Endodontic Instruments — Root Canal Steps and the Hand Instruments Used at Each

Explorers, files, spreaders, pluggers, endo tweezers and micro mirrors, step by step through a root canal treatment.

Endodontics · instrument guide

Rotary files do most of the shaping in modern endodontics, but a root canal treatment still depends on hand instruments at every step: to isolate, locate the canals, measure, fill and seal. This guide follows the treatment step by step and shows the instrument for each one.

Short answer

The main endodontic hand instruments are the endo explorer (locating canal orifices), hand files (negotiating and shaping), spreaders and pluggers (compacting gutta-percha), locking endo tweezers (paper points and cones) and micro mirrors. A spreader is pointed for lateral condensation; a plugger is flat-ended for vertical compaction.

What are the steps of a root canal treatment?

StepWhat happensKey instruments
1. DiagnosisTests and X-rays to confirm the diagnosisMirror, explorer, probe
2. Anaesthesia & isolationLocal anaesthetic and rubber damSyringe, rubber dam clamp and forceps
3. AccessOpening the pulp chamberBurs, endo explorer, micro mirror
4. Locating canalsFinding every canal orificeEndo explorer, micro mirror, magnification
5. Working lengthMeasuring each canal to the apexHand files, apex locator, stoppers, measuring ruler
6. Cleaning & shapingShaping with files while irrigatingHand and rotary files, irrigation syringe
7. ObturationFilling the canals with gutta-percha and sealerEndo tweezers, spreaders, pluggers
8. Coronal sealSealing the access and restoring the toothFilling instruments, pluggers

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Obturation

Spreader vs plugger: what is the difference?

Both compact gutta-percha, but in different directions.

SpreaderPlugger
TipPointed and taperedFlat-ended
TechniqueLateral condensation: pushes the cone sideways to make room for accessory conesVertical compaction: pushes softened gutta-percha down the canal
Typical useCold lateral condensationWarm vertical compaction and the final coronal pack

Endodontic file sizes and colours

Hand files (K-files, H-files, reamers) follow the ISO size and colour code: the number is the tip diameter in hundredths of a millimetre.

ISO sizeColour
06 · 08 · 10Pink · grey · purple
15 · 45 · 90White
20 · 50 · 100Yellow
25 · 55 · 110Red
30 · 60 · 120Blue
35 · 70 · 130Green
40 · 80 · 140Black

Tip: a K-file cuts with a watch-winding or balanced-force motion; an H-file (Hedström) cuts on the pull stroke only and is more aggressive. Keep files organised in a file frame or endo block through cleaning and sterilisation.

Build your endodontic set

Explorers, spreaders, pluggers, tweezers and micro mirrors — plus file frames and bur holders to keep them organised.

Questions

Frequently asked questions

What instruments are used in endodontics?

Endo explorers to locate canals, hand and rotary files to shape them, stoppers and rulers for working length, locking endo tweezers for paper points and cones, spreaders and pluggers for obturation, and micro mirrors for work under magnification.

What are the steps of a root canal treatment?

Diagnosis, anaesthesia and rubber dam, access to the pulp chamber, locating the canals, measuring the working length, cleaning and shaping with irrigation, obturation with gutta-percha and sealer, and a coronal seal.

What is the difference between a spreader and a plugger?

A spreader has a pointed, tapered tip and pushes gutta-percha sideways in lateral condensation. A plugger has a flat end and pushes softened gutta-percha down the canal in vertical compaction.

What is an endodontic explorer used for?

Locating canal orifices on the floor of the pulp chamber. It is longer and stiffer than a normal explorer, with fine angled tips.

What do the colours on endodontic files mean?

They follow the ISO code for the tip size: 15 white, 20 yellow, 25 red, 30 blue, 35 green, 40 black, repeating for larger sizes. Sizes 06, 08 and 10 are pink, grey and purple.

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