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ROULTfTA

Creotivity in the ort of dentistry

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uduila:ussrur6nrs fau Hargreaves Kenneth M. &
Goodis Harold E.
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- Pulpodentin complex Tprl Dovid Poshley

- Nerve supply of the pulpodentin complex ond
responses to injury lert Morgoret Byers & Motti Norhi
- Permonent restorotions ond the dentol pulp leig
Horold Messer

- lnterrelotionship of dentcll pulp ond opicol periodon-

titis Tprs Phillip Stoshenko
- Root resorption lerg Lindo Levin & Mortin Trope
- Differential diognosis of odontolgio leta Somuel
Seltzer & Kenneth Hcrgreoves

- The dentol pulp in systemic disorders Terg lB Bender

& Kenneth Horgreoves uilufru
iru-nrEuui r Quintessence Publishing
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.

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SP : Substance P
BK : Bradykinin
H I Histamine
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nii
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ili A c.,
ifi qrnilfl1rJav tvtum n?1il r6urh nrillfrr,rrrsfir rfisrnrei:-rFl'r''r:J
iiii V4 I
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H ffi"t t
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didfi,e{'fi*dd*d "'d o*urf,rnsr#rrufiglr|

ri'u nr u v\ ?r { u fi a L il n
991
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"hot tooth- fiofiufivirhXtr'lfrsrn,,.dnrrL,.r1I,.ruvir"Lefrliltr 1rXtrlfrnrn nra'Lfisrtr'[unrrfifi6tnr?ayflnrer',o,,uudfi Ly\?']y

frnfi virl#ri'.r fiunurvrrvrrifrin:*r

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LLa v fi'r frrjrfl
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9
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poin threshotd uayn?yfru1#tfr nrnrrrlr6lrlr nLil''' A't#uufla 9

nf I ur rurj? u r rur o{nr {r fi a rlr r an'[fi'[ fr 0 ei r .lrj a a pr fig ri oh] fi q y
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nr rr r n fir i pr n rYr r a rfrunLLv\ ?1 fr6 r n r ef,t-l rff{ o 1 n 1 ?o ri r r fr,otu LLa y frqrerur'lunrrrfian'[fi

rufruon uiu'lq rfia1rXfrrirsfl

1l
nruTfinmr'tq 1l
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^tJoo)aJl
tta v t1o ru u tu n'r vr'u n ttvr vr fr fr { q v rir Ei a n n ?'l rJ n fir nr rr r rYr r a pr'.r q nl d u rin u orD u r u I r n =
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n ci r r'Lrl1 Ah-i :r r n fr ria s uo na r n dn.r r1lr fl r n I o.r riluo. u,fl , o u. I
G'r r !"t Fd <J ra
ufll u ni r fr"|fi uGs u rfi uu rl?il l illr fl .r En {r rlfr en r fi r riu r-Bm ilfl o.r
A'lnnl?il chonnels V\ tFll*ll0.l sodium chonnels n0 Tetro-
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fr.r rflurfiuria;arvr'luTnatiltvarvrflu chonnet fr unt:grlrleirillr
VA arlJ,.r?ney Yr-inreur n?y Lrdil?yarvrlfr1u?y Er, ,ro.,rfit er'trius..r
uvrll?le{r ffr-u rfio rfiurlaya,,'ryr c qnn?y Fru LLa y rn nrnl?noL
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Lfi LoEJ'r'r?uLt?.r Tprri'[uan'lv\fl a { ufia rfi o'[urilu
trfril n?1il tt?.i:Jrnq ylfiLleilruFr?'uJ rfrrfrurio s lprs n ?''.tlJ rL?.r
1
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EJ i i

(pulp) frrlnfr rfiurlava,.lvt silent nerve fibers oElql

r k v rr I
solubility) 'lfr:lnr,r6orial (nr?rtfi t ) av uIu'irrirtrfiflrrrrrs
0En.t L.turfi.ruhjnios nailauar niofrtn:v fru uriurnflnraffn 9
LdL

rfr erfiu ufiurlevar?r c rrei',fuvfl nruhdu LLayrLarrrdvrfinvr6

'lurfro.i na r n fl n] o irru plnr rrli rfrr{ur r nrio s rir r l I
rTu fr in ar ;
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ei rn ?v Lt fi rl ava r il L o n fi t n'r lr 16 r ih erlrl u6r rL o r iffu"l fr e{ r .r 5fi r
orsrun- | 3 ncruiuuiuis=nirurirnrsa=arulolulu
9l

a) !^ { !
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r

U LU?l1{ FtAUn nOilUFl'lUFlOqilfifl

'

chonnets rlnfrfit 5 lvir *ayffr iltunanrlflffFr (btock) Htu Articoine 40

rq., : :'l;

