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23 Cards in this Set
- Front
- Back
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Equipment and Supplies Needed
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- Basic setup
- anesthetic setup - rubber dam setup - dental unti (HVE, etc) - Slow-speed w/ #4 or #6 bur - acrylic burs, discs & mandrels assortment |
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Equipment and Supplies Needed Cont.
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- high-speed w/ #556 or #557 bur
- broaches, files, reamers - endodontic spoon excavator, spreader, condenser - woodson, articulating paper, floss - irrigating syringe/solution - bead sterilizer, butane torch/heat source |
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Equipment and Supplies Needed Cont.
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- paper points, small cotton pellets
- medication - temporary filling material - endodontic ruler & stops - x-ray film, lead apron |
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Assisting with an Endodontic Procedure: Procedure Step 1
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The dental assistant passes the mirror and explorer to the dentist and then passes a 2x2 gauze to dry the muccobiccal fold and the topical anesthetic. The dental assistant passed the anesthetic syringe. When the dentist completes placing the anesthetic, the dental assistant rinses the area with the air/water syringe and aspirates excess water with the HVE tip.
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Assisting with an Endodontic Procedure: Procedure Step 2
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The dental assistant or dentist places the rubber dam on the affected tooth, the dental assistant should inform the patient of the purpose of the dental dam and that if there are any concerns to let the dental team know.
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Assisting with an Endodontic Procedure: Procedure Step 3
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The dentist created an opening in the tooth with the high-speed handpiece and bur. The dental assistant should keep the rubber dam free of debris but be sure to stay out of the dentist’s line of vision.
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Assisting with an Endodontic Procedure: Procedure Step 4
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The dentist used the slow-speed handpiece and round bur to remove caries and to access the pulp chamber. The dental assistant may quickly rinse the area to improve the dentist’s field of view.
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Assisting with an Endodontic Procedure: Procedure Step 5
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The dentist may want to use the endodontic spoon excavator to remove caries and the endodontic explorer to locate the pulp chamber and canal openings.
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Assisting with an Endodontic Procedure: Procedure Step 6
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The dental assistant passes a barbed broach for the dentist to remove pulpal tissues from within the root canal. The dentist may want several broached, especially if the tooth has more than one root.
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Assisting with an Endodontic Procedure: Procedure Step 7
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The dental assistant passes a #10 or #15 reamer with stoppers to measure the length of each canal. The dental assistant exposes a radiograph so the dentist can measure the length of each canal with the file(s) or reamer(s) in place. The radiograph and working length or each canal are recorded in the patient’s chart.
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Assisting with an Endodontic Procedure: Procedure Step 8
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The dental assistant passes additional files in progression until the proper width and length of the canal are achieved. The size and length or the final file used is recorded in the patient’s chart.
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Assisting with an Endodontic Procedure: Procedure Step 9
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The dental assistant passes the irrigating syringe with irrigating solution to the dentist. The dentist irrigates the canal(s), The dental assistant must keep the tip of the HVE very close to the tooth so the irrigating solution is efficiently aspirated and not allowed to splash the patient or the dental team.
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Assisting with an Endodontic Procedure: Procedure Step 10
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The dental assistant passes paper points with locking cotton pliers and continues to pass paper points until the canal or canals are completely dry.
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Assisting with an Endodontic Procedure: Procedure Step 11
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The dental assistant passes a small cotton pellet containing medication to the dentist who places is in the tooth. (At this point the dentist places a temporary filling material into the tooth or continues or obturates the canal and completes the root canal treatment. If a tooth is severely infected, the dentist may elect to have the patient return at a later date to complete the endodontic therapy.)
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Assisting with an Endodontic Procedure: Procedure Step 12
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A master gutta percha point is selected that matches the width size of the last file used in each canal. The dental assistant exposes a radiograph to verify the proper length and seal.
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Assisting with an Endodontic Procedure: Procedure Step 13
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The dental assistant mixes the endodontic sealer to a creamy consistency and passes it to the dentist, so he or she can coat the tip of the master gutta percha point. The dentist places the gutta percha with cement into the canal. (Some dentists will use a lentulo spiral to place the endodontic sealer deep into the canal before placing the gutta percha point.)
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Assisting with an Endodontic Procedure: Procedure Step 14
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The dental assistant passes the endodontic spreader and additional accessory gutta percha points and continues to pass the spreader and an additional point until each canal is full
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Assisting with an Endodontic Procedure: Procedure Step 15
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The dental assistant passes the endodontic condenser and prepares the torch. The dental assistant holds some 2x2 gauze squares and holds the HVE tip close to the tooth.
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Assisting with an Endodontic Procedure: Procedure Step 16
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The dentist heats the tip of the endodontic condenser and melts off the excess gutta percha material. It is important to adequately heat the instrument to avoid removal of the gutta percha filling from the canal. The dental assistant ensures that the HVE tip aspirates any smoke and receives that melted gutta percha from the denstist with a 2x2 gauze.
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Assisting with an Endodontic Procedure: Procedure Step 17
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The dental assistant prepares the temporary filling material and passes the Woodson. The dentist places the filling. The dental assist passes a lightly dampened cotton applicator to the dentist, who uses it to smooth the temporary restoration
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Assisting with an Endodontic Procedure: Procedure Step 18
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The dental assistant uses the HVE and air/water syringe to ensure that the rubber dame is rinsed free of debris. The rubber dam is removed and the dental assistant freshens the patients mouth by rinsing and aspirating.
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Assisting with an Endodontic Procedure: Procedure Step 19
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The dental assistant dries the tooth and passes the articulating paper to the dentist who will ask the patient to lightly tap the teeth together. If necessary, the dentist will adjust the occlusion with the Woodson, cotton applicator, or a round bur and slow-speed handpiece.
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Assisting with an Endodontic Procedure: Procedure Step 20
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The dental assistant exposes a final radiograph and provides postoperative instructions to the patient
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