Endodontic Tips

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Published: Wednesday, 10 September 2014 08:20 Written by 

Tip #40

Removing a uniform amount of dentin circumferentially.

 
Stainless steel reamers have enough body to work effectively against all the canal walls removing a more or less uniform amount of dentin circumferentially.
 

19-04-2015 

 

 

Tip #39

Record curvatures

 
Stainless steel instruments in the configuration of reamers both unrelieved and relieved are both highly flexible and record curvatures as they negotiate through curved canals.
 

15-04-2015 

Tip #38

flowable epoxy resin cements

 
Highly flowable epoxy resin cements bond chemically and physically to the canal walls. They are best placed with a bidirectional spiral rotating in a slow speed handpiece always used a few mm short of the apex
 

11-04-2015 

obturationTip #37

The seal in the obturation

 
The seal in the obturation of canals is ultimately dependent upon the cement and not the gutta percha.


 

07-04-2015 

 

Tip #36

Avoid tapers greater than…

 
When canals are highly oval or sheath-like the goal is to remove the tissue in what are most often the buccal and lingual extensions while at the same time preserving dentin in the thinner mesio-distal dimension. This is best done with thin 02 tapered reamers unrelieved through a 10 and relieved with a flat along length from 15 onwards.


02-04-2015 

Tip #35

Oval or sheath-like root canals

 
When canals are highly oval or sheath-like the goal is to remove the tissue in what are most often the buccal and lingual extensions while at the same time preserving dentin in the thinner mesio-distal dimension. This is best done with thin 02 tapered reamers unrelieved through a 10 and relieved with a flat along length from 15 onwards.



29-03-2015

Tip #34

Preserving more tooth structure

 
When confined to 30º arcs of motion, the need for straight-line access is eliminated preserving more tooth structure and increasing its residual strength.


25-03-2015

Tip #33

02 tapered reamer

 

Each 02 tapered reamer used in the 30º reciprocating handpiece can widen a canal to a dimension larger than the next instrument making instrumentation rapid and effective


22-03-2015 

Tip #32

Highly flexible stainless steel reamers

 
Thin highly flexible stainless steel reamers oscillating in  a 30º reciprocating handpiece at 3000-4000 cycles per minute have the ability to open the canal to larger dimensions without creating distortions.

17-03-2015 

Tip #31

30º reciprocation 

 
virtually eliminates any concerns for instrument separation.

10-03-2015 

Tip #30

Better motion during cleaning and shaping the canal is….

 
Instruments that are used in rotation will drive more debris over the apex than instruments used in 30º reciprocation.

05-03-2015 

Tip #29

Reamers with a cutting tip

 
Use reamers with a cutting tip give the instrument the ability to separate tissue fibers during apical negotiation increasing its ability to reach the apex without impacting debris.

01-03-2015 

Tip #28

Reaching the apex

Reaching the apex is best done with the thinnest reamers available because they encounter the least engagement along length and therefore the least resistance.

22-02-2015 The benefits from reamers with cutting tip that is our next tip

Tip #27

Most important property a root canal cement

The most important property a root canal cement has is its ability to seal. All other properties are secondary. If it doesn’t do that adequately all other properties will not compensate

15-02-2015

Tip #26

Careful  anesthesia giving

Take at least one minute whenever you are giving anesthesia on the chance that you have entered a blood vessel. You don’t want to give a bolus of anesthesia within a short period of time.

08-02-2015 most important property a root canal cement has is the next tip 

Tip #25

Best chair position

Older patients like to be more upright in the chair

01-02-2015 Careful anesthesia giving is our next tip

Tip #24

History of fibrillation 

If a patient has a history of fibrillations it may be better not to give anesthetics with epinephrine.

25-01-2015 Best chair position for older patients

 Tip #23

Vertical Fracture

An intensive beam of light can show vertical fractures when it is applied to the external surfaces of the crown.

18-01-2015 WHistory of fibrillation means …. That’s next

 

Tip #22

Strip perforation

We always want to be aware that the furcal sides of many roots have concavities along their length making them vulnerable to strip perforation.

12-01-2015 What lighter dentin means, figure that out in the next endodontic tip

Tip #21

Buccal and Lingual extensions of pulp

It is important to reach all the thin buccal and lingual extensions of pulpal anatomy using thin vertically fluted instruments. Attempting to use K-files in such situations increases the chances of impacting debris.

31-12-2014 Be aware from furcal sides that’s next

Tip #20

Replacing instrument

Instruments used in 30º reciprocation are replaced because they become dull not because they are more prone to breakage.

22-12-2014 Why do we need grater tapered files that’s our next tip

Tip #19

Advantage of reciprocation

Instruments used in 30º reciprocation can most often be used many times before replacement.

