Endo

Determining and Defining Endodontic Excellence Access

Mb2 Move

mesial

wallUltrasonic Sybron

Endo P5

unit BUC

1 Carr

Trough the line

Trough the lineFissure/fusion line observed. Used MunceDiscovery Burs to trough and extendpreparation - the “line” became visible.

#6 ‘C’-file to explore the “line” for MB2

After coronal shaping

DB1 DB1 DB2 DB1 DB2

Nor does it understand single file endo Nature is not beholden toinsuraDB2nce codes

Micro-etch the floorcontinuously duringaccess preparation -satinize it - it ensuresmaximum optics anddiﬀerentiation - theorientation of theMB2 is within limits -MESIAL

Mandibular Molars

Middle Mesial Canal 1 - 15% of cases

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

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

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...

Working Length

Constriction Dilaceration Dr. R. Walton

Apical ramifications are myriad - to marke thesuggestion that one file alone can do everyonecanal is disingenuous at and solipsistic at it’s mostvenal 26

Radiographic Terminus is deceptive Ovoid

Working Length

Elements Diagnostic Unit 20 out of 24 were at 0.5mmDr. J. Vera

Down to ‘0.0’: “patency”

Up to ‘0.5’: “WL”

Elements Diagnostic Unit 20 out of 22 were at 0.5mmDr. J. Vera

Radiographic ConfirmationConfirm thelength(s) witha radiograph#20 hand file to WL(glide path)!!!!!!!!!!!!

Endo

by Dr. Kenneth Serota Endodontic Solutions on Jun 08, 2012

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