Endo access
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Endodontic Access

Endodontic Access

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Endo access Endo access Presentation Transcript

  • 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 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 the MB2is 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 a file,it can’t go where it won’t fit
  • 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
  • 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...