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Miscellaneous endodontic instruments. From left: Lentulo spiral, reamer, K-file and H-file. Hand files can provide tactile sensation when cleaning or shaping root canals. This allows the dentist to feel changes in resistance or angulation, which can help determine curvature, calcification and/or changes in anatomy, in which two dimensional radiographs may not always identif
The step back technique, also known as telescopic or serial root canal preparation, is divided in two phases: in the first, the working length is established and then the apical part of the canal is delicately shaped since a size 25 K-file reaches the working length; in the second, the remaining canal is prepared with manual or rotating ...
Regenerative endodontics has 3 critical steps: adequate disinfection of the root canal system, induction of bleeding through overinstrumentation to create a scaffold for stem cells, and coronal sealing of the blood clot with a biocompatible material, such as mineral trioxide aggregate. The procedure is applied in two visits as follows: [50]
An unusual root canal shape, complex branching (especially the existence of horizontal branches), and multiple root canals are considered as the main causes of root canal treatment failures. (e.g. If a secondary root canal goes unnoticed by the dentist and is not cleaned and sealed, it will remain infected, causing the root canal therapy to fail).
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
The following steps are included in this procedure: [10] The affected tooth is isolated using rubber dam; An access opening is made to reach the pulp chamber; A file is placed in the root canal and a radiograph is taken to establish the root length. Care should be taken to avoid pushing instruments through the apex
An elastic tourniquet used to temporarily restrict blood flow. The tourniquet distends the veins, making them more palpable and visible.. There are many ways in which blood can be drawn from a vein, and the method used depends on the person's age, the equipment available, and the type of tests required.
This risk increases 10 fold if the tooth is close to the inferior dental canal containing the inferior alveolar nerve (as judged on a dental radiograph). [8] These high risk wisdom teeth can be further assessed using cone beam CT imaging to assess and plan surgery to minimise nerve injury by careful extraction or undertaking a coronectomy ...
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