Evaluation of success and failure after endodontic therapy using a glass ionomer cement sealer
Major Steps in Endodontic Therapy
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Transcript of Major Steps in Endodontic Therapy
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Major Steps In Endodontic
Therapy
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Major Steps In Endodontic Therapy
DiagnosisAll endodontic treatment must be preceded by a proper diagnosis to
identify and determine the etiology of the problem
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Major Steps In Endodontic Therapy
Each tooth must a have an adequate pulpal and apical diagnosis.
Refer to pulpal and apical diagnostic terminology sheet
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Major Steps In Endodontic Therapy
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Major Steps In Endodontic Therapy
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Major Steps In Endodontic Therapy
Asepsis
Aseptic conditions are established when the access cavity is
complete the area is dry and there is no leakage around the rubberdam. Sodium hypochlorite is used to rinse and irrigate the area
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Asepsis
Use of rubber dam
Sodium Hypochlorite (Bleach)
EDTA
Lubricants
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Major Steps In Endodontic Therapy
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Major Steps In Endodontic Therapy
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Major Steps In Endodontic Therapy
Using hand and rotary files we clean andshape the root canal system to appropriate
length
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Major Steps In Endodontic Therapy
Once the working length is determined the canal is cleaned and shaped in a
crown down (crown to apex) direction. There is specific instrumentation foraccomplishing each stage of cleaning and shaping .
The canal can divided into coronal middle and apical thirds for this purpose.
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Major Steps In Endodontic Therapy
If time or situation (necrotic tissue) does not allow a calcium hydroxide
paste is placed in the canal as an dressing between appointments. In
the clinic at ASDOH we will utilize a product called metapaste which is
gently syringed into the canalsThe coronal access is the sealed using a temporary zoe paste. It is highly
important to insure that there are no chances of coronal leakage.
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Major Steps In Endodontic Therapy
Fitting and Seating the Master Cone
A sized gutta percha cone( to the master apical
file size) is fitted within 1 mm of the workinglength. It should be sug and have a slight
resistance to removal. Radiographic examination
should show it to be no more than one mm short
of the working length
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Major Steps In Endodontic Therapy
Canal Obturation using vertically
compacted Warm Gutta Percha
The master cone is seated with sealer
and the coronal segment is removedwith heat and in a series of warming
and condensing stages the canal is
obturated to the apical 1/3 and
backfilled to seal the canal.
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Major Steps In Endodontic Therapy