When performing endodontic procedures, choosing the right instruments can mean the difference between success and failure. That’s especially true when selecting an endodontic file system because no one wants to use a file that unwinds or breaks during a root canal procedure. To ensure that he is using the best possible reciprocating file system, Dr. Abraham Jaskiel relies on EdgeEndo’s EdgeOne Fire NiTi files, a system that he says is “stronger and more flexible than other systems.”
First introduced to EdgeOne Fire when he evaluated them for Dental Product Shopper in 2020, Dr. Jaskiel is now convinced that EdgeOne Fire heattreated FireWire files are “very strong, predictable, and easy to use.” In fact, even when he tried to forcibly break one of the files, Dr. Jaskiel discovered, “You can bend them like crazy and they won’t break.” Having a durable file system like EdgeOne Fire brings efficiency and confidence to the procedure because the doctor does not have to worry about the files separating, and they enable quick and easy cleaning of the canals, according to Dr. Jaskiel. He added that the files are ideal for almost any endodontic procedure in the anterior or posterior, and with curved or straight canals.
Calling EdgeOne Fire “better, stronger, and easier to use than other, more expensive systems,” Dr. Jaskiel pointed out that “another big advantage to this excellent system is the price,” which he believes is less than half the cost of similar products with other companies. “The price of EdgeOne Fire obliterates other companies,” he said.
Here, Dr. Jaskiel discusses 2 endo cases where he used EdgeOne Fire files to demonstrate that both dentists and patients are benefitting from advances in technology, instrumentation, and technique.
CASE 1: Tackling a Double Infection
A 50-year-old female presented with pressure and pain building up on tooth No. 30. A clinical and radiographical
evaluation (Figure 1) showed suppuration with periodontal and endodontic infections. Even though there was only an estimated 20% chance of saving the tooth, the patient wanted to attempt endodontic treatment. To treat the infection, she was prescribed antibiotics and a chlorhexidine rinse for one week prior to root canal treatment.
The area surrounding the tooth was anesthesized, the apex was located using the Root ZX II (Morita), and the canals were irrigated with 50% NaOCL and EdgeLube (EdgeEndo). A root canal was performed on 3 canals using EdgeOne Fire NiTi reciprocating files (EdgeEndo). The EdgeOne Fire Assorted Pack includes 4 color-coded files that gradually taper in size (yellow-small, red-primary, Case 1, Figure 1—Preoperative radiograph showing large apical radiolucency green-medium, and white-large). The procedure began with C-files for patency, Gates Glidden drills (Kerr), and the EdgeOne Fire primary file to open the orifice. The EdgeOne Fire large file was then used for further opening, and each canal was cleaned and shaped with the EdgeOne Fire files. Unlike most other endodontic file systems, the tip of the EdgeOne Fire file rotates 360 degrees around the circumference of the canal, which grabs the walls nicely and helps prevent the file from unwinding, preventing possible complications and delays.
EdgeOne finishing files (EdgeEndo) were used before the canals were filled with EdgeOne gutta percha (EdgeEndo) and sealed with AH26 root canal sealer (Dentsply Sirona). After a successful root canal procedure (Figures 2-3), this patient was able to save her original tooth and is now free of pain and infection.
CASE 2: Furcation Involvement
A 70-year-old female presented with pressure and pain in tooth No. 19, which had a crown that was placed by a previous dentist. Examination and radiographs revealed periodontal issues, furcation involvement, and periapical radiolucency (Figure 4). The patient was determined to save the tooth despite a poor long-term prognosis. Root canal treatment was attempted on 3 canals, accessing the roots through the previously placed crown. Using a combination of EdgeEndo products— EdgeLube root canal cleanser, EdgeOne Fire NiTi reciprocating files, and EdgeOne gutta percha—the endodontic procedure was successful (Figures 5-6), and the patient is now painfree
Featuring heat-treated FireWire, EdgeOne Fire NiTi reciprocating files are available in sizes small, primary, medium, and large and in lengths of 21, 25, and 31-mm.
EDGEONE GUTTA PERCHA POINTS
EdgeOne gutta percha points for EdgeOne Fire come in all 4 standard sizes and lengths.
EDGELUBE
After earning his DMD from Boston University in 1999, Dr. Jaskiel relocated to South Florida and earned a certificate for Advanced Education in General Dentistry. In addition to expanding his dental knowledge, Dr. Jaskiel volunteered and taught other dentist volunteers at Community Smiles Dental Clinic, where he also served on the board of directors in various capacities for over 10 years. He loves being a dentist and takes pride in providing excellent service for his patients while helping them to overcome their fears.
