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Lab 491-Part II PDF
Lab 491-Part II PDF
:
1.
2.
3.
1.
2. (Access Opening, Open Canal: OC)
3. (Determination of Tooth Length: LT)
4. (Mechanical Instrumentation: MI)
5. (Irrigation: IR) (Intracanal Medication: Med)
(Temporary Filling, Seal Dressing in Pulp Chamber: SDP)
6. (Culture: CU)
7. (Trying of Main Cone: TMC)
8. (Filling root canal: FRC)
1. -
2. 80%
1
3.
4.
Sterile Technique
5.
6.
7.
(
)
- (Initial film)
- (LT film)
- (TMC film)
- (FRC film)
8.
1.
50%
10%
10%
10%
5%
sealer
5%
2. OC
15%
3. (Attitude)
5%
-
-
-
-
-
Teeth Preparation for Laboratory practice
:
1.
2.
3. (Initial film)
1. 5
:
- Mandibular incisor 1
- Maxillary molar 1
- Mandibular molar 1
:
- Maxillary incisor 1
- Mandibular premolar 1
2. 3
- Maxillary central incisor 1
- Maxillary first premolar 1
- Maxillary first molar 1
3. block
4. Stone
5. Pink wax
6. x-ray
1.
(< 20o) (
1-1)
1-1
green stone
2.
Maxillary incisor, Maxillary molar Mandibular molar palatal
lingual Maxillary premolar, Mandibular incisor Mandibular
premolar proximal ( 1-2)
1-2
- 4
1. (developing solution) 2. 3. (fixing
solution) 4.
-
( 1-3)
1-3
- ( )
( 20-40
)
-
30
- 1
(translucent)
0.5% sodium hypochlorite
10
3.
3.1 pink wax 2 3 x 2 x 2.5 . ( 1-4)
1-4
3.2 stone
2
(buccal)
- Maxillary molar, Mandibular molar ( )
- Maxillary incisor, Mandibular premolar ( )
stone pink wax stone
3.3
( 1-5)
1-5
4. (Dentoform)
mandibular incisor 3
( 1-6) PKT pink wax
wax
1-6
5.
(initial film) dentoform
-
-
-
Rubber Dam Application
1.
2.
3.
1. (Protection)
hand instrument
2. (Efficiency)
-
-
- mouth mirror
-
-
-
-
3. (Cross-infection risk)
AIDS, Tuberculosis, Hepatitis
4. (Legal considerations)
1. (Rubber dam sheet)
5 X 5 6 X 6
6X6
5X5
clamp
5. Notch: wing
6. Perforation: 2 rubber dam forceps
4. Rubber dam punch
rubber dam 5-6
0.5 2.5 .
10
7. Tucking instrument
plastic instrument spoon excavator rubber dam wing clamp
invert dam gingival sulcus triple syringe invert dam
8. Dental floss
rubber dam contact
dam clamp
(Dental floss)
contact
11
Step 1: Punching the rubber dam and hold placement rubber dam
rubber dam
rubber dam
dam frame
dam
template
)
7. mouth prop mouth gag (
)
8. napkin rubber dam sheet (
)
9. rubber dam frame
10. dental floss contact floss
floss contact buccal
11. triple syringe
Oral Seal
(
12
12.
1 clamp
isolate
rubber dam forceps clamps
frame
isolate
clamps vestibule
labial frame
1. Beer R., Baumann M. A., Kim S. Color Atlas of Dental Medicine: Endodontology.
Thieme, New York, 1999, p. 77-90.
2. Grossman L.I., Oliet S., and Del Rio C. E. Endodontic Practice. 11th Ed. Ch. 9 Lea &
Febiger, USA,1988, p.132-144.
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Access Cavity Preparation
:
1.
2.
3.
1.
2.
3.
4.
5.
6.
