Endo
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Transcript

  • 1. Determining and Defining Endodontic Excellence Access
  • 2. Mb2 Move
  • 3.   the
  • 4.   mesial
  • 5.   wallUltrasonic Sybron
  • 6.   Mini
  • 7.   Endo P5
  • 8.   unit BUC
  • 9.   1 Carr
  • 10.   tips
  • 11. Trough the line
  • 12. Trough the lineFissure/fusion line observed. Used MunceDiscovery Burs to trough and extendpreparation - the “line” became visible.
  • 13. #6 ‘C’-file to explore the “line” for MB2
  • 14. After coronal shaping
  • 15. DB1 DB1 DB2 DB1 DB2
  • 16. Nor does it understand single file endo Nature is not beholden toinsuraDB2nce codes
  • 17. Micro-etch the floorcontinuously duringaccess preparation -satinize it - it ensuresmaximum optics anddifferentiation - theorientation of theMB2 is within limits -MESIAL
  • 18. Mandibular Molars
  • 19. Middle Mesial Canal 1 - 15% of cases
  • 20. Access is about the radicular area of the root canal space,not simply geing into the canal, no maer how elastic afile, it can’t go where it won’t fit
  • 21. Off axis orientationmandates crowndown approach - glidepath - large to smalltapers, small to largetip size - NEVER rushwith nickel-titanium -no maer the design,no maer the brand,no maer themetallurgy, theirsuper-elasticity haslimits
  • 22. One file cannot possiblydo all canal systems...it’s a dangerous andslippery slope... There isno reason to rush tojudgment, took the toothyears to calcify, you needto soften, debride,disinfect - shape is but acomponent of the finalresult - Michaelangelo didnot care the Piata withone chisel...
  • 23. Working Length
  • 24. Constriction Dilaceration Dr. R. Walton
  • 25. Apical ramifications are myriad - to marke thesuggestion that one file alone can do everyonecanal is disingenuous at and solipsistic at it’s mostvenal 26
  • 26. Radiographic Terminus is deceptive Ovoid
  • 27. Working Length
  • 28. Elements Diagnostic Unit 20 out of 24 were at 0.5mmDr. J. Vera
  • 29. Down to ‘0.0’: “patency”
  • 30. Up to ‘0.5’: “WL”
  • 31. Elements Diagnostic Unit 20 out of 22 were at 0.5mmDr. J. Vera
  • 32. Radiographic ConfirmationConfirm thelength(s) witha radiograph#20 hand file to WL(glide path)!!!!!!!!!!!!