["Endo-prosthetic" preparation of curved roots].

Abstract

During the tooth preparation for root posts, all must be attempted to avoid weakening of the root. This "must" is rather easy for straight roots, but the same is not true of curved roots. The authors have used the method described by BRAMANTE et al. to study the effects of various techniques of instrumental sequences of endodontic preparation, and of two instrumental sequences of root post preparation. From this studies, it results that: --the respect of the canal path during the endodontic phase conditions the respect of the internal wall of the curvature, during drilling. --among the four endodontic techniques studied: MM 3000, Step-Back, Anti Curvature Filling and Canal Finder System, the last two seem to allow more respect of the canal path. --the instrumental sequence using Largo drills to prepare a canal, presents two types of drawbacks: * Excessive abrasion of the convex (internal) wall of the canal system. It seems that the blunt point rests against the concave portion of the canal and pushes the drill toward the internal wall, therefore weakening it. * Inadequate match between the size of the drill and that of the prepared canal. --the Parapost drills, on the contrary, respect the endodontic path, and may even be used beyond the curvature (2 mm). Besides, the diameter of the prepared canal is similar to that of the instrument used. These two factors permit to obtain a better retention of the post as well as a lesser weakening of the root.