Instrumentation in Root Canal Treatment | خطوات التحضير الميكانيكي لحشو العصب

In this video, Dr. Gamal Elsrogy explains the Instrumentation Steps in Root Canal Treatment (Hashem Asim method) in a simple, practical, and clinical way.
You’ll learn how to prepare the canal efficiently, maintain its anatomy, and achieve perfect shaping for irrigation and obturation.

🔹 Topics covered:
• Access cavity and working length determination
• Glide path and preflaring
• Shaping with rotary files (sequence and taper)
• Irrigation during instrumentation
• Common mistakes and how to avoid ledge, transportation, or blockage

🎯 Perfect for dental students and general dentists who want to improve their endodontic skills.

📍Follow Dr. Gamal Elsrogy for more practical root canal tips and workshops.

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🧠 Script / Text (you can say in the video):

English:

Today, we’ll talk about the steps of instrumentation in root canal treatment using Hashem Asim’s protocol.

Step 1: After proper access cavity preparation and working length determination, we start with glide path creation using small hand files like #10 or #15 K-file.

Step 2: Once the canal is patent and smooth, we begin preflaring with rotary files to open the coronal part and reduce stress on the main instruments.

Step 3: Then, we perform shaping with our selected rotary system — usually starting with smaller taper files and moving gradually to the final shaping file.

Step 4: Throughout the process, irrigation is key — always irrigate between files to remove debris and avoid blockage or ledge formation.

Step 5: Finally, check the canal shape, confirm the working length, and make sure the canal is clean and ready for obturation.

Remember, instrumentation is not just about cutting dentin — it’s about respecting the canal anatomy and preparing a biological space for disinfection and sealing.