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Endo Instrument & Sterilization
Objectives o To describe & recognize the various inst used during conventional RCT o To explain the funx of the instrument o To prepare these inst for use during trt by achieving a sterile condition Basic hand instrument: o Endo explorer To find canal orifice To prob to see if there is any undercut o Plastic filling instrument / Woodson Function To place temp filling material o Endo Spoon Excavator Shape Angulated, longer, & sharp Function To scoop out pulp, caries, debris o Other basic instrument Mouth mirror Endo-pliers / tweezers Perio prob Instrument tray Instrument for taking Radiographs o Film petitioners o Film holder Instrument & Material for Rubber Dam application o Rubber dam sheet For isolation o Template Used as a guide o Rubber Dam Punch Used to punch a hole in the RD o Rubber Dam Frame Nygaard-Ostby Circle w/ spikes Young’s frame Square w/ spikes o Rubber Damn Clamps Ant Post Universal o Rubber Dam Forceps Used to hold the clamps Instrument for access prep: o Excavabur dentsply o Endo access bur 2 in 1 o Endo-2 bur Non-end cutting o Diamendo Non-end cutting o LN bur o Gates Glidden Drills Long For ant Short For post Stainless steel Autoclavable Nickel titanium Flexable Used to Open orifice & enlarge the canal horizontally Action direction Outward Instrument for canal prep o Intercanal instrument files Material Stainless steel Less carbon 2% Replaced by chromium 12-24% Nickel titanium Smaller # More Flexible Bigger # Less flexible
Cross sectional H-file o Shape Rounded o Used to Open canal K-file NiTi Engine vs. Hand driven Hand driven Permits proper shaping of the canal Engine driven Less control Final prerp is done by hand filling Protaper Rotary Protaper hand o ISO-standardized file 4 length length of flutes is always 16 mm 21 25 28 31 Numbered 06, 08, 10 The thickness of the circumference of the tip 15-60 60-140 Color coded Pink 6 Grey 8 Violet 10 White 15 Yellow 20 Red 25 Blue 30 Green 35 Black 40 o Non-standardized file o Barbed broach