18-12-2014 See then why do we rsplace them ???

Tip #18

Instrument separation factores

30º reciprocation virtually eliminates the two most important factors in instrument separation, namely torsional stress and cyclic fatigue.

11-12-2014 See Advantage of reciprocation, next

Tip #17

Safe canal shaping

The combination of instruments with fewer twists in their working length ( more flexible) and more vertically oriented flutes combined with short arcs of motion is the safest way to shape a canal.

08-12-2014 See factors increases instrument separation, next

Tip #16

Loss of canal length

Debris impaction is a major cause of loss of length, and attempting to regain loss of length due to debris impaction is a major cause of apical distortions

04-12-2014 How to shape tha canal safely is the next tip

Tip #15

Reamers VS K-files

Vertically fluted instruments that have a flat along their working length encounter less resistance as they negotiate apically. These instruments are called reamers as opposed to horizontally oriented instruments called K-files, beside Horizontally oriented flutes tend to impact debris when guided apically.

27-11-2014 See what reamers have  as an advantage over K-files , in the next tip 

Tip #14

Avoid canal stresses upon obturation

Use the bidirectional spiral to apply highly flowable epoxy resin cement when sealing a canal. With a well-coated canal, all that is needed for effective obturation is a single point in most cases that induce no further stresses in the roots.

24-11-2014 How to avoid stresses upon obturation , this is our next tip 

Tip #13

Shaving dentin effectively

Vertically fluted instruments will shave dentin away more efficiently when a watch winding motion is employed.

13-11-2014 Next tip is about shaving dentin effectively 

Tip #12

Good Canal Sealing

Use the bidirectional spiral to apply highly flowable epoxy resin cement when sealing a canal. With a well-coated canal, all that is needed for effective obturation is a single point in most cases that induce no further stresses in the roots.

10-11-2014 A success secret is good sealing, figure out how with the next tip

Tip #11

Instrument separation nightmare

Prevent instrument separation by switching to engines that generate 30º reciprocation rather than full rotations.

06-11-2014 Instrument separation nightmare gets over it with our next tip

Tip #10

Overcome calcified canals

Use reamers rather than K-files in gaining easier entry into highly calcified canals.

03-11-2014 Overcome calcified canals, is our next tip

Tip #9

Secondary dentin removal

Munce burs are a series of long shanked round burs that are quite useful in removing secondary dentin when faced with canals blocked by pulp stones gross calcifications.

27-10-2014 Don’t miss the next tip to know how to remove secondary dentin

Tip #8

Clamp to a broken tooth

If you are going to apply a clamp to a tooth that is broken down close to the gingiva, clamp a lot of gingiva rather than just a bit. The tissue will heal more rapidly and will be less likely to shrink back.

15-10-2014 Applying a clamp to a broken tooth is a nightmare; not really, figure it out with next tip

Tip #7

Pain under function

Apply a bite stick to each individual cusp of a tooth when attempting to find the cause of pain under function. A cusp with a horizontal fracture into sound dentin will produce pain upon the application of pressure. The fracture may be entirely within dentin and not expose the pulp.

9-10-2014 to find the cause of pain under function read the next tip

Tip #6

Pulp roof depth

In any tooth without significant occlusal wear, the roof of the pulp chamber is just about 7 mm deep as measured from the height of the cusps. Gain this depth rapidly when gaining access to the pulp chamber

29-9-2014 Simple tip can help you to avoid perforation that’s next

Tip #5

Easy canal drying

When drying canals, use a thin aspirator attached to central suction to remove the bulk of moisture. That way you will only need one paper point to dry each canal.

25-9-2014 For easy canal drying see our next tip

Tip #4

Supplements to mandibular blocks

The use of intraligamentary injections are effective supplements to mandibular blocks when the former does not hit the targets effectively. Check out the Peri-Press, an intraligamentary gun made in Italy.

22-9-2014 When mandibular block isn’t effective, to know what to do see our next tip

Tip #3

Safe injection

Aspirate when giving anesthesia. You never want to be in a blood vessel by accident.

18-9-2014 to know how to give a safe injection see our next tip

Tip #2

Short Vs long needle

When giving a mandibular block use a 30 gauge short rather than a 27 gauge long. It is long enough to reach the target site and will hurt less than thicker gauged needles. It has the additional advantage of letting our inject slower, something that is always a good thing.

15-9-2014 To know which needle to use see our next tip

Tip #1 

Mandibular block

When giving a mandibular block use carbocaine without epinephrine first. It is less acidic than xylocaine and will not produce burning sensation when injected. The second injection can be xylocaine and the patient will not feel it.

15-9-2014 To know which needle to use see our next tip

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