.42'i
,;::

2n3
nl{r tidocoine dnfrrrL drqylfrneimriohl
Prilocoine 55
rrr #r a l nnr e fr'n rl ey Tfr vi 1 .r n I ? LL
y\ u { a yv,l
uu rfi'u n n ? ? tJ I a .i .:' :
Lidoccline
:r:':rt ri:' : t:'t.a:':,i l:ii:' rtr::' t
-
i::::i..:i,,,1 :
: I ir:ttl
ffi
Bupivocoine 560 0.5
frrhri n1?n??a uar"t#nralfrqa'fl ufrr frrfivr'urrurnyr{fro.rvir
1l
,i tta E'61H..b"" l'8 C Iffi
uil u ffu n'r ua n't u n r e'[ # n r a fn :Er fi a n r a d n fl 1 {'r ifi aey Yl n r a ff:r 5 qJ ?JONf,Qln Jastak et al., 1995'
U

fED rsulaars r riri z orluri 1 2s4s

s:a:t)a'rntsDDnqnS (Ouration of Action) I :200,000 epinephrine uanalnq y'[tXa yilytrat'lun1?{'1fl at tfio
fi vr a r g :lq {fl fi fl zu a ri o : v n v n a'r fl a { n 1 ?Tr 1 nr g ri'r'[rj n r tr 1,r
!oarr!<r
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11
uE a"l urilu Er'r r u'r u n ?''.t Lu

fiunn ??H ru ria v tfr ertrX zu a'[un r ?T'r fl o.r rfir ufi a cio u (soft 1frar ufir u.n,."r#oao{{fr^fiftfl Fr?r3r rL?.rfi .r ur7ulfrqrnil?rrru
lJil

tissue) "Lfrurun'jrnra{1flo0,d, ufia'luriluilavrrru z-s uvir LLay

njairruplnrrr:rrfrrflufi 0.s% Lray I .s% nrueir6'u urnulnd
4r
n'l?anfl''t1J'l frrgifiarYprrleyfi,,t?t (nerve btock) fr1rXzuant?{1
t
Scholz et ol, I 9985 ritv,ru'ir bupivocoine fi nrrrt ttet'lunrr
u'r un'i r n r ad nr frr si6 i nfi ttrotion'lufl ,.]
1I,.r rlfr nr rfi rL r rTufr r fl s r fi u arTn TTXr lfrfin'ir lidocoine dnfrra
rJailoqifru v'lrXevs v r?a1n'l?ll'r1r0.r rilo rEa1uriluurun'jr
&!
?140 nru6o n qrnfrailan1?fin:gr'LurTnlriu 6on uvrflou'jr bupivocoine
91991

fililfi grfliluao prrfio n r{ailo si

1J
ur ninrefi grfiiluaa er ufi0 nodlu cJ tfllumxrfionvrfirfiqvurrl'[firYu hot tooth fir'luavrioanGnr
rl? :l rufi r r n du fl rihir]q q'n fi q y vir'[#a yl,ryu a r'[un r ?rl1 n, o,d, finra1fi 0,5% bupivocoine with l:200,000
"o,*ohrine
rfio'Luriluuludu niu 27o lidocoine with t:50,000 epineph- r{r r,r i:r.n ufi'u nn ??il n ri r t un du a r s u ri ur ufi s pn ri fi trrhi fi fril uvr u
rine 'lrXavtj v trar'[un"l?'[']1r0'r udr ufirlurilulil unrn rir'r'lrlqrn 27o qluurs'[ur]av rn fi'Lus
!l
lidocoine with l:l0O,OO0 epinephrine (nrrartfr D rflarr.l?rL:t rrrlt fror rfrfi,rfi r
arirt"lefr n1iln,.ra'lfisrtrl:]'irqvtfrnr'[nrfr
<{ I A a) I !<d aAO aJ ar o r cJ I

tvlElilEl''I111n't.tljunnuy\11?,.lEl't1I't?1tJ FttljdlJll n Lunraqunil trlertu rl?:rrufl{aprfiqvtfftfrarirqlaonr:Tg (nn:xfi 2) Tnurav\1y

9lI
(protein binding> lfrfin'jrq vl#evuv trar'fun't?llrurun'jr EJI
r iq 6 <
oEl't.tEi.t LuLnn?l?oh L?1tuyt3Ju't?1unn?1 il
!.'r
11'l?11J?yEly L?A'ln1?1lU'l1J (long-octing) LlIU 0,5% bupivocoine tfr nr
fr'r :-r rt tv\ ?'r v n r a'[fi u'.t n. d u r n ufr u'[rl a r q ri ahX ufr er fr rE'[ fr
with I :200,000 epinephrine LLAJ 1,57o etidocoine with

orsruii 2 3 Ruduuhoouurutnruntonssu

* Fl?LnAill,lOUn?12ilU?J?Utlnl nAnlTfiFlFllU?fi maxillary infiltration, n'ltnZylNlnn'llflSU?J?\]t'ln'l fia nf:flnnfU16

