logoedu_0.tmp C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg RETREATMENT C:\Documents and Settings\NobsD.DENTSPLY_MA\Local Settings\Temporary Internet Files\Content.IE5\U62ILR9P\j0434810[1].png CONTINUING EDUCATION CLINICAL EDUCATION RETREATMENT LOGO-pos C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp CONTINUING EDUCATION CLINICAL EDUCATION % Inadequate trt % Failures (LEO) Eckerbom et al. (1987) Sweden 75 26,4 Eriksen et al. (1988) Norway 59 34 Odesjö et al. (1990) Sweden 70 24,5 Imfeld (1991) Switzerland 64 31 Hülsmann et al. (1991) Germany 62 60 De Cleen et al. (1993) Holland 50,9 39,2 Städler et al. (1993) Austria 57,8 25,9 Buckley et Spangberg (1995) USA 58 31,3 Marques et al. (1998) Portugal 53,8 21,7 Boucher et al (2001) France 79 63 Quality of Endodontic Treatments ProTaper Universal Retreatment ProTaper « D » D1 D2 D3 30–9% 25–8% 20–7% 16mm 18mm 22mm ProTaper « D » Decreasing Taper ConicitéVariableDécroissante Pyramides ProTaper D1 Active Tip : allows better initial penetration in the material 30 Retreatment D1 Active Tip Retreatment Sequence LOGO-pos logoedu_0.tmp C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg If Insoluble resins If Soluble Pastes Ultrasonics RETREATMENT If Gutta Percha ProTaper D No Solvent Solvent + ProTaper D D1 FlaconDMSIV Use D1 with an in-and-out motion. In case of blockage, do not force take an X-Ray. Use DMS 4 to softened Gutta D2 Use D2 with an in-and-out motion In case of blockage, don’t force. take an X-Ray. If there is still material in the canal, move to D3 D3 Use D3 with an in-and-out motion In case of blockade, don’t force. take an X-Ray. If there is still material in the canal or a ledge use a C+ file MésialC+1015préButée Bypass the ledge with precurved C+ files size 08, 10 or 15 18mm length Lime15Apex Check patency of the apical area and determine Working Length With Stainless Steel Hand File Size 15 MésialS1LT Shape at Working Length S1 S2 F1 D1distalBlanc FlaconDMSIV D1 D2distalBlanc D2 Use C+ Files in the last mm of the canal to avoid debris extrusion D3distalBlanc D3 Additional Shaping at Working Length If needed F2,F3… treat_rotatif retreat_rotatif seq_treat_manuel PROTAPER Sequencer For better ergonomy C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp Posts Removal & Broken Instruments Removal CONTINUING EDUCATION CLINICAL EDUCATION ProUltra.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\ProUltra pictures Dentsply Maillefer\Inst.Endo.jpg D:\Sauvegardes 13. 5. 2002\Bailly 208 Pro ultra\Endo_a1.jpg D:\Sauvegardes 13. 5. 2002\Bailly 208 Pro ultra\Endo_a2.jpg Abrasive coated instruments Titanium instruments ENDO1 ENDO2 ENDO3 ENDO4 ENDO5 ENDO6 ENDO7 ENDO8 17 mm 17 mm 18 mm 20 mm 24 mm 20 mm 24 mm 27 mm ProUltra.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image03.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image04.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image07.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image08.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image09.jpg Broken Instruments Removal N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image11.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image12.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Instrument removal\Image10.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image06.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image07.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image08.jpg Posts Removal N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image11.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image10.jpg N:\DM_Marketing\5-MARKETING PRODUITS\A-ENDO\A5 - Ultrasonic\ProUltra\Images\ProUltra Endo\Pictures Dr Cliff Ruddle\Post removal\Image09.jpg Nouvelle image.PNG 5 tips for access cavity refinement and canal orifice location • • C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp CONTINUING EDUCATION CLINICAL EDUCATION qSpecific design → suitable for working efficiently both on the top and on the sides of the metal post • qWater port → avoids over heating Ø Insert2.JPG Boite+SachetBlanc ProRoot MTA MINERAL TRIOXIDE AGGREGATE white C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg logoedu_0.tmp C:\Documents and Settings\NobsD.DENTSPLY_MA\Mes documents\Logo Maillefer\Logo quadri ombré.jpg Boite+SachetBlanc ProRoot MTA PHYSICAL & CHEMICAL PROPERTIES - pH 12,5 - WORKING TIME 5 min. - SETTING TIME 4 h. - R. COMPRESSION 67,3 MPa (Amalgam : 311,1 Mpa) - RADIO OPACITY < Amalgam > IRM et Super EBA Boite+SachetBlanc The two main properties of ProRoot MTA SEALING ABILITY BIOCOMPATIBILITY ProRoot MTA INDICATIONS PERFORATION REPAIR PULP CAPPING APEXIFICATION (Apical Plug) ROOT-END FILLING MATERIAL ProRoot MTA For Perforation Repair Lee et al. 1993 Holland et al. 2001 Nakata et al. 1998 Pitt Ford et al. 1995 BatagliaPreOp copie MTA GUN Fig4-3e KitMTAGunBlanc MTAGun CondensationMTA BatagliaPostOp copie Bataglia2ans copie ApexificationJim3 ProRoot MTA For Apexification (Apical Plugs) Shahabang et al. 1999 Simon et al. 2007 Felippe et al. 2006 Hachmeister et al. 2001 Tittle et al. 1996 Shahabang et al. J Endodon 1999 A comparative study of root-end induction using osteogenic Protein-1, calcium hydroxide and Mineral Trioxide Aggregate in dogs. Shahabang et al. J Endodon 1999 ; 25 : 1-5. % of roots with apical closure PeillotPreOp1 Boite+SachetBlanc PaillotPostOp 1an