Endo

Front 1

Step 1: DIAGNOSIS

Back 1

Endo Ice

- Refrigerant spray used to diagnose pulpal health.

- Applied with a cotton pellet.

- Sold in 6oz can.

Front 2

Step 2: Isolation

Back 2

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"

Front 3

Step 2a: Isolation with clamps or wedjets

Back 3

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

Front 4

Step 3: Access

Back 4

Use rotary bur to access the pulpal chamber and then use an orifice opener to flare the coronal portion of the tooth.

Front 5

Step 4: Locate apex/ apical constriction

Back 5

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

Front 6

Step 5: Canal Preparation

Back 6

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

Front 7

Canal Preparation continued

Back 7

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

Front 8

Canal Preparation continued

Back 8

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

Front 9

Step 6: Irrigation

Back 9

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 wetting 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 disinfection.

1) Canal Pro NaOCl- Sodium hypo-chloride (bleach) is used to flush the canal and disinfect - flush with sterile water and blot with paper points in between each step

2) Canal Pro EDTA 17% is used next to remove the smear layer and open up the tubules to allow for better adhesion of the sealer and obturator materials

3) Canal Pro CHX 2%- chlorhexidine is used as a final step to thoroughly disinfect canal with long lasting results

*All 3 irrigation liquids can be used with the Canal Pro color-coded syringes and syringe station

Promo- Endo bulk buyer's program- if you buy $500 worth of endo products, including 4 bottles EDTA, bleach or CHX, you get a free syringe station

Accessories:

Canal Pro Syringe Station

Canal Pro Color Syringes

Front 10

Step 7: Drying

Back 10

Hygenic brand paper points and greater taper paper points are used to thoroughly dry the canal to ensure adhesion of sealer and gutta percha.

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.

Front 11

Step 8: Medicamentaton

Back 11

If there is still some infection in the canal that needs to heal, medication will need to be applied before the root canal can be completed.

Hygenic Calcium Hydroxide Plus Points ensure that medicine is applied to working length.

- easy to use

- no mess- time efficient

- no mixing required

Front 12

Step 9: Sealer

Back 12

Coltosol F

- A self curing temporary sealer.

- 2 hour cure time

- Radiopaque

DualTemp

- dual curing temporary sealer sets immediately

- radiopaque

- comes in a 5ml syringe

- contains zinc-oxide which helps with healing

Front 13

Step 10: Obturation

Back 13

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

Front 14

Obturation continued

Back 14

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

Front 15

Step 11: Restoration

Back 15

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.

Front 16

Step 12: Restoration (casting)

Back 16

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