(pulp chamber)
32
2 3
1. (Outline form)
-
-
(initial outline form)
(reverse manner) ( 3-1)
2. (Convenience form)
(straight line access)
(roof of pulp chamber) ( 3-2)
33
3-2
3-3
3-4
3.
1.
2.
3.
4.
34
1. (initial film)
2. (outline)
(lingual)
( 3-6) ( internal anatomy
outline)
3. round diamond tapered round end diamond
outline
(long axis) ( 3-7) 2 .
outline
3-6
3-7
4. ( 3-8)
(
)
35
3-8
5.
( 3-9) round steel bur
6.
explorer No.5 overhang
( 3-10)
7. tapered round-end diamond stone
lingual shoulder
( 3-11)
8. straight line access 15
( 312)
(
)
9.
endodontic explorer
( 4-13)
10.
36
3-9
3-10
3-11
3-12
2. Mandibular incisor
2 1 ( 3-13)
3-13
1.
3
2.
( internal anatomy outline)
37
3-14
3-15
5.
( 3-16) round steel bur
explorer No.5 overhang
3-16
38
3-17
3-18
9. endodontic explorer
10.
3-19
1.
2.
3. round diamond bur tapered round end diamond
bur outline
( 3-20) 2-3 .
outline
( )
4.
39
3-20
4.
( 3-21) round steel bur
explorer No.5 overhang
5. endodontic explorer
2 ( 3-22)
(buccal root canal) (palatal
root canal)
6. straight line access 15
(
)
3-21
3-22
40
3-23
9. endodontic explorer
10.
3-24
1. 3
2.
3. round diamond stone outline
outline
41
4.
( 3-25) explorer No.5
overhang
5. endodontic explorer ( 3-26)
endodontic
explorer
2
1
6.
3-25
3-26
42
3-27
3-28
3-29
1. 3
2.
3-30
43
3-31
6.
3-32
3-33
9.
A. (perforation) ( 3-34, 3-35)
: ,
:
,
:
44
3-34
3-35
(perforation)
((4-34,
3-36)4-35)
A.B.
:
:
C. (gouging) ( 3-37)
: , ,
:
, ,
:
D.
( 3-38, 3-39)
: overhang , lingual
shoulder ,
: overhang explorer #5,
endodontic explorer
: overhang lingual shoulder ,
endodontic explorer
45
3-36
3-37
3-38
3-39
:
F.
(overextended
preparation) ( 3-42)
:
,
:
:
3-40
3-41
3-42
1. Cohen S, Burns RC. Pathways of the pulp. 8th ed., Missouri, Mosby, 2002.
2. Johnson WT. Color Atlas of Endodontics. Philadelphia, W.B. Saunders, 2002.
3. Ingle JI, Bakland LK. Endodontics. 5thed., Hamilton, BC Decker Inc., 2002.
4.Walton RE, Torabinajad M. Principle and practice of Endodontics. 3rd ed., Pennsylvania, W.B.
Saunders, 2002.
46
Determination of Tooth Length
,
1.
2.
3.
1.
2.
3. rubber stop
4. Conductive paste
5.
6.
(working length)
(tactile sense) (apical constriction)
(electronic apex locator)
(reference point) rubber
stop
47
(Incisal edge)
rubber stop ( 4-1)
(cusp)
rubber stop
( 4-2)
48
4-3
2
4-1
Central incisor
Lateral incisor
Canine
First premolar
Second premolar
First molar
Second molar
Third molar
(.)
22.5
20.7
22.0
21.1
26.5
25.6
20.6
21.6
21.5
22.3
20.8
21.0
20.0
19.8
17.1
18.5
4-1
Pathways of the pulp 9th edition
49
6.5 K
4-4
4-4
(
)
(apical foramen
major diameter) file
lip clip
(impedance)
2
Root ZX
Root ZX
2 8 kHz 400 Hz
ratio method
Root ZX 4-5
Root ZX ( 4-6) 3-2-1
file APEX file
3
0.5 0.5 bar
file file
50
APEX
(tooth length) apical
constriction
4-5 Root ZX: (1) Root ZX (2) probe cord (3) contrary
electrode lip clip (4) file holder
4-6 Root ZX
2.
