Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
|
Step 1: DIAGNOSIS |
Endo Ice - Refrigerant spray used to diagnose pulpal health. - Applied with a cotton pellet. - Sold in 6oz can. |
|
|
Step 2: Isolation |
Dental Dams- isolate the tooth to provide a clean working environment and prevent tools and debris from falling into patient's mouth. Keeps the working area dry. Brand name is Hygenic Flexi dam: - framed or unframed; latex free; powder free - unframed comes in 6"x6" Dental dam: - latex or non-latex; powder or powder free - comes in 5"x5" and 6"x6" Elasti-dam: - powder free - latex - 5x5" or 6x6" Fiesta: - latex - color coded and fruit scented - 5x5" or 6x6" |
|
|
Step 2a: Isolation with clamps or wedjets |
Wedjets: - latex or non-latex Clamps: - further isolate the tooth and prevent dental dam from slipping - winged or wingless - glossy or matte Fiesta: color coded for organization; matte; winged or wingless |
|
|
Step 3: Access |
Use rotary bur to access the pulpal chamber and then use an orifice opener to flare the coronal portion of the tooth. |
|
|
Step 4: Locate apex/ apical constriction |
Find the working length of the canal using a combination of hand files, radiographs and an apex locator. A size 8 or 10 Hyflex x-file hand file is generally used to create a glide path to the apex. Canal Pro apex locator: - dual impedance technology allows for real time communication between procedure and LCD color display - 94% accuracy - audio and visual feedback - working length determined using this device should be checked with radiograph |
|
|
Step 5: Canal Preparation |
Purpose: remove infected tissue, irrigate the canal, shape the canal. Hyflex NT: - best suited for calcified canals, straight canals, retreatments and removal of gutta percha - .04 taper, 15-60 - .06 taper, 20-40 |
|
|
Canal Preparation continued
|
HyFlex EDM files - produced using Electric discharge machining. This uses spark erosion to harden the surface of the file resulting in superior fracture resistance and cutting efficiency. - Pre-sterilized - Multi-use - dual taper sizes and variable cross section design (triangle at the top, trapezoidal in middle, and rectangular at tip) - 25mm length only - available individually or as a shaping/finishing set |
|
|
Canal Preparation continued
|
HyFlex CM rotary file - Controlled memory makes extremely flexible allowing to efficiently navigate the anatomy of the canal wall while reducing risk of separation. - Multi-use: autoclaving will bring files back to original shape and strengthen files. - .4/.6 tapers - available individual or as a shaping set |
|
|
Step 6: Irrigation
|
Mechanical debridement alone cannot sufficiently clean and disinfect the root canal system, therefore chemical debridement is required in conjunction. Canal Pro Extra NaOCl (Sodium hypochlorite) - powerful wedding agent - available in 3% or 6% Canal Pro EDTA - Removes spear layer and opens tubules offering better adhesion to the sealer Canal Pro CHX - Chlorhexidine is used as a final step for long lasting cleansing. Accessories: Canal Pro Syringe Station Canal Pro Color Syringes |
|
|
Step 7: Drying
|
Hygenic Greater Taper Paper points: - Tightly rolled, sterile and highly absorbent paper points come in sizes .04/.06 taper and up to 28 mm length ROEKO SurgiTip- endo - Effective aspiration and good canal accessibility that is specifically designed for multi directional flexibility. |
|
|
Step 7: Sealer
|
- A self curing temporary sealer. - 2 hour cure time - Radiopaque DualTemp - dual curing temporary sealer sets immediately - radiopaqued - comes in a 5ml syringe - contains zinc-oxide which helps with healing |
|
|
Step 8: Obturation
|
ROEKOSeal Automix - Easy and ready to use 5ml silicone sealer. - Excellent flowability to fill root canal and alteral canals - Working time: up to 30 min - Setting time: 45-50min GuttaFlow 2 - First 2-in-1 cold flowable - no shrinkage with a .2% expansion - biocompatible - radiopaque - Gutta Percha + polydimethoselxaine - Working time: 10-15 min - Curing time: 25-30min |
|
|
Obturation continued
|
Hygenic EDM Gutta Percha points - used along side HyFlex EDM Files - Available in assorted or individual sizes Hygenic Gutta Percha Greater Taper - ideal for obturating root canals that have been prepared with HyFlex CM or NT files - Available in .04/.06 taper and in sorted or individual sizes |
|
|
Step 9: Restoration
|
Coltene is the market leader in posts and offer a wide variety including: Parapost XT - Active threaded titanium post with rounded, undercut head for better core retention -Raised diamond pattern and retention ledges offer better mechanical retention to canal ParaPost XH - Passive cemented with rounded undercut head for better core retention. - smaller in length with a X pattern for better canal retention ParaPost Taper Lux - Passive cemented with rounded head for better core retention - tapered design for narrow root canals - Alternative options to metal posts offering better esthetics ParaPost XP - Passive cemented with prefabricated casting components for the indirect casting technique. - Raised diamond pattern design for better canal retention. |
|
|
Step 10: Restoration (casting)
|
ParaCore - Stable product with low film thickness of 15 microns - Dual cured composite resin system with integrated bond -25ml is for post cementation and core buildup -5ml post cementation, core build up and crowns, bridges, inlays and onlays |
