endodontic tips and tricks
TRANSCRIPT
ENDODONTIC
TIPS & TRICKSBy Dr.M.Eldesouky
Hint No.1 Diagnosis
Bad oral hygiene vs good O.H
Hint No.2 anaethesianerve block upperPalatal anaethesisIntral pulpalIntralegamental------------
Hint NO 3. access cavity
Round bur Anatomy Conserve cavity Dust motion Map lines
Hint no 4.canal negotiaition Reamer first (low resistance ,more
tactile sensation) Donot skip size Never file a dry canal Recap Curved canal maximum #25 k file No filling motion at full length (only
quarter turn) Conserve vs flaring
Hint NO 5 .Irrigation Vital and non vital pulp start with ? Donot use NaOcl at first with vital pulp cause clogging of
pulp, use EDTA Donot use NAOCL with pus –clogging start with saline Start with NaoCl in non vital—dissolve tissue remenants Mix of chlorohexidine and H2o2 Mix of h2o2 and Naocl Hot Naocl Antibiotic injection Small gauge syringe passive irrigation End with? To dry the
canal
Medication between visits
No rubber dam
Donot leave ts cavity opened
Maximum time for temporary restoration is 7 days
Diluted irrigation without distilled water
perio endo
Same irrigatiion syringe every visit Same syringe for all canals Low pt resistance
Hint no 6 – Obturation Master cone minimum # Master cone xray One cone vs multiple (vital ,non vital ,small or large canal) Lateral condensation technique Sealer (Granulotech)
ZOE + antibiotic powder
Vertical plugger
Remove all gutta percha at pulp chamber (act as acussion under rest)
Remove all remenant sealer with bur not cotton(filling union)
Thank you Dr.M.€ldo$ok¥