14lJ'lUt144:
u Ay I I d d 9J od u d I r d d 9) ad

mandibular
I

block injecrion # n'rrnafiaou fio MRD aourfrnrifiuirnrfnn'rrioun-jr 30 fiIanie.r

iiriiiiiiiiiiiii
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!<{r-\<Jl
epinephnne LLn v levonordefrin Blflrl?tJrilA{A nr0lrLrfirluao
u9"191
nrufio erfi1fi1frod'rrrlao pr:YEi rirrrTu <r.r'.tod 3) rLa yaTnrvrror fr

rlrs'tuanl?;rixll-i.lfinrrar,rfinufis.rnre'[firLrfiuuaonufionA'rnrrar.rfr 4 uayilBrrrurirflL?laoprrdanfi.ifinrfrorq1fiifrlufr:-hsfifllan
9il
a-lo4ul

?1't.t?v1l1t?11 Iq uta yuao pr ufio prpr't rrrer,lfr 5

orsruii 3 r rlsuruelDqouorDurdunaooldaofrerursniiofti,qiriculei
tloximum Recommended Dosclges of yqsoconslricrJrs

:*
c)
Aile]nQln
U
American Heart Association [nHn guidelineJ, 1995 14N'tuL14Fr
3 tv 16
fluadrTurjia.rrru MRD ?Jauut?Jrrr'rn
9)

orglrtn-i 4 z dn t c =
u orrdri cu n= R ts ti d n d uu n 5 aft iu r d u n a oo I d Dolu UF ur nl riDs fr d o
L Heort diseose

-t

ino
rfinufirJ'tulJ1
I

l^.
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Y
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:

5. lfrf,:inraairfi'n coronory crtery bypclss

7, uncontrolled congestive heort foilure

t
. t ,- .
-_ .' .

T
J

olgtrDn 5: rlFuruelD{ouorDur6unaaoldooirndu{ricu ccrrdiovcrsculcrr diseclses

0'.04 mg, ep,inephrrine I = T cqrlridge of 'o l: 50,000 solution

= 2 'ccrfridges of ct ,rJ : 100,000' solution

= A c-orfridges of o 1: 200.000 solution

'=tutiuuttdlBt ,,t' :,,",,

l. uNruLl4Ft :ufinrfiuunt:finurrflrr#urfiarr
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il'llj'l'lUy Fly il]lllil,, ,,41fl F:AY"

'..
.. :.

2. Murray JB. Psychology of the pain experience. ln : Weisenberg M, editor. Pain : Clinical and experimental perspectives. St.
Louise: Mosby; 1975, p 36.

4. Jastak JT, Yagiela JA, Donaldson D. Local anesthesia of the oral cavity. Philadelphia, WB Saunders,1995. t -
- - --

5. Scholz A, et al. Complex blockade of TTX-resistant Na+ currents by lidocaine and bupivacaine reduce firing frequency in DRG

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o

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foctors), nr ei fr q o'EJTa rr I o.ltvl eI il a ; a'r vr rilurrr6o n s r6a n r yl il a't g prophyloxis) rihii6fi1fri:Lnrrufrsl uriqrnnrafin:*1n0.t.nu
arnflu (pulpol & periopicol diognosis), n?yil?unrafnur
i q'fl ni r r 1 I'j'r n 1 tl il t- fi r u y l
v,r rX rL 1 :-i l^ zu aunn ni'x o ri r r fi riu
(treotment procedures), tLunrfiGg (bocterio) utayflq'i'rLdu 1'12
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r{r ffry riu n
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t t

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Trope 1ufl nfl, r990 vrrrL'irTonlaufrnr flore-ups'[ufrr]rs 476

nrsriouliunrslilo flcrre-ups TJ

?lEJ frlfr1r{gr formocresol, tedermix rrr6o cqlcium

nrrflorrYufie{r frr!fion1?a nrqr u,u,n ru:-L nrfi r6s'lunrao{?1n
hydroxide rfrn flore-ups i.92o/o, g,12'/" LLay 2,slj/" rvirriu do
rilu (bocteriot control) filvirlfrlers
lilfl n?ril LLFrn nir.rrYuodrrflrisr{r ffil ''

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.rX lVo<{
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9)

I . vir nl?flEi'tEl nao.i?'')nriludr (recleoning the root

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alflarav{url':erfirilu strong onolgesics rra;'[#flrrJfrfirur
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o Qr
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virlfrlnrsriruvrl{nao{?1n1ruu "[unarfififinraL?]Jfi sot tissue