4-7
51
-
rubber stop
15
(bucco-lingual) 1
20
( 4-8) (LT film)
52
= x
0.5-1 .
(working length)
3 .
1. #11, 14 16 access
conductive paste
( 4-9 4-10)
lip clip lip clip
53
( 4-11)
4-12
file holder ( ) 0.5 bar ()
54
1. ( 4-13)
4-13
4-14
3.
3 ( 4-15)
55
4-15
( 4-16)
4-16
( 4-17)
4-17
56
( )
( 4-18)
4-18 ()
( 4-19)
4-19
( 4-20)
4-20
57
-
2 0 (shift tube)
4. file
file
58
Irrigation, Intracanal Medication, Temporary Filling
:
1.
2.
3.
1. 30 cc. 1
2. Syringe 5 cc. 1
3. 45
4. Forceps
5. Plastic instrument, amalgam plugger
6.
7. Petri dish (sterile paper point) cotton pellet
8. sodium hypochlorite
9. (cotton roll)
10.
11.
(Irrigation, IR)
(pulp
chamber) (root canal)
(necrotic pulp) (microorganisms)
59
(accessory canal)
1.
2.
3.
4.
5.
sodium hypochlorite (NaOCl)
0.5-5.25% sodium hypochlorite
(dental pulp) NaOCl
NaOCl (irritate)
gauge 27 28
( 5-1)
( 1-2 .
) recapitulation
5-1
60
5-2 Recapitulation
(Intracanal Medication)
(exudate) (root resorption)
2-3 .
(Calcium
hydroxide, Ca(OH)2)
Ca(OH)2
(thick suspension) lentulo spiral
file Ca(OH)2 calcium hydroxyl ions (pH 12.5)
Ca(OH)2 7
amalgam carrier root canal plugger
61
5-3
3.
62
4.
5.
0.5 .
file
6.
7.
8. (sterile cotton pellet)
( 5-4)
5-4
9.
( ) ( )
4-5 .
Ca(OH)2 Ca(OH)2 glass slab
75% (cement spatula) Ca(OH)2
lentulo spiral
handpiece rubber stop
working length 2 .
handpiece lentulo spiral lentulo spiral
rubber stop reference point
Ca(OH)2 lentulo spiral
lentulo spiral
63
Ca(OH)2 Ca(OH)2
4-5 .
10. ( 5-5) plastic instrument
Cavit amalgam plugger
double seal
Cavit amalgam plugger IRM
4-5 .
IRM
5-5
1. Cohen S, Burns RC. Pathways of the Pulp. 9thed., Missouri, Mosby, 2005.
2. Ingle JI, Bakland LK. Endodontics. 5thed., Hamilton, BC Decker Inc., 2002.
3. Walton RE, Torabinajad M. Principle and Practice of Endodontics. 3 rded., Pennsylvania, W.B.
Saunders, 2002.
64
Root Canal Preparation
:
1.
2.
3.
4.
5.
6.
7.
8.
1.
(Access opening)
2. (Initial film)
3. Forceps
4. Files rubber stop
5.
6.
7. (Irrigation set)
8. files
9. Gates-glidden drill no. 1, 2, 3, 4
10. Root canal spreader
11. Surgical blade
12.
65
1. (irritants)
(necrotic tissue) (infected dentin)
2.
( 6-1)
6-1
Filing
- (push-pull
action)
Peripheral filing Circumferential filing
filing
66
(original shape)
Anticurvature filing
filing
(furcation)
( 6-3)
Reaming
1/4
Watch-winding
- (back-and-forth
action) 30-60
()
()
67
1.
2.
3.
4.
5.
