Obturation: Lateral Compaction

Presented by:
Josef Ma. Karlos S. Bringas, D.M.D., D.D.S., M.S.
Department of Endodontics

Objectives of Obturation
Create a complete seal of the entire root
canal system by eliminating all avenues
of leakage from the oral cavity or the
periradicular tissues into the root canal
system.
To seal within the system any irritants
that cannot be fully removed during
canal cleaning and shaping procedures.
2006 J.Bringas, DMD, DDS, MS

Medium Fine Finger Spreader

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Gutta Percha Master Cones

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Iris Scissors

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Gutta Percha Accessory Cones

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Medium Fine Accessory Cones

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Paper Points (absorbent points)

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Endodontic Cotton Pliers

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Mirror and Handle

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Handle with mm Ruler

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Spatula and Mixing Pad

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Endodontic Sealer

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Glick #1 Instrument

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Endodontic Pluggers (5/7 & 9/11)

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Completed C&S
The canal system
should be properly
tapered in a continuous
funnel shape allowing
debridement, irrigation
and obturation.

2006 J.Bringas, DMD, DDS, MS

Completed C&S
Note your FWL.
*FWL is 1mm short of
patency length.

Example:
FWL=23mm
2006 J.Bringas, DMD, DDS, MS

Obturation
The canal is
obturated to
Final Working
Length.
Obturation
Length = FWL

2006 J.Bringas, DMD, DDS, MS

Obturation
The canal is
obturated to
Final Working
Length.
Obturation
Length = FWL

2006 J.Bringas, DMD, DDS, MS

Spreader Fit
To check satisfactory apical cleaning and
shaping before obturation.
To see if there is enough room for
compaction with the selected finger
spreader. (size: medium fine MF)
Set rubber stop 1-2mm short of FWL.

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Spreader fit
Fit within 1-2mm
of FWL.
If not, more
shaping is required
because apical size
and taper is
inadequate.
2006 J.Bringas, DMD, DDS, MS

Master Cone Fit

Select Master Cone
size that
corresponds to
your MAF size.
Ex. MAF size 30
MC size should
also be size 30.
2006 J.Bringas, DMD, DDS, MS

Master Cone Fit

The Master Cone
should seat to final
working length.
Obturation
length= FWL

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Check Master Cone (MC) Length

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Master Cone Fit

23

If MC is at FWL, you are ready to

obturate.
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Master Cone is Long

Cut the Gutta Percha tip to correct the

discrepancy to avoid overextension.
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Master Cone is Short

Cleaning and shaping is rechecked.

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MC is short
Reinsert MAF file.
Sometimes, dentin
filings prevents it
from seating to
FWL.

2006 J.Bringas, DMD, DDS, MS

Reshape
Check to see if
MAF goes to FWL.
Go through hand
filing procedure.
Sometimes,
repeating C&S with
rotaries is necessary.

2006 J.Bringas, DMD, DDS, MS

Refit MC
After filing with the
MAF to FWL, the
selected Master
Cone should fit to
proper FWL also.

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Master Cone Fit

The MC should have a definite apical
resistance when MC is placed to FWL.
The MC should exhibit tugback or
resistance to removal.

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Mark the Master Cone to FWL

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Mark the Master Cone to FWL

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Place MC in the canal system.

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Mark should correspond to reference point.

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Take a Radiograph
Master Cone 4th of 6
Show radiograph to
instructor.
Dry the canal and
you are now ready to
obturate.

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Mix the Sealer

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Mix the Sealer

2006 J.Bringas, DMD, DDS, MS

Mix the Sealer

2006 J.Bringas, DMD, DDS, MS

Mix the Sealer

2006 J.Bringas, DMD, DDS, MS

Mix the Sealer

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Mix the Sealer

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Sealer Placement

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Sealer Placement

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Sealer Placement

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Lateral Compaction
Advance the spreader
with a watch winding
motion as pressure is
applied in an apical
direction.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Advance the spreader
with a watch winding
motion as pressure is
applied in an apical
direction.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Advance the spreader
with a watch winding
motion as pressure is
applied in an apical
direction.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Remove the spreader
with the same watch
winding motion.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Immediately insert a
premeasured and
coated MF accessory
cone into the space
created by the
spreader.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Insert to resistance.
This should be done as
quickly as possible to
prevent voids.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Repeat this
procedure of finger
spreader insertion
alternated with
accessory cone
placement.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Repeat this
procedure of finger
spreader insertion
alternated with
accessory cone
placement.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Repeat this
procedure of finger
spreader insertion
alternated with
accessory cone
placement.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Repeat this
procedure of finger
spreader insertion
alternated with
accessory cone
placement.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Repeat this
procedure of finger
spreader insertion
alternated with
accessory cone
placement.

2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
Do this until the
canal is obturated to
the cervical line.
Take a radiograph
at this time and
evaluate fill.
This confirms
adequacy of the
obturation.
2006 J.Bringas, DMD, DDS, MS

Lateral Compaction
If the obturation is satisfactory, the
excess gutta percha should be cut to the
CEJ level (bucco-lingual).
If obturation is not dense, or if voids are
present, remove all the cones and redo
the obturation process.

2006 J.Bringas, DMD, DDS, MS

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Final Radiograph

Remove the
rubber dam clamp
and rubber dam
material and take
the radiograph.
*In a real patient, a
temporary restoration
is placed before
rubber dam is
removed.
2006 J.Bringas, DMD, DDS, MS