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' 1J

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cettulitis nra'[#s'rrlfrfiruvLLrifr:-lra uriu peniciltin vr6a

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l"I
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rravvi''rnr?flEnEJnao.larnrilu

'Lrlrifrr uuvurhfrqrflflr ufrr-lrerfi rilu mitd r,16o moderote on-

olgesics

-'[un afi fi r] a v a r vr rilufi ffi n u ri ff.rl fl 1 fl n a o.rar n rilu"Lli ra5q

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stevYurlrerfirilu mitd r,16o moderote onotgesics

'Lunnflfir.lavarnflunrs (necrotic) uav'[:-ifr0''rn1?L1]J

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j

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:
(portiol pulp removal)' , qffiLu4 (troumo)t, nravir pulp
tsr o il ava r vr fiu nrr in :*1 Fr ? e n a y yir t pr rL rffufi n r s u fr.r'[ fr iu nre
copping iltuLtnaufisl'[anrean'[tde vr6o rilu5rr (crocked
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nyalnnrs"[unaorernfiufiu?L?il' l, rarilarrLtrnf,u LLay aJSaJ<
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8nalililtuBL'ltu?riJnrjarfl ?1n quaRi LdEJq naud prl?urruilars
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?ln n'l:Jfi??:J']Ir 41il uua vvir'lrXa uilnrilarsarnfllur n'[r,rnj n.l? fi aa gTt

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Ftaul]rrrTnrLau ilfrn:*ruyaillJlFt? grJer{T0.tna0{?lnfluqyfl

Lrnarfisr'Lanraan'[rATngu]fisurilueyEJy,'l uiluna.l r fl v\il n I ?T rJ't Et 1t ur prlr,r qidu'[:-i a u 1 ?rl rr7url a u LT Ft fl o.t n a o { ?r n flu
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i:..ir v r rarrarirtfir 1 r,n?o ar nru5r LLa yfllq
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9
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'.t,Vl4aJ'{,'e)tt tltourl'lvia riloriluri'r llil ffrriu6{t,\iln1?a ya1flnrs'[unrao.r ! ve/d A !.
9

frlale v166
;:: ',

e! tm nrilnrfr:in1fi1un1?o n'lfruri verticol compac-

$$
iirr
mntilurfr erfiulfrhir-iontin' n1?ava1fln1s'[unrao.r?1nlilur?ilqrn
. ,

:
inui o u tion of worm gutto-percho LLAy thermoplosticized gutto-
lr n,.l?yi'ta,.trllYulorlonrouTrrualfifi (odontoblost) ttay
4
v\?LFtu
t,'
,,:
',i1'

A 9)
percho injection method eiru'tunerfifin't?aya'lflana'tilau
v
,+ ?]u (predentin) -
o

nlilnrranraaneirflo,i mocrophoge like

rfr pr?orrvrvgfiunltlunn?1nrilu fl frruuyurh;l {sian
--
ufl
MTA #
9 g-- j

lii.i.iii*,it'i +rtiriiiitiir.it
rsuTaars ,int auluri 1254s
 *+++$++$+$ +$$$

.i+
(Minerol Trioxide Aggregqte) '[unrerio]t vtnAnAl{L?irrua'rut
^ ,?ua'ruilarg 6lrfl'.1?' <{ q-z iii
Lr{u?0El1t yafi
,t
rfr pr
larr I t
r,
/ 'rlo.r?1n qyila'nuuvlrnrahrrry
tn lyqterrer'lu, '
ii+r
+fS

{u''''' rfio{e1n MTA fl nrua:rffi rfrrrYulfrfiffrtrdorfiodr.rnrn &dG.l ff

I ilurvriloutflun?v ujrv Iflr-r1l?1J?y
9
r6nrias eiru'[uern'[nfrna1.r
ffi
:.tt4u{'o
I
flolrYunrafrfiu 'lrXnrrrl.t uuuafrvr'lfrfi '' rLa yv\]r.jrr' lB
-\lylo-,|
i r ru ei auffiuno n'u ei r un a 1 { fl 0 { n a o { ar n flu q y fi frn uil y 1J Er'r El +$
ii

q r{ d G v i"i
nrea#xduuufi':ruufrr MTA il1E)'u'" alnqruarffi nr'rnei"rr6.r lvrrilfruifrsuanuos rua;'[:-i41ill?nrr7ugrJel.rflo.rna0{?1nrilu iil
G
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rr
!'re'uro rrrttre
-
+.*

auran1fi MTA uiluTaqilnrrYuu?rrrurjaltl?ln

I
(opicot plug , A

zu1uL?r?ru?oa1anr'lfrnao n
e u<y

tuu? +ii
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r,r6a
4
o pi co I bo rrier)'[un erilfi
o -r!.r Ar 2, I 5 it
qjl
1