6. Recapitulation
7. R.C. Prep
8. (precurve)
( 6-4)
6-4
3
(taper)
( 6-5)
68
6-5
a:
b:
c:
1. 1/3 2/3
(Coronal flare)
1. (tactile sense) file
2.
3. debris pulp
tissue
4.
files / gates-glidden drills
file #10 #15 file circumferential filing
() anticurvature filing ( )
file # 20-25
file
file
gates-glidden drill #3 ( file 90)
(canal orifice)
69
70
6-7
(Initial Apical File; IAF) 3
6-1
6-1 MAF
MAF
maxillary centrals
#35-60
maxillary laterals
#25-40
maxillary canines
#30-50
maxillary premolars #25-40
maxillary molars
MB/DB
#25-40
palatal
#25-50
mandibular incisors #25-40
mandibular canines #30-50
mandibular premolars #30-50
mandibular molars
MB/ML
#25-40
distal
#25-50
MAF
MAF file K-file
Ni-Ti file
file working length
71
#15 (IAF)
#20, #25
#30 (
# 25-40) #25 ( K-file) #30 (
Ni-Ti file) working length Master
Apical File (MAF)
3. Step-back technique
1 .
file 1
recapitulation file
MAF #35 #40 1 . recapitulation #15
working length
file MAF
working length
1. (continuous tapering)
2.
3. MAF
72
4.
5. (apical stop) ( 6-9)
MAF 1
MAF
25-30
35-45
50
55-70
RC spreader
D11TS
D11T
D11T, D11
D11
73
(tug-back)
(radiolucent area)
1. ( 6-10)
1.1 file #15 working
length file filing action
1.2 gates-glidden drill #3
( )
1.3 gates-glidden drill #2 1-2 .
1.4 recapitulation file #15 working length
1.5 gates-glidden drill #1 1-2 .
recapitulation file #15
: gates-glidden drill
gates-glidden drill
6-10
74
2. ( 6-11)
2.1 file file rubber
stop working length file
working length Initial Apical File (IAF)
2.2 file Master Apical File (MAF)
IAF 3 6-1 MAF
2.3 file 3 rubber stop file working length
file
2.4 IAF peripheral filing
2.5 file 1 reaming ( )
watch-winding motion ( ) working length
recapitulation file #15
2.6 file
MAF
3.
3.1 file MAF rubber stop
working length
1 1 . ( 6-12)
file
6-11
75
WL 2 .
3.5
( )
/
1.
1.1
1.2 ( 6-13)
6-13
76
filing
recapitulation file #15 #20
#25
1.6 gates-glidden drill #3
( anticurvature
)
1.7 gates-glidden drill #2 #1
1-2 .
recapitulation file #15
2.
2.1
file
2.2 file working length
IAF
2.3 file (MAF) IAF
3 MAF 6-1
2.4 file 3 ( Ni-Ti file) rubber stop file
working length
2.5 IAF peripheral filing ( anticurvature filing )
working length
2.6 file ( Ni-Ti file)
watch-winding working length recapitulation file #15
MAF
3.
(Trying of main cone)
1. file MAF
working length
working length
recapitulation file file MAF
77
6-14
6-15
4. working length
working length (tug-back)
( 6-15)
file MAF working length
1 . ( 6-16)
1 tug-back
MAF
78
6-16
5.
working length
root canal spreader ( 6-2)
root canal spreader root
canal spreader 1-3 .
root canal spreader
6.
0.5-1 . (
)
7.
1. working length
1.1
recapitulation
file #10 #15
watch-winding
( 6-17)
6-17 Recapitulation
79
6-18 Ledge
Ledge
1.2 (ledge)
file #10 #15 45o
( 6-18)
1.3
1-2 H-files
barbed broach
file #8 #10
(by pass) working length
file
2.
2.1 (Zipping)
(apical foramen)
(teardrop) (elliptical)
( 6-19)
6-19 Zip
80
( 6-20)
6-20
2.2 (lateral perforation strip)
(mesial root)
(mesio-buccal root)
(furcation)
(anticurvature) ( 6-22)
6-22 Strip
81
3.
