clinical endodontic tips and tricks

1. ENDODONTIC
TIPS & TRICKS

3. Hint No.1
 Diagnosis
 Bad oral hygiene vs good O.H

4. Hint No.2 anaethesia
nerve block upper
Palatal anaethesis
Intral pulpal
Intralegamental
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5. Hint NO 3. access cavity
 Round bur
 Anatomy
 Conserve cavity
 Dust motion
 Map lines

7. Hint no 4.canal
negotiaition
 Reamer first (low resistance ,more tactile
sensation)
 Donot skip size
 Never file a dry canal
 Recap
 Curved canal maximum #25 k file
 No filling motion at full length (only quarter turn)
 Conserve vs flaring

9. Hint NO 5 .Irrigation
 Vital and non vital pulp start with ?
 Donot use NaOcl at first with vital pulp cause clogging of pulp,
use EDTA
 Donot use NAOCL with pus –clogging start with saline
 Start with NaoCl in non vital—dissolve tissue remenants
 Mix of chlorohexidine and H2o2
 Mix of h2o2 and Naocl
 Hot Naocl
 Antibiotic injection
 Small gauge syringe
 passive irrigation
 End with?
To dry the canal

11. Medication between visits
 No rubber dam
 Donot leave ts cavity opened
 Maximum time for temporary
restoration is 7 days
 Diluted irrigation without distilled water
 perio endo
 Same irrigatiion syringe every visit
 Same syringe for all canals
 Low pt resistance

12. Hint no 6 – Obturation
 Master cone minimum #
 Master cone xray
 One cone vs multiple (vital ,non vital ,small
or large canal)
 Lateral condensation technique
 Sealer (Granulotech)
 ZOE + antibiotic powder
 Vertical plugger
 Remove all gutta percha at pulp chamber (act as acussion under
rest)
 Remove all remenant sealer with bur not cotton(filling union)