:r^ g ii.l pr il a r u ?.1 n fl ur nr1r,r ;f iiii

?.trJ.t'tu4rJrufi rrdFr{nlefnr*r uraynre'[fi MTA 1u^oro nrsgnut

a-y !.,
?,.rnrilufr fr nr?a valEJnr rL'Lunaa,r?1n rilufi rfl a
1J
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flu'rnrtrrrqj (inferior olveolor nerve) [tAyn?fltorTanronrfifn?.]?0an y\u
i9

'irrilu #46 fi 2 nao{?'rnrffu 6a ML Lray D 'lriv,ruerilnrra.r ql

srurrruujdcu rnrilu#rda'r 6tvirnl?

AtthntlnlilEt
1l
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- -j-- lfrf,tlnfr
oeJ&!
rir d'nr tila tE a ri e v a'r vr f,u er :i rTr n r afi I r n a a { ?''r n rilu frr gTg r fi EJ tJ
I
o euot a_y ! 6r
uLuv tit"Lrif,n r*r na o'lar n flu # 46 rfl a { q r n'[ul ruy fi vir n rafn u.r 1 aTr.l nr a a1a pi 2,57o'[u nr a o rar n"Ln a n n 1 { a u r en'lfflv,l 6rr a i 80
n a o {e.'t n rilu # 45 a eiriu
9l
v\ il a''r n n'r vrr ri r s f,ifi 'j r n a o.t ?''} n rilu # 46 te{ a thl q ufi t p1rril nr il a r s ar n'L frT nr gh-i fl uq duo
-'---{ nr rL? ur ruil a'r Er ?r n
<J q-l 9,/ aJ, d
^
lr a n :Eru v nr 6 r a n u tt n r aa v a 1 flJn r n'[u nr a a.r at n flu ry
9
r-h alrfir] ay tfi (opicol stop) vflnratfllglnaotarntilu ML Tergfl MAF rvir
r!,
'ir ifrarlevrJlru r flriou rffu #46 zu
I
uavfiornrailrnrrilu 6r
aJ^t4dl
nlrnr5arilorlai 30 eirunao,t?1n'[nana1{ TEl.]flfrrEl
hi vtr u vr'u nr uvl u { !4
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,,iuurhifl arnrafr prr.ln fr1nr

1,lu3rTuryrh shifl rfrul:-l rfio{alnnaa{?1nf,uflru.^,r, urnyflzurT.rna0{?1n
9) il+
fl1nl?r6lrjrn alnnl?n??ail1lnfrfrnv'ru'j'rrilu #46 flTan0Fr fiur.t0d rrfrr6t1{fr6vi1 Fr?1}rfi v01 niluiursrfrr.rnao{?1nrilu
i9 cl ++
J + e+ v d J
rYr
^q^^^Fr ---l-
nrarrflu,.rntvrrtilnoEjruTvrarflu
a) qJ
Hm oM- rLa yil?os?? n''uJ
lq

ilEtrrufr I'rn
<{

1 ilfr{qrn rrr6lr naorarnf,urufrr 6rfiu naa.r?.rn

tariTa qq
i9
n anrv\ u,rlanlnEI?olrrjn fr rnrr yfirffuhifla1n"l?u6:t a-v 6't 9./ W
fru"lrXrrfi.l uavvrrr-r'j'r'luarn"Lnanarrfl idanrfr errjnrs uyirnaynrr:go3':-r

n r tT fl n fl a I flu LL av n'l'r :-r 6 n fl o.r r o .t rrrri o n o dlue y ilyrl

.u n fr
< 6 cy
ofln:J'ltanuan qlnfudldprttnardlt'lanraon'ltd (Vitopex-
y

frnr*euvnrnrirsi,rfi (?ilfi
'il r ) rJarngurpirfiaar-r larnrilu#r Neo Dentol Product, Jopon> trXrfrrJnaa.r?1n (fl.ilfi 2) urfrr

fio.t?.ln lergfiern'lnfrnaxfilutnr 5 x lo ]Jl, ern'lnanal.r iJ er fr r s Ia qe^ ri'r

i I
Fr ?'r ? ufr r ri r fl n r v'r f,r fi ,d,'--91 n, u rfl n fl a .r nl ?n y a.r EJ
o4 ^
t.l'tpi'tilturnr 7 x g u:J, #n:*n:y?ilar,l.u0.lnaatmnrilu'[u?ln 1J
nrs'[una0.r?'rnrilu rinr frrl?EJlr
el
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9)

