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7/29/2019 567 Intro to End of or Carmen
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ENDODONTICS
“The branch of dentistry concerned with the
morphology, physiology and pathology of
the human dental pulp and periradicular
tissues.”
biology of the normal pulp
etiology, diagnosis, prevention, treatment of
diseases and injuries of the pulp and associated
periradicular conditions
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IN OTHER WORDS….
Greatest thing since, wait…before! sliced
bread
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BASICS OF ENDODONTIC TREATMENT
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PRINCIPLES OF ROOT CANAL THERAPY
1. To debride and shape the root canal systemDebridement: Surgical excision of dead, devitalized, or
contaminated tissue and removal of foreign matter from a
wound.
2. To obturate the root canal system
Obturate: To close or obstruct; to block passage through.
3. To maintain health and/or promote healing and repair
of periradicular tissues
4. To alleviate present and prevent future adverse clinical
signs or symptoms
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THE PROCEDURE
Rubber Dam Isolation – a MUST!!!!!!!!!!!!!!!!!!!!!!!
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RUBBER DAM ISOLATION
Instruments/Materials Needed:
Rubber DamRubber Dam Frame
Clamp
Forceps
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RUBBER DAM ISOLATION
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RUBBER DAM ISOLATION
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ACCESS OPENING
Instruments/Materials Needed:
Initial Radiograph (Double-Pack)High (and Low) Speed Handpiece
Round bur
Mirror Endodontic Explorer
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ACCESS OPENING
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ACCESS OPENING
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WORKING LENGTH DETERMINATION
Instruments/Materials Needed:
Initial Radiograph
Endodontic Ruler
Endodontic Files
Working Length Radiograph and (NOT OR)
possibly Apex Locator Canal lubricant
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WORKING LENGTH DETERMINATION
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CLEANING AND SHAPING
Instruments/Materials Needed:
Sodium Hypochlorite irrigation = bleachEndodontic Ruler (or Endo Ring)
Endodontic Files (hand and/or rotary)
Handpieces (low speed and/or rotary)Canal lubricant
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CLEANING AND SHAPING
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CLEANING AND SHAPING
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CLEANING AND SHAPING
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FINAL WORKING LENGTH CHECK
Instruments/Materials Needed:
Endodontic FilesEndodontic Ruler
Final Working Length Radiograph
Hemostats
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FINAL WORKING LENGTH CHECK
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MASTER CONE CHECK
Instruments/Materials Needed:
Paper Points = you drop them in the canal to get all themoisture out
Endodontic Files =Sealer
Gutta Percha
Spreaders= are only for pushing stuff in (one end)
Pluggers = the only instr. That you are allowed to heatup
Master Cone Radiograph
Hemostats
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MASTER CONE CHECK
Paper
point
Sealer
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OBTURATION
Instruments/Materials Needed:
Sealer
Gutta PerchaSpreaders
Pluggers
Glick
Electronic Heat Instrument Alcohol Pellets
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OBTURATION
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TEMPORARY OR FINAL RESTORATION
Instruments/Materials Needed:
Final Radiograph (double-pack)
Temporary restoration material (Cavit or IRM)OR Permanent restoration
Glick
Mirror Explorer
Floss
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TEMPORARY OR FINAL RESTORATION
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Initial working length
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Master cone picture
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Final working
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