Endodontics…Dr. Ashraf RefaiBDS MSc DD HMDLecturer of EndodonticsAl-Azhar University / MIU
Endodontics…EndodonticsWhat is it About?
EndodonticsEndodontics…ISA branch of dentistry
Concerned with the:MorphologyPhysiologyPathologyPulp & Periradicular tissues
EndodonticsAnother Definition…It is the study and practice of the:Biology of the normal pulpEtiologyDiagnosisPreventionTreatment of diseases and injuries OFThe pulp and periradicular conditions
EndodonticsWhat will we be learning…HISTOLOGY AND PHYSIOLOGY OF THE DENTAL PULP
MICROBIOLOGY OF ENDODONTICS
PULP & PERIRADICULAR LESIONS
DIAGNOSTIC PROCEDURES
DAGNOSIS AND TREATMENT OF DENTAL PAIN
ENDODONTIC CAVITY PREPARATION
OBTURATION OF THE RADICULAR SPACE
ENDODONTIC SURGERY
RE-TREATMENT
TRAUMATIC INJURIES
BLEACHING OF DISCOLOURED TEETH
PEDIATRIC ENDODONTICS
PHARMACOLOGY OF ENDODONTICS
RESTORATION OF THE ENDODONTICALLY TREATED TEETHEndodonticsSources & ResourcesSources & References:Techinical Endodontics’ Professor Dr. HossamTawfik‘Practical Endodontics’ Walton & TorbindejadWebsite:www.arefai.edublogs.org
Pulp Space Morphology & Coronal Cavity Preparation
Terminologypulp space morphology & coronal cavity preparation‘تعالو الى كلمة سواء بينانا و بينكم‘Pulp space ‘Cavity’
Pulp chamber
Pulp horn
Root canal
Apical foramen
Location
Percentage (17%-46%)
Accessory or Lateral canals
Location
Causes (3 causes)pulp space morphology & coronal cavity preparation
Terminologypulp space morphology & coronal cavity preparationCanal Types
Canal ConfigurationsClass IClass IIClass III
Question #1:pulp space morphology & coronal cavity preparationThe pulp is diseased the patient is in pain what do you do next?
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationCoronal Cavity Preparation (Access Cavity)Radicular Cavity Preparation (Cleaning & Shaping)Outline formConvenience formComplete removal of caries & old fillingsToilet of the cavity
Message of the Day…pulp space morphology & coronal cavity preparationSLA
Objectives of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationStraight line access (SLA) to apical foramen or to the initial curvature of the canalTo locate all root canal orificesTo conserve sound tooth structure
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationOutline formSize of the pulp chamberShape of the pulp chamberNumber, position & curvatures of the root canals
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationOutline formSize of the pulp chamber?
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationOutline formShape of the pulp chamber
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationOutline formNumber, position & curvatures of the pulp chamber
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationConvenience formUnobstructed access to the canal orificeDirect access to the apical curvatureComplete authority over enlarging instrumentsExtension to accommodate for filling techniques
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationComplete removal of caries & old fillings:IT IS NOT OPTIONAL TO REMOVE CARIESREMOVE IT!!!Why? 3 Reasons
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationToilet of the cavity:The rule isAs much as you canAs many times as you canWhy? 3 Reasons
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationCoronal Cavity Preparation (Access Cavity)Radicular Cavity Preparation (Cleaning & Shaping)Outline formConvenience formComplete removal of caries & old fillingsToilet of the cavity
Question #2:pulp space morphology & coronal cavity preparationWe know how to get into the pulp but what is missing?
Principles of Coronal Cavity Preparationpulp space morphology & coronal cavity preparationYou will never get from point A to point B consistently without a map        Point A							 Point B
Pulp Space Morphology of Anterior Teethpulp space morphology & coronal cavity preparationUpper Central IncisorAverage Length: 23 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
Pulp Space Morphology of Anterior Teethpulp space morphology & coronal cavity preparationUpper Lateral IncisorAverage Length: 22.5 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: Distal, StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
Pulp Space Morphology of Anterior Teethpulp space morphology & coronal cavity preparationUpper CanineAverage Length: 26 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: Straight, DistalLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
Pulp Space Morphology of Anterior Teethpulp space morphology & coronal cavity preparationLower Central & Lateral IncisorAverage Length: 21 mmRoot Number & Form: 1Canal Types: Type I	60%	           Type II	30%	           Type III	10%	Common Curvatures: Straight, DistalLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
Pulp Space Morphology of Anterior Teethpulp space morphology & coronal cavity preparationLower CanineAverage Length: 25 mmRoot Number & Form: 1Canal Types: Type I		94%	           Type II or III	6%Common Curvatures: StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
Steps of Cavity Preparation for Anterior Teethpulp space morphology & coronal cavity preparation
errors during Cavity Preparation of Anterior Teethpulp space morphology & coronal cavity preparationGougingGougingPerforationDiscolorationNarrow Access
pulp space morphology & coronal cavity preparationRevision of Anterior teeth

Endodontics

  • 1.