1^ I LLa yqlnnrvrrrirsf,rfiv'ru'jr ur rir mutrnrffurfi'rfio.r?11ahlqu

4l
rnoLuilpr rfla uilnr rfrr'Lrl"lu'lunaotrnfiu v'ru'ir urXrfi urri'[u

nao{?1nlnana1{ n??ah-iv'ru'irflnraa5rr rdo rfio uufrt (hord tissue

borrier) urilnru?rrru:-larflarn virnreannao{arnfiu ML frrs

A<{a-./GJl
?fiLLAV]LilO?A 0OUIFIUL{IIU (loterol condensotion) d?llnfiO.l

arn'lnanarr1fi MTA riluTarlilelrYuGrrurlaln?.rn 9

lnrgt{a:J
aJ'otrvw
MTA flrur fru <1#fi 6n uilv
n nr frr a vr n n riJs n ur > q 1 n#u1fiffo u

(spoon> fi'nTa qa 9
r'[r.]lunnorarnfiurrfrr'[fi rlars fi'nr'uo.r iuvi.r

n?v nrr:Efr'rn nrfinr MTA LL1 I arhlffrairurla'rfl?1nau'lfrav er'u

Fr?ufl.r']rorTanr:-layrJ'ril
11
4 :J:J, 9
qrnilalfl?'ln rirgnrvrrf,.rfi

Fr?rafioLFrt,\l'ir
cJi
MTA anr *riuauLfr:rntv uil'rv Ltavv\ofifft-l

Grrnr:larsern (gilfi 3) qrn#ulfi uvi'rn:;nrr:gfi'utlru.ndu 9

?1:J1n 1 teiarhl"lunraararnfiu trXfrirrTarTu MTA ufirilnrfi'r

g,/ocda/:t'rG'I
6rue{'rduavTa4qnrrYrFr?'')') ifioeo'lrfr MTA ufrtfr'rufrrfi aln
I

riu I
Y art d u 9./lr
#il nrfr rinr frrhfl
u1
rJ'ro nrrirufi ru6ora.i naa{?rn'Lnana1.r
l
lS<{a2
Flo LFrsn''r?fl Frfl nn-trrJo$trfi r,raail Lun'r frrrL nr1:rTau
(thermoplosticized gutto percho injection method/Obturo)

'[rXriaqrn MTA duu', er:trY:rn1?n nrd'er'LuLrurfr {qurfr:J na0.r

ernflu (eilfi 4) rufrrilprfrrrLTaqqF,{iiFr?1? vrfitrfiouniailrfr

Y4
rhslfrf:-Lnrauuyfrrs indirect composite onloy qrnfiu6t
1l

rirrfrnnlilzualu:yny 6 rfiou rlnv I fl nuirrilu'l:-iflarnra

tta valnnrvlcirgfrfi vrr-r'ir utr rir Grrruaouarnfiur,nu"hl lprs
dcy<r,/ll
ilnraa5l{n?ynrnu{rrr*nufi (Ailfi s)

unSorsni
!r<oa/e'/
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nr efn urt nr g rfi'ufi ril ufr rq r ril ua d r tfr t tfi o vt g,
j
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a n Lonlfi?lQ y Ln er
I

:lcyvn LLavfinravrsrnarriTanrfi udar nrarir6'nr rdaufiafiflnre

ffn ra :r'[uG rr zufi fl n 1 ?a v a' u. o l Er Fo uil uhJI fr r n n n'r a'[fi r nr6o r

^
i fl n fi arq'lilarlrrmrir 6'er ufla ufi afi ffn tfi L i+
or srs nao {?1nrilunn:u-]
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"ii d, riii
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ffi r+nin+n+n+x+i+,1ry
ro+n"+in1++irnn+
ffi
i+t+i
uii',un" * iu
.it'irf *
+r
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o+ <
q*alfiA
il qualJll Ft TJ'l
sir L{a
rfiaT?n
Lan un va yalEj
ttn ya valtl Luo rfio'u
rflo LElfl
" a1.3?1't n?1ilfi
fr'r.rvir Ft?'tufi yo']Fl
volnr i*H
Iti +
#+'u+ F
# ** HE
tlo f
'i+ # .'^-,otfo ,i o ,o Ro ,^^ ,o ,^^-l^o ,Xo '^^^i ^Y,, '.^,3o,o o,^,^^...Y ^".X, Fl. ,o,,-o? # Itui
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.* t+ * ## *
kitunao.r?'rnf,uryvrjrrnraf,n:Er rirshXaurenrirq'Fr,florfio
,*
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CD rsulaars : riti z ou.-uri 1 2s4s
 iiiiili.riiiliii
'iiirlii'iiriiii

