Phases of the endodontic treatment
Diagnosis Consideration
Removal of carious dentin,old fillings, built up the clinical crown or reduction of cusps
Local anaesthesia
Dry operating field
Access to the pulp chamber
Root canal shaping
Root canal cleaning
Root canal filling
Xray
Postendodontic treatment
2
Access - opening of the pulp chamber
Round Burs
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9
Preparation of the endodontic cavity -facilitating form
Dia trepan
Instruments with safe ended tips), Acc. to Batt
Fissure burs
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11
Root canal access
	
	ii II11 b II
t Endodontic probes Microopeners	
Ultrasound
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12
Opening of the root canal orifices
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Peeso-Largo burs
13
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14
Gates - Glidden:
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15
CZ22
Gates — Glidden: r Tupá, neaktivní vodící špička Naprogramované místo zlomu ___________
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CZ23
X-GATES
Velikost hrotu : / Gates 1
/
Místo zlomu
Maximální průměr - Gates 4
Dřík: Gates 3
Nalezení a rozšíření vstupu do kořenových kanálků
Extraction of the content of the root canal - exstirpation
Pulpextraktor - made of soft wire
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> Rotation and exstirpation!
3
Canal shaping
> Reamers
> Files
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lenka.roubalikova@tiscali.cz
Reamer
Cuting edges
Space for chips
Clockwise rotation
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Files
1. K-file
2. K-flexofile, flexicut, flex-R - file
3. K-flex
4. H-file, S-file
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K file
K-file
Filing and (or) rotation
Straight canals 45° - 90°)
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ISO norma
> Diameter
> Length of the cutting part
> Taper
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06 pink
08 gray 10 purple
15 white 45 white
20 yellow 50 yellow
25 red 55 red
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42
Taper 4%
2
0,06mm na 1 mm
45
Instrumentation
Rotace tam a zpět — 45°
K - reamer
K- file
Instrumentation
Rotation
K - reamer
K- file
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Instrumentation
Filing
H- file
K - file
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Instrumentation
Ttechnika balancované síly — nástroj o 1 číslo větší než apikální velikost
K- flexofile
K - file (?)
180-270c
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49
Reaming
Simple clockwise rotation
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50
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51
Circumferential filing
Introduction of th root canal instrument root canal. Pull motion - action.
Staying in contact with the root canal wall Rotate without any action Go in and pull with action.
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52
Balance forced technique
Go into the root canal rotating clockwise
90-180°
Until the contact
Slight pressure and rotate
Contraclockwise 270°
Pull out the instrument rotating clockwise again
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