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

IN OTHER WORDS.
Greatest thing since, waitbefore! sliced bread

BASICS OF ENDODONTIC TREATMENT

PRINCIPLES OF ROOT CANAL THERAPY

1. To debride and shape the root canal system Debridement: 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.
To maintain health and/or promote healing and repair periradicular tissues

3. of

4.

To alleviate present and prevent future adverse clinical signs or symptoms

THE PROCEDURE
Rubber Dam Isolation a MUST!!!!!!!!!!!!!!!!!!!!!!!

RUBBER DAM ISOLATION

Instruments/Materials Needed: Rubber Dam Rubber Dam Frame Clamp Forceps

RUBBER DAM ISOLATION

RUBBER DAM ISOLATION

ACCESS OPENING
Instruments/Materials Needed: Initial Radiograph (Double-Pack) High (and Low) Speed Handpiece Round bur Mirror Endodontic Explorer

ACCESS OPENING

ACCESS OPENING

WORKING LENGTH DETERMINATION

Instruments/Materials Needed: Initial Radiograph Endodontic Ruler Endodontic Files Working Length Radiograph and (NOT OR) possibly Apex Locator Canal lubricant

WORKING LENGTH DETERMINATION

CLEANING AND SHAPING

Instruments/Materials Needed: Sodium Hypochlorite irrigation = bleach Endodontic Ruler (or Endo Ring) Endodontic Files (hand and/or rotary) Handpieces (low speed and/or rotary) Canal lubricant

CLEANING AND SHAPING

CLEANING AND SHAPING

CLEANING AND SHAPING

FINAL WORKING LENGTH CHECK

Instruments/Materials Needed: Endodontic Files Endodontic Ruler Final Working Length Radiograph Hemostats

FINAL WORKING LENGTH CHECK

MASTER CONE CHECK

Instruments/Materials Needed: Paper Points = you drop them in the canal to get all the moisture out Endodontic Files = Sealer Gutta Percha Spreaders= are only for pushing stuff in (one end) Pluggers = the only instr. That you are allowed to heat up Master Cone Radiograph Hemostats

MASTER CONE CHECK

Paper point

Sealer

OBTURATION
Instruments/Materials Needed: Sealer Gutta Percha Spreaders Pluggers Glick Electronic Heat Instrument Alcohol Pellets

OBTURATION

TEMPORARY OR FINAL RESTORATION

Instruments/Materials Needed: Final Radiograph (double-pack) Temporary restoration material (Cavit or IRM) OR Permanent restoration Glick Mirror Explorer Floss

TEMPORARY OR FINAL RESTORATION

Initial working length

Master cone picture

Final working