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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 ...
A root canal is the naturally occurring anatomic space within the root of a tooth.It consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.
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 process of preparation usually involves cutting the tooth with a rotary dental handpiece and dental burrs, a dental laser, or through air abrasion (or in the case of atraumatic restorative treatment, hand instruments), to make space for the planned restorative materials and to remove any dental decay or portions of the tooth that are ...
Exposure of the pulp causes pulpitis (an inflammation which can become irreversible, leading to pain and pulp necrosis, and necessitating either root canal treatment or extraction). [1] The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy (or reversibly inflammed) dental pulp, and avoid the need for root canal ...
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
Root canal treatment should be performed on the tooth if it is determined that previous therapy was unsuccessful. Removal of the necrotic pulp and the inflamed tissue as well as proper sealing of the canals and an appropriately fitting crown will allow the tooth to heal under uninfected conditions.
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]
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