Procedure 44-1 Assisting With Endodontic Procedure

Front 1

equipment and supplied needed

Back 1

mouth mirror, cotton pliers, explorer, anestetic, rubber dam, saliva ejector, air/water syringe, hve tip, slow speed handpiece #4 or #6 round burs, acrylic burs, discs, mandrels, broaches, files, reamers, endodontic spoon excavator, spreader and condensor, woodson, atriculating paper, floss, irrigating syringe and solution, bead sterilizer, butane torch, paper points, cotton pellets, medication, temporary filling material, endodontic ruler and stops, xray film, lead apron

Front 2

step 1

Back 2

pass mirror, explorer, and 2x2 gauze to dry the muccobuccal fold, then topical anesthetic, then pass syringe, then rinse area with the air/water syringe and aspirate excess water with HVE

Front 3

step 2

Back 3

place dental dam on the affected tooth, the dental assistant should inform the patient of the purpose of the dental dam.

Front 4

step 3

Back 4

the dentist creates an opening in the tooth with the high speed handpiece bur, the dental assistant should keep the rubber dam free of debris but be sure to stay out of the dentsits way.

Front 5

step 4

Back 5

dentist uses the slow speed hand piece and round bur to remove caries and to access the pulp chamber

Front 6

step six

Back 6

the dental assistant passes a barbed broach especially in the tooth has more than one root.

Front 7

step 7

Back 7

the dental assistant passes a #10 and a #15 reamer with stoppers to measure the length of each canal. the dental assistant exposes a radio graph so the dental assistant exposed radiograph so the dentist can measure the length of each canal with the file of the reamers in place.

Front 8

step 8

Back 8

the dental assistant passes additional files in progression until the proper width and length of the canal are achieved. lenth and size of the final file used should be recorded in the chart.

Front 9

step 9

Back 9

the dental assistant passes the irrigating syringe with the irrigating solution to the dentist. the dentist irrigates the canal and 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.

Front 10

step 10

Back 10

the dental assistant passes paper points with locking pliers and continues to pass paper points until the canal or canals are completely dry.

Front 11

step 11

Back 11

the dental assistant passes a cotton pellet containing medication to the dentist who places it in. the dentist then places a temporary filling material into the tooth or continues to obturate the canal and completes the root canal treatment in a tooth is severely infected the dentist may elect to hve the patient return at a later date to complete the endodontic therapy.

Front 12

step 12

Back 12

a master gutta percha point is selected that matches the width size of the last file used to each canal. the dental assistant exposes a radio graph to verify the proper length and seal

Front 13

step 13

Back 13

the dental assistant mixes the edndodontic sealer to a creamy consistency and passes it to the dentis 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

Front 14

step 14

Back 14

the dental assistant passes the endodontic spreader and the additional accessory gutta percha points and continues to pass the spreader and an additional point until each canal is filled

Front 15

step 15

Back 15

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.

Front 16

step 16

Back 16

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 he canal. the dental assistant ensures that the HVE tip aspirates any smoke and recieves the melted gutta percha from the dentist with a 2x2 gauze.

Front 17

step 17

Back 17

the dental assistant prepares the temporary filling material and passes the woodson. the dentists places the filling. the dental assistant passes a lightly dampened cotton applicator to the dentist who uses it to smooth the temporary restoration

Front 18

step 18

Back 18

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

Front 19

step 19

Back 19

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 a slow speed hand piece.

Front 20

step 20

Back 20

the dental assistant exposes a final radio graph and provides a post operative instructions to the patient.