3.1 (overinstrumentation)
rubber stop
1-2
3.2 (overpreparation)
(mesio-distal) /
(bucco-lingual) .
H-file gates-glidden
drill
1. Cohen S, Burns RC. Pathways of the pulp. 8thed., Missouri, Mosby Inc, 2002.
2. Cohen S, Burns RC. Pathways of the pulp. 9thed., Missouri, Mosby Inc, 2005.
3. Ingle JI, Bakland LK. Endodontics. 5thed., Hamilton, BC Decker Inc., 2002.
4. Walton RE, Torabinajad M. Principle and Practice of Endodontic 3rd ed., Pennsylvania,
W.B.Saunders, 2002.
82
Root Canal Culture
1. 2-3
2.
3.
4. exudate
1.
(autoclave)
(sterile)
2.
83
2-3
3.
(anaerobic bacteria)
(facultative anaerobic bacteria)
Thioglycollate broth oxygen indicator
oxygen indicator
thioglycollate broth
1/4
1. 2 1
2. .
( 7-1)
)
2.
round steel bur
spoon excavator
3. rubber dam
rubber dam
84
CONTROL .............................
..................................
...................................
........................................
........................................
..................................
...................................
........................................
7-1
-
-
7-2 dish
6. 1
2-3 exudate
7. cotton pliers 2-3
(contamination)
8.
( 7-3, 7-4)
85
7-3
7-4
9. ( 7-5)
( 7-6)
7-5
7-6
10.
( 7-7)
(
)
11. (control tube)
sterilization technique
86
12.
37 48
(positive culture)
(negative culture)
sterile technique
7-7
Grossman LI. Endodontic practice. 9thed., Philadephia, Lea & Febiger, 1978.
87
Root Canal Obturation
:
1.
2.
3.
4. root canal cement
5. lateral compaction
1.
2. non-standardized cone
3. Cotton pliers
3. Root canal spreader
4. Root canal plugger
5. Glass slab
6. Cement spatula
7.
8. Root canal cement
9. Glick No.1
(dentinal tubule)
88
2
1.
100
(gutta percha)
chloroform
sealer
zinc oxide (75%),
(20%), (5%) 2 ( 8-1)
standardized cone ANSI
non-standardized cone extrafine (XF), fine-fine (FF), medium-fine (MF), fine (F), fine-medium (FM), medium (M), mediumlarge (ML), large (L) extra-large (XL)
2. Sealer
(accessory canal)
sealer
sealer
lateral compaction
89
sealer
canal irregularities
lateral compaction (main cone)
lateral compaction
root canal spreader sealer
lateral compaction
root canal
spreader root canal spreader
file MAF ( 81)
8-1 RC spreader
MAF
25-30
35-45
50
55-70
RC spreader
D11TS
D11T
D11T, D11
D11
90
(taper) root
canal spreader root canal spreader
root canal spreader
lateral compaction standardized
cone file
(tug-back)
(accessory cone)
non-standardized cone root canal
spreader ( 8-2)
8-2 accessory cone RC spreader
RC spreader
D11TS
D11T
D11
accessory cone
FF, MF
MF
F, MF
sealer
1 sealer sealer
sealer
file sealer sealer
file lentulo spiral
lentulo spiral
sealer sealer
sealer
91
(void)
1. glass slab (cement spatula)
75% glass slab sealer glass slab 1-2
( 8-3)
)
4. K-type file MAF 1 1 .
sealer
1. rubber dam rubber dam
75%
2. spoon round steel bur
3. sterile barbed broach
(paper point)
exudate
*** 1-3 ***
4.
file
file MAF
5.
92
6. sealer spatula
sealer 1 4-5 ( 8-4)
8-6 sealer
93
8-7 RC spreader
accessory cone
spreader accessory cone
spreader accessory cone
8-8 RC spreader
94
12.
95