    Endodontics…Dr. Ashraf RefaiBDSMSc DD HMDLecturer of EndodonticsAl-Azhar University / MIU
  • 2.
  • 3.
  • 4.
  • 5.
    EndodonticsAnother Definition…It isthe study and practice of the:Biology of the normal pulpEtiologyDiagnosisPreventionTreatment of diseases and injuries OFThe pulp and periradicular conditions
  • 6.
    EndodonticsWhat will webe learning…HISTOLOGY AND PHYSIOLOGY OF THE DENTAL PULP
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
    OBTURATION OF THERADICULAR SPACE
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
    RESTORATION OF THEENDODONTICALLY TREATED TEETHEndodonticsSources & ResourcesSources & References:Techinical Endodontics’ Professor Dr. HossamTawfik‘Practical Endodontics’ Walton & TorbindejadWebsite:www.arefai.edublogs.org
  • 20.
    Pulp Space Morphology& Coronal Cavity Preparation
  • 21.
    Terminologypulp space morphology& coronal cavity preparation‘تعالو الى كلمة سواء بينانا و بينكم‘Pulp space ‘Cavity’
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
    Causes (3 causes)pulpspace morphology & coronal cavity preparation
  • 31.
    Terminologypulp space morphology& coronal cavity preparationCanal Types
  • 32.
  • 33.
    Question #1:pulp spacemorphology & coronal cavity preparationThe pulp is diseased the patient is in pain what do you do next?
  • 34.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationCoronal Cavity Preparation (Access Cavity)Radicular Cavity Preparation (Cleaning & Shaping)Outline formConvenience formComplete removal of caries & old fillingsToilet of the cavity
  • 35.
    Message of theDay…pulp space morphology & coronal cavity preparationSLA
  • 36.
    Objectives of CoronalCavity Preparationpulp space morphology & coronal cavity preparationStraight line access (SLA) to apical foramen or to the initial curvature of the canalTo locate all root canal orificesTo conserve sound tooth structure
  • 37.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationOutline formSize of the pulp chamberShape of the pulp chamberNumber, position & curvatures of the root canals
  • 38.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationOutline formSize of the pulp chamber?
  • 39.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationOutline formShape of the pulp chamber
  • 40.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationOutline formNumber, position & curvatures of the pulp chamber
  • 41.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationConvenience formUnobstructed access to the canal orificeDirect access to the apical curvatureComplete authority over enlarging instrumentsExtension to accommodate for filling techniques
  • 42.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationComplete removal of caries & old fillings:IT IS NOT OPTIONAL TO REMOVE CARIESREMOVE IT!!!Why? 3 Reasons
  • 43.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationToilet of the cavity:The rule isAs much as you canAs many times as you canWhy? 3 Reasons
  • 44.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationCoronal Cavity Preparation (Access Cavity)Radicular Cavity Preparation (Cleaning & Shaping)Outline formConvenience formComplete removal of caries & old fillingsToilet of the cavity
  • 45.
    Question #2:pulp spacemorphology & coronal cavity preparationWe know how to get into the pulp but what is missing?
  • 46.
    Principles of CoronalCavity Preparationpulp space morphology & coronal cavity preparationYou will never get from point A to point B consistently without a map Point A Point B
  • 47.
    Pulp Space Morphologyof Anterior Teethpulp space morphology & coronal cavity preparationUpper Central IncisorAverage Length: 23 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
  • 48.
    Pulp Space Morphologyof Anterior Teethpulp space morphology & coronal cavity preparationUpper Lateral IncisorAverage Length: 22.5 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: Distal, StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
  • 49.
    Pulp Space Morphologyof Anterior Teethpulp space morphology & coronal cavity preparationUpper CanineAverage Length: 26 mmRoot Number & Form: 1Canal Types: Type ICommon Curvatures: Straight, DistalLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
  • 50.
    Pulp Space Morphologyof Anterior Teethpulp space morphology & coronal cavity preparationLower Central & Lateral IncisorAverage Length: 21 mmRoot Number & Form: 1Canal Types: Type I 60% Type II 30% Type III 10% Common Curvatures: Straight, DistalLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
  • 51.
    Pulp Space Morphologyof Anterior Teethpulp space morphology & coronal cavity preparationLower CanineAverage Length: 25 mmRoot Number & Form: 1Canal Types: Type I 94% Type II or III 6%Common Curvatures: StraightLabio-Lingual sectionMesio-Distal sectionCross-SectionsOutline form
  • 52.
    Steps of CavityPreparation for Anterior Teethpulp space morphology & coronal cavity preparation
  • 53.
    errors during CavityPreparation of Anterior Teethpulp space morphology & coronal cavity preparationGougingGougingPerforationDiscolorationNarrow Access
  • 54.
    pulp space morphology& coronal cavity preparationRevision of Anterior teeth