:
I
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L?ilfr:J=n1?n va,.rEJ'[fruiluodrt n' n']?q n nao.tr?.rnflufrrgifi
afi iin*
ur$

verticol compoction of worm gutto percho rrr6o

i

iii*
, rill
thermoplosticized gutto percho injection '[Unarilfinre #
ffi
a vnr ri q r rYnr o qj ravtr r v n r a'[u
Uil
n a a.t ?'tn rffu q yu[fi zu a e{'r r$q a { rr ri
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, ilir
ufi o u vr r q hJ ffi n'l uo n ar
I
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n fiurfu r n rfi n,d u o n. a'[fi uar"[u uur
EJ ids.rnra'[fi*ar"[uuur #
^
verticol [av loterol filrnrfruh]LV\?'tya18 iluilanLalaonhj
I
rli*
ffi
ua n ?1 n ?t6a o 1 q vir hfr rfr n n 1 ? u rr n 5r r I o't zu ril n a a { ?'t n fi :r'r r o d *I
1J ffi
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5r1er'[unarfifieonvwqflru'tn ifrn nref,n:*rTergk{LLnarfis:-r
r$
la nr eo nlr drfllu? v rJ ; r? a 1u'r uo r q a v n ? y ufr n n 1 ?fi T.r.i ho rd ft
{utrX
tissue borrier :rriJ nru?r?ru?orjil yariu"lfr
j
'n'[uaruoaudnl?
ayarrLfirfrerdur-6t?il.l,ltotilnlgernfl1u..ln1r,rqjttayqna..l:J#
1 _ __ iii+

quil.iLBrrruguTJnrilargflnvfr1#qzurfil1nrfruqnrr,6trrurJarg:rn#
4A<r
il uB rr r n n vir
.r
ry uc rr ru g rTJ nnJ a
r :r n Er hfr 4 ufi a 1 n fr nr r.B rur1 a s
il',::in

(opicolstop)uayvil1rXaLilnrrJa.lE.l?..)nflrrurnr.[vrqjnra"Lri.#
<Jvvd6r
rtgil"Lgn?onttnr"Lunao{e..tnrilu rilua yilyLlfi.t
uffi
LLna r fl ffi
'L:-i
:l vit'[# #
ar en
lnnnn{ tfr nr n rea 5r t rflo ufi a rufr .r fi rJ a r s er n'[ nr ri a uo pr n n n {

?1nfrrrrrYrrnrrtiloitr6{n??ufiantfiTaqfiauren"|fii]errYuila.rrrffi
ucv i +i

arn"Ld fr{o1q uilu tricolcium phosphote, dentin chips ,MTA i"ii

tiu

rra;du1.[uergtruflrfion1fiMTA,fl,ou..,nflnrua:rffir{rrYu#
irua:rffir{rrYu
s)rs
lfrfirTlufiarfio lrXnm:ruurafru flarrYun'rafrfir rLayv\u'irfl
9./ 4
nl?fi51.rdmufr'luufrr MTA Lilfuu nra'lfir'ru.ira hifra.rlfi #
ii rt

tt?.ltl'ln'[unlan nilnian a nrtonrafi Ta ne y tfr uaanuan?1nvr6a

1j
ffi
tfr nrnreurrn#mro.tzuritnaa.r?'rnfilrrtod rufrrlfr 6.r1fi MTA ufllu
CJ

TaqrTurJargarnLtarqntueirufifln1?a,o.udtfJuna;r:-l.ryrft?13JFlffi
ffi
n r e fr n n 1 rJ zu a n r ef,n r*r ril ufi ur v,r a'[q :r^ nr eul EJ fl 0 o,dmd r m u

rjarfl?'rn li
;:ii':i:'.+

iii{
9)

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r-, lj$
fiflnreaya1Ejn1gturraaternfluer:rrYlflariJerr]alflfln1u.rnr1r,rrjffi
fr'.rarsrrufi"lfrura prt ffi

llitil*#tltiiX

rsulaars : tirt z uriuri t 2s4s eB]

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a.vrtttrU.fl'r?el'r finfigil
a'J,mnttruar,p€nrfua;drrmnrranJ*firs5f
n'la-l?'tllu nrrufiurtuwrnunramf *lfiti

d<{
Ltlr Fr?r tes uilud'r r1n ne{r fftlfivirhXrfr
u nrnreffn Lailflo.r rfia ufio'[u co(oH) e{r u5qaila1il1?na nr:-l?rrruufio'[uvio uflarffu"lfrtrnn'ir
{l
(pulp tissue) LLa y Luo ifiar-larEJ?1fl (periopicol tissue) fil?rrau co(oH) ufrnfru1froeirlfl#Ele{'rffu
2

