Endo Instrumentation

7/31/2019 Endo Instrumentation

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• Endodontics is the branch ofDentistry that deals with the

diagnosis and treatment of

pulpal and periradicular diseases.

• Root canal therapy or RCT

• Usually, the last resort for a

tooth before extraction is

considered.



























• Access Preparation

• Biomechanical

Instrumentation

• Change Dressing

•

Obturation
























• Biomechanical

Instrumentation

• Change Dressing

•

Obturation







• For Pain Control

• For Tooth Isolation

• Hand instruments

• For Intra-oral Medication

• For Sealing















• For Sealing







• Rubber Dam is important for isolation.• Isolation of tooth from saliva.

• Isolation of tissues from irrigating

solutions and instruments.

• It prevents aspiration (swallowing) of

materials and instruments.

• It prevents overly talkative patients from

talking.• CON: Hassle in placement thus not

frequently used (especially Philippines)







• Rubber Dam

• Rubber Dam Puncher

• Rubber Dam Forcep

• Rubber Dam Clamp

• Rubber Dam Frame





• Rubber Dam













• Rubber Dam











• Rubber Dam















• Rubber Dam















• For Sealing



• Endo Explorer

•

Endo Excavator• Locking Cotton Pliers













• Endo Explorer

•

Endo Excavator• Locking Cotton Pliers













• Endo Explorer

• Endo Excavator

• Locking Cotton Pliers









• For Pain Control• For Tooth Isolation

• Hand instruments• For Intra-oral Medication

• For Sealing









• For Pain Control• For Tooth Isolation

• Hand instruments• For Intra-oral Medication

• For Sealing



Fermin , Cavit






• BiomechanicalInstrumentation

• Change Dressing

• Obturation



• For Pain Control• Hand Instruments

• For Cleaning the canal

• For Irrigating

• For Determination of Length

• For Intraoral Medicament• For Sealing











•For Pain Control

• Hand Instruments


• For Irrigating





• Endo Explorer

• Endo Excavator

• Locking Cotton Pliers



•For Pain Control

• Hand Instruments


• For Irrigating











• Hand Files• Gates Glidden

•

Peeso Reamers• Nerve Broaches

• File Stand

• Rotary Handpiece (e.g. M4)





15 , 45

25 , 55

30, 60

35 , 70

40 , 80

20 , 50











•# 6 = pink

•

#8 = gray•#10 = violet

•#12 = orange





































•

For Pain Control• Hand Instruments


• For Irrigating





•Irrigating Solution

• Irrigating Syringe

•

Syringe for Aspirating• Paper Points















•



• For Irrigating





•

X-ray!!!





•



• For Irrigating





•Intraoral Medicament (e.g.pulpomixine, septomixine,

calcium hydroxide)

• Lentulo









•



• For Irrigating





Fermin , Cavit,

IRM





• Change Dressing

• Obturation





•



• For Irrigating





• Endo Explorer

• Endo Excavator

• Locking CottonPliers

•Hand Files

• Nerve Broach

• Gates Glidden

• Peeso Reamer

• Rotary Instruments

• Irrigating Syringe

• Irrigating Solution

• Syringe forAspiration

• Paper Points

•Intraoral Medicament

• Lentulo

• TemporaryRestoration

• OLD Xray





• Change Dressing

• Obturation







•



• For Irrigating





• Endo Explorer

• Endo Excavator

• Locking Cotton Plier



•

Hand Files• Gates Glidden

•

Peeso Reamers• Nerve Broaches

• File Stand

• Rotary Handpiece (e.g. M4)



•

Irrigating Solution• Irrigating Syringe

•

Syringe for Aspirating• Paper Points



• Gutta percha

• Root Canal Sealer

•

Glass Slab with Cement Spatula• Gauze

• Alcohol lamp with Lighter

•

Endo Spreader• Endo Plugger

• Zinc Phosphate









•The gutta perchathat corresponds to

the biggest filesize that goes into

whole length of thecanal







• Gutta percha


•

Glass Slab with Cement Spatula• Gauze

• Alcohol lamp with Lighter

•

Endo Spreader• Endo Plugger

• Zinc Phosphate











• Gutta percha


• Glass Slab with Cement Spatula

• Gauze• Alcohol lamp with Lighter

• Endo Spreader

• Endo Plugger• Zinc Phosphate





• Gutta percha




• Endo Spreader






• Gutta percha




• Endo Spreader




• Finger Spreader and Finger

Plugger

• Long-Handled Endo Spreader

and Long-Handled Endo

Plugger





















• Gutta percha




• Endo Spreader






•Final Restoration: – Composite restoration

– Crown – Post and Core W/ Crown







Different Kinds of Post



• Preformed:1. metal

2. esthetic : fiber glass and polyethylene

are mostly transparent so as totransmit light to the end of the

canal to ensure the total curing of

the resin cement• Casted
















• A. Preformed:1. metal


are mostly transparent so asto transmit light to the end of

the canal to ensure the total

curing of the resin cementB. Casted post












• A. Preformed:1. metal


are mostly transparent so asto transmit light to the end of

the canal to ensure the total

curing of the resin cementB. Casted post









Clinical Procedures in

Making Post and Core Restoration

Instruments and Materials



• X-ray

• Peeso Reamers and files

•

Post• Irrigating Syringe w/ Solution

• BETADINE and gauze

• Cement (Mixing pad, spatula, lentulo)



































What cement is recommended?

1. Resin Cement



1. Resin Cement

a. Does not expand after setting so less rootbreakage (no stress)

b. It can be bonded to the tooth tissue (esp.esthetic post)

2. Re-inforced GI Cement whose expansion isdecreased (vs ordinary GI)resin in the component.

Do Not Use



• Zinc Phosphate cement

• Polycarboxylate cement

• Glass Ionomer cement

* The above mentioned will expand

while setting













































Bottom Line…





Endo Instrumentation

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