Endodontic Procedure

Front 1

STEP 1

Back 1

DA passes mirror & explorer to Dr. Then pass 2x2 gauze. Then pass the anesthetic syringe. While the Dr. does that the DA rinses the area w/ air/water syringe & aspirates the excess water w/ HVE tip

Front 2

STEP 2

Back 2

The DA/Dr. places the rubber dam on the affected tooth. The DA should inform patient of the purpose of the dental dam & let them know if they have any questions/concerns, let the team know

Front 3

STEP 3

Back 3

The Dr. creates opening in tooth w/ handpiece & bur. The DA should keep the rubber dam free of debris.

Front 4

STEP 4

Back 4

The Dr. uses slow-speed handpiece & round bur to remove caries & access the pulp chamber. DA may quickly rinse area to improve Dr. vision

Front 5

STEP 5

Back 5

The Dr. will use the endo. spoon excavator to remove caries & endo. explorer to locate pulp chamber & canal openings

Front 6

STEP 6

Back 6

The DA passes barbed broach for the Dr. to remove pulpal tissues from within root canal. Possibly might need multiple broaches depending if the Dr. have more than 1 root canal

Front 7

STEP 7

Back 7

DA passes a #10 & #15 reamer w/ stoppers to measure the length of the canal. The DA exposes a radiograph so the Dr. can measure the length of the canal w/ a file or reamer. Radiograph is recorded in patients chart

Front 8

STEP 8

Back 8

DA passes additional files until proper width & length of canal are achieved. The size & length of final file is recorded in patients chart

Front 9

STEP 9

Back 9

DA passes irrigating syringe w/ irrigating solution to the Dr. The DA must keep tip of HVE very close to the tooth so the irrigating solution is not splashed around on the patient or dental team

Front 10

STEP 10

Back 10

DA passes paper points w/ locking cotton pliers & continues to pass paper points until the canal(s) are completely dry

Front 11

STEP 11

Back 11

DA passes small cotton pellet containing medication to the Dr.

Front 12

STEP 12

Back 12

A master gutta percha point is selected that matches the width size of the last file used. DA exposes a radiograph to verify the proper length & seal

Front 13

STEP 13

Back 13

DA mixes endo. sealer to creamy consistency & pass it to the Dr.

Front 14

STEP 14

Back 14

DA passes endo. spreader & additional accessory gutta percha points & continues to pass the spreader & points until each canal is full.

Front 15

STEP 15

Back 15

DA passes the endo. condenser & prepares the torch. DA holds some 2x2 gauze & holds HVE tip close to the tooth.

Front 16

STEP 16

Back 16

DA ensures that the HVE tip aspirates any smoke & receives the melted gutta percha from the Dr. w/ a 2x2 gauze

Front 17

STEP 17

Back 17

DA prepares the temporary filling material & passes the Woodson. The DA passes a lightly dampened cotton applicator to the Dr.

Front 18

STEP 18

Back 18

DA uses the HVE & air/water syringe to ensure that the rubber dam is rinsed free of debris. The dam is removed & the DA freshens the patients mouth by rinsing & aspirating.

Front 19

STEP 19

Back 19

DA dries the tooth & passes the articulating paper to the Dr.

Front 20

STEP 20

Back 20

DA exposes a final radiograph & provides postoperative instructions to the patient.