LLnarfisl'LanrSon'[td (co(oH)
2
) rilugrfitfitr{lunao{?'rnrffu alnn1?fin*.fivrruir E. foecotis fi.uJl?nttil?nfitr{reivio 1l
t
! a-t o e-,, { a{d uv I <{ r A A r d { e, u9./
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<v
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110'rn1??1 na0.ru Lv\o nj6gu Lfi fl lil?yavr6nrvl'lun1?dr rfra fir?tld:J Co(OH) fl :-leyfrvr6nrvrr'[un'l?a nrrj?trrurfia rriurTu
2
I

fio
dd
Enterococcus foecolis'[uviardorilu (dentinol tubule) lo.l ilofrrrnnrfiurautqq'tnn1?ytna0{
'}l0a.l a1?rJfiil co(oH) fifl 2
,rg)ar<{rAAoV9./l
' '21JrllLLLIrirt'r
co(oH) I
LilFrzuafirdonllFraoilrTludotfrnrfi
i
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IJ
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I
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2211
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a'r nrilu'lri :-]a y aL zu nefr r6q LLa y frruvr tuni oq vreo, o co (oH)^
2
lfr co(oH> fiurYurl?:lruro.t hydroxyt ion fi
2
I V o

9il Llvt't nrai6'41fr

nAil re#ntrilufr'n (incisor) lto.lTrtrXrflufiu fi't?rufirJriaerrldotloon:J't etltffun?'tufi'tl1?nflo.t ion t,uild
a-' r !-l vr 9,' I
d4{ l4 a-l 4{

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L ?1 ? { n ? y u a n fl u'l nq .r ?14 y t!?1?n irurfrr'lrlilr ufiafi ffrari'Luvia
tJ''tutfl'l 9l
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<{ i<r { ! !
s fi afr LrJ n? urfrufr'rorirrtdt;ttlau'Luo1?1'rrrdgr rdafifl -
Co(OH) lt biocompotibility
2
Vltno LUO tEl0 LUO{a1n n'lril
E. foecotis tilutrar 24 rytTuo ilfirqrn#uk{41?fifralnreunr filurantunt?a valnurfi rfr uniq1nnilailfiAfifl rJarian'l1tJ
j

AoLfi.l'[unrna.l?1nfiu fi'r:Jr?n'[unrarir 6'er r{o fir frarar ffrLnr?LLnn fr'rfiar n r5r rfiotrX
tt9)t

1 fr a n 1 v\ Fr ?'r rJ Lfl un ? er ni x fi a,r t,\ fl fi q y si'r

1J
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i"', ! 6't<v
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'
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2'2
s)

l, fi,,t?r.Jail co(oH) tfrerfru (1,0 2

g,/ml. tlO.lUf )
6 { .\
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2
!.1 9,/ c)) cy d

9)

2, fi.t?rJfirJ Co(OH) tfrerrdaqrr

2
(0. I g,/ml. lalU'r) LLnnfr'rro.r hydroxyl ion'lfr:rrn fil?aru.udfrlturiltJail
tflao, Ei11ll LLa y methyl cellulose a']nn']?
v9/ , 'o Y 4
3. Co(oH) e{'r
211
r6qailfio Putpdent Temp Conolt' Ln LLn ul , u1
ur
OQJ
vt
4, U1nfiU (positive control) ?1nao{fi v'ru'ir mehyl cellulor" fituflueirurJailfla{ Putpdent
{ {arilufirler^u',n,d, (negotive controt)
5, lluLU Temp Conol rfr
I

trlayfivr6nrvrrtunr?LLil?nfrilT0.t hydroxyl ion

I e'/
! o r !t, ucv
rf,olria1??rn0.rnl?ilnaoL'[{ 24 rYrT:rt urfrun'raeir{il'j fi rfrrhla nrrl?:r'rrur{oluvio rdarilu'lfrrrnn'jrarazuar co(oH).
I
v I
A do & !d
'l t Ft ?1 ; ?1 I'r u't ull 0 .r L{a LLL n fi r? gtu rfl a rilufi rrr a 1 fl ? y A':l nr rr :r 6 n rYuurlun'l'r:Jufr:r{ufi rvirrYu LLa;fir?r{a:J co(oH) vr:rFr?'rlJ
2

vrr u,,i r q r ur ufl o.t r{a rru n fi u6fl a nr a r'[um9.n n dI I vr n fl o il rfl a rfi a u
\t/Vcyl4tA-\6tYl
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r

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nl-JnAilnlilnlJ
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2
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K3 is o third generotion, triple fluted, osymmetric endodontic file system,

Designed to cut quickly, efficiently ond sofely, with unporolleled debris
removol, the K3 oddresses technicol ond procedurol issues thot no other
endodontic instrument does.

Photo Courtesy of Dr. ChriS

Fffi
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llPco PROFESSIOT(AL
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