The importance of instrumentation systems hibridization in endodontic treatment: case report

Nayara Rodrigues Nascimento Oliveira Tavares, Lucas do Nascimento Tavares, Rodrigo Antônio de Faria, Maria Antonieta Veloso Carvalho de Oliveira,

Introduction: The combination of suitable mechanical preparation, root canal disinfection and satisfactory filling is key for a favorable prognosis in endodontic treatment. The anatomical complexity of root canals is a limiting factor in instrumentation, and requires clinicians to carry out different procedures in order to achieve it. Objective: The aim of this study was to report a case of endodontic treatment of tooth #47, with complex anatomical traits and double root curvature in a patient with limited mouth opening. Case report: Mechanical preparation was performed by means of hybrid instrumentation technique with hand files of different types (Kerr, Hedströen and Flexofile) Gates- Glidden drills and rotary files (ProDesign S system), which were combined in an attempt to increase the effectiveness of cleaning the three canals. Between sessions, calcium hydroxide was used as intracanal dressing and the canals were filled by means of lateral and vertical condensation technique. Conclusion: After the study of the pertinent literature and the accomplishment of the clinical case, it was concluded that via hybridization systems it is possible to carry out endodontic treatment with a better prognosis and increased safety. By using the best of each technique, the theory that none of them is fully complete is reinforced. Additionally, hand tools, even with significant advance in automated instruments, still have their value and remain essential in instrumentation protocols.

Keywords: Hybridization. Endodontics. Root canal preparation.

How to cite: Tavares NRNO, Tavares LN, Faria RA, Oliveira MAVC. The importance of instrumentation systems hibridization in endodontic treatment: case report. Dental Press Endod. 2017 Sept-Dec;7(3):57-61. DOI: https://doi.org/10.14436/2358-2545.7.3.057-061.oar

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