WaveOne® Gold offers you the simplicity of a one-file shaping system combined with higher flexibility* to respect the canal anatomy. Now available with a corresponding glide path file to optimize your shaping preparation. Experience the feeling of confidence throughout your treatment. *compared to WaveOne © 2017 Dentsply Sirona, Inc. Rx Only ST8/ B EN W1G0 ADV 000 / 02/2017 – updated 09/2017

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