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Root canal preparation ! " #

techniques
Fasahat Butt

Feb. 24, 2015 • 66 likes