Thermafil removal - Hedstroem braiding

Removing Thermafil carriers: Hand file and Hedstroem braiding techniques

Overview

This video demonstrates how to effectively remove Thermafil carriers from root canals using hand files and the Hedstroem braiding technique. It covers initial approaches, including how to tackle the initial tough section of gutta-percha at the orifice level, and provides a step-by-step guide to the braiding technique.

Key topics covered

• Instruments: Hand files (Size 10, 12, 15 C-Pilot) and Hedstrom files (Size 20 & 25)
• Techniques for dealing with initial GP removal: Ultrasonic activation and solvent application
• Step-by-step breakdown of the Hedstrom braiding technique: Inserting files either side of the GP
• Effective management of access into the canal utilising a DG16
• Practical tips for maintaining file control and preventing breakage
• Utilising the XP-Endo Shaper for clearing the canal after GP & Thermafil carrier removal

Clinical relevance

This video is particularly valuable for dentists dealing with Thermafil obturation during endodontic retreatment. It offers a practical approach for clinicians who have limited access to rotary instrumentation or wish to employ conservative techniques.

Learning outcomes

After seeing this video, dental clinicians should learn:

• How to remove a Thermafil form the canal effectively using hand instruments
• How to execute the Hedstroem braiding technique safely
• Practical approaches utilising the XP-Endo Shaper for clearing debris from canal walls