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Jeffrey M. Coil

potential speaker for international dental conferences 2017 - Jeffrey M. Coil

Title: Nickel titanium instruments after clinical use

Jeffrey M. Coil

University of British Columbia, Canada

Biography

Dr. Coil received his undergraduate, dental and doctorate degrees from the University of British Columbia, and obtained his certificate in Endodontics at the University of Washington in 1993. He serves as an editorial consultant for the Journal of the Canadian Dental Association and on the Scientific Advisory Board for the Journal of Endodontics.  Dr. Coil is the mentor of the Northwest Endodontic Study Club and Seminar, and is currently the Director of the Graduate Endodontics Program, Department of Oral Biological and Medical Sciences, University of British Columbia.

Abstract

Nickel titanium (NiTi) instruments using during root canal preparation, have undergone various changes over the past 2 decades.  The traditional benefits of NiTi instruments were their resistance to corrosion, biocompatibility and a mechanical property known as superelasticity.  Changes to NiTi instruments include modifications in instrument design, changes in NiTi metallurgy, and recently, different motions used to drive these files.  Many studies have shown that NiTi rotary systems are able to prepare root canals with less canal transportation, and at a much faster rate than hand files.  However, major concerns to the operator are safety and efficiency of mechanized NiTi files. Factors that contribute to instrument fracture include instrument design, rotational speed, root canal configuration, operator proficiency, number or uses/sterilization cycles, and method of use.  This presentation will review the different instrument designs and changes in metallurgy of mechanized NiTi files that have evolved and evaluate how different instrument systems are stressed after clinical use.  Two clinically observed stresses to NiTi instruments are file unwinding and breakage.  The two mechanisms that can lead to NiTi instrument deformation and fracture, cyclic fatigue and torsional strain, will also be reviewed. Factors to be considered by the clinician to minimize the risk for mechanized NiTi instrument fracture will be discussed.

Audience take away:

Understand the mechanisms for NiTi fracture.

  • Describe the different changes in NiTi instruments and how they can be best incorporated for clinical use
  • Assess a clinical case and choose a NiTi system best suited for providing safe and efficient root canal instrumentation.