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Determining and Defining Endodontic Excellence        Access
Mb2               Move
 the
 mesial
 wallUltrasonic             Sybron
 Mini
 Endo             P5
 unit             BUC
 1             Carr
 tips
Trough the line
Trough the lineFissure/fusion line observed. Used MunceDiscovery Burs to trough and extendpreparation - the “line” became ...
#6 ‘C’-file to explore the “line” for MB2
After coronal shaping
DB1      DB1        DB2              DB1              DB2
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Endo access

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Endodontic Access

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Transcript of "Endo access"

  1. 1. Determining and Defining Endodontic Excellence Access
  2. 2. Mb2 Move
  3. 3.  the
  4. 4.  mesial
  5. 5.  wallUltrasonic Sybron
  6. 6.  Mini
  7. 7.  Endo P5
  8. 8.  unit BUC
  9. 9.  1 Carr
  10. 10.  tips
  11. 11. Trough the line
  12. 12. Trough the lineFissure/fusion line observed. Used MunceDiscovery Burs to trough and extendpreparation - the “line” became visible.
  13. 13. #6 ‘C’-file to explore the “line” for MB2
  14. 14. After coronal shaping
  15. 15. DB1 DB1 DB2 DB1 DB2
  16. 16. Nor does it understand single file endo Nature is not beholden toinsuraDB2nce codes
  17. 17. Micro-etch the floorcontinuously duringaccess preparation -satinize it - it ensuresmaximum optics anddifferentiation - theorientation of the MB2is within limits -MESIAL
  18. 18. Mandibular Molars
  19. 19. Middle Mesial Canal 1 - 15% of cases
  20. 20. Access is about the radicular area of the root canal space,not simply geing into the canal, no maer how elastic a file,it can’t go where it won’t fit
  21. 21. Off axis orientationmandates crown downapproach - glide path -large to small tapers,small to large tip size -NEVER rush withnickel-titanium - nomaer the design, nomaer the brand, nomaer the metallurgy,their super-elasticityhas limits
  22. 22. One file cannot possibly doall canal systems...it’s a dangerous andslippery slope... There is noreason 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 with onechisel...
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