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Endodontic gadgets
The document summarizes recent trends in endodontic devices presented by Dr. Pooja Chaturvedi. It discusses advances in diagnostic tools like ultrasound Doppler and CBCT for improved diagnosis. Newer loupes and microscopes provide enhanced visualization during access and treatment. Devices like SAF and laser-activated irrigation improve cleaning of the root canal system. Modern apex locators incorporate humidity sensing for more precise working length determination. Motorized gutta percha delivery systems and new obturation units allow for faster, easier filling of the root canal space. Overall the trend is towards smaller, more ergonomic devices that enhance treatment outcomes while reducing radiation exposure or hand fatigue.
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Endodontic gadgets
- 1. RECENT TRENDS IN ENDODONTICGADGETS PRESENTED BY: DR. POOJA CHATURVEDI DEPARTMENT OF CONSERVATIVE DENTISTRY AND ENDODONTICS
- 2. CONTENTS • Diagnosis • Visualizationand Illumination • Access • Chemo-Mechnical Preparation • Obturation
- 3. “ ” A CORRECT DIAGNOSISIS THREE- FOURTHS THE REMEDY Mahatma Gandhi Vitality testing is an important aid in the diagnosis of pulp disease and apical periodontitis. If the pulp is deemed to be severely compromised as a result of the diagnostic testing, then endodontic treatment may be indicated. Various diagnostic modalities have been in use since decades but newer modalities of endodontic diagnosis have taken the center stage recently.
- 4. DIAGNOSTIC GADGETS • ULTRASOUNDDOPPLER OR COLOR POWER DOPPLER • CONE BEAM COMPUTED TOMOGRAPHY (CBCT)
- 5. • Color powerdoppler flowmetry allows the presence and direction of blood flow within the tissue of interest to be observed. • The intensity of doppler signal is represented by changes in real time on a graph (Doppler) and is also shown in the form of color spots on the gray scale image (color). Positive doppler shifts indicated by RED Negative doppler shifts indicated by BLUE
- 6. CONE BEAM COMPUTED TOMOGRAPHY •It is a new technique that produces 3D digital imaging at reduced cost with less radiation for the patient. • It delivers faster and easier acquisition. • The modality uses a cone beam instead of a fan shaped beam, acquiring images of the entire volume.
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- 9. VISUALIZATION AND ILLUMINATION •DENTAL LOUPES • MICROSCOPES
- 10. PRISMATIC LOUPES (WIDEFIELD LOUPES) • The newest advent to the visualisation of dental structures are the wide field loupes • These are 3 or 4 compound loupes and often of Keplerian design. • They have higher level of magnification and greater optical clarity which provide magnification upto 6X.
- 11. EyeMag Pro Loupes(Carl Ziess) It’s a Flip-up loupe system and generates a brilliant stereoscopic image Two systems are available: titanium eyeglass frame (F) and comfortable headband (S) Provides a magnification of upto 6.5X
- 12. MICROSCOPES Microscopes are availableas floor standing, wall or ceiling mounted units, depending on personal preferences and possible locations in the operatory.
- 13. OPMI pico from ZIESS MagnificationSystem: Manual apochromatic magnification changer Eyepiece: 10X wide field eyepiece with and without reticle 12.5X wide field eyepiece with reticle Handgrips: Comfort handgrips Front handgrips Illumination System: Halogen illumination and LED or Xenon illumination Focus: Varioscope 100, focusable working distance 200-300mm
- 14. Access cavity at10X magnifcation showing dentinal map a. Post obturation at 16X magnification b. Post obturation showing MB2 at16X magnification
- 15. • Mount mobility:MORA interface with or without 120 degree coupler • Suspension system: Ceiling mount, wall mount or support unit • Accessory option: 1. Integrated video camera: full HD (1080p); live streaming with recording licence and HD monitors 2. External video solutions: FlexioTM still adapter for digital cameras and FlexioMotionTM adapter for digital camcorders. 3. Asepsis: Splash protection for objective lens and vision guard drapes for sterile work environment.
- 16. ACCESS OPENING Electrically operatedhandpiece Dental handpieces are one of the most vital pillar systems in dental practice. In the recet years handpieces have become more efficient, ergonomic and user friendly.
- 17. NSK S-MAX pico •Developed for operation of minimal intervention. • The ultra mini head and super slim handpiece design is the result of fine NSK precision engineering, allowing a wider view of the operational field and greater flexibility for dexterity. DENTSPLY Midwest Stylus ATC • Includes two ground breaking technologies called the Speed Sensing Intelligence(SSI) and Superior Turbine Suspension (STS).
- 19. CHEMO-MECHANICAL PREPARATION APEX LOCATORS IRRIGATIONDEVICES ENDODONTIC MOTORS
- 20. APEX LOCATORS The newestaddition to the vast array of apex locators available in the market are the ones that feature the sixth generation. Adaptive Apex Locator continuously defines humidity of the canal and immediately adapt to dry or wet canal.
- 21. Measurements provides foreliminating the necessity of drying or moistening of the canal. It aims to achieve a high degree of precision in the presence of blood, or additionally imported liquid/ sodium hypochlorite while manipulating dry canals.
- 22. IRRIGATION DEVICES Photon inducedphotoacoustic streaming (PIPS) is based on the direct shock wave generated by Er:YAG laser in a liquid irrigant. The laser system is equipped with a fibreoptic delivery tip and subablative parameters to produce the desired effect.
- 23. 1. Access openingis done using a hard tissue laser 2. Canal preparation is done using minimal instrumentation 3. PIPS is used and cleaning is enhanced 4. Cleaning with SWEEPS mode and shock wave generation.
- 24. SELF ADJUSTING FILE(SAF) It is defined as a no pressure irrigation system with sonic activation and a scrubbing effect. This filing and irrigation method results in a clean canal surface, even in the cul-de-sac apical part of the canal, which is commonly considered the most difficult part of the canal to clean.
- 25. • The hollowdesign of SAF is used to provide a continuous flow of fresh sodium hypochlorite throughout the file operation. • The SAF is equipped with a rotating hub, to which a silicone tube is attached. • The other end of the tube is attached to the irrigation pump.
- 26. VATEA peristaltic pump isoperated by rechargeable battery Pump and all its connectors are compatible with any irrigating solution (sodium hypochlorite = 500ml) Control panel allows the operator to set the flow rate between 1 and 10 ml/min The typical recommended setting of flow rate is 4 ml/min This system thus brings about effective irrigant transfer, soft tissue debridement and removal of smear layer
- 27. ENDODONTIC MOTORS The latestadvancements in endodontic motors are the incorporation of endo motors with apex locators.
- 28. COMBINATION OF TRIAUTO MINI AND ROOT ZX • Compact, cordless endodontic handpiece • Automatic setting for ease of use. • The head is only 9 mm in diameter, making it easy to use and ideal for canal preparation • Eleven speed settings: 50, 100, 150, 200, 250, 300, 400, 500, 600, 800 and 1000 rpm
- 29. OBTURATION • Calamus • Elementsfree obturation system • System B cordless
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- 33. DOWNPACK • Downpack unitheats to 200 degree celcius in less than 0.5 sec and with an adjustable heating range of 100-400 degree celcius BACKFILL • Swiss motor and gear drive for exceptional performance • Motorised extrusion for less hand fatigue
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- 35. The fill unithandpiece allows for controlled extrusion of gutta percha The lightweight system B endodontic unit is perfect for single motion down pack and creating post space
- 36. CONCLUSION In the 21stcentury, as long as basic principles of endodontic therapy are followed, the equipment and tools need constant evolution with one step better than before to deliver enhanced treatment and better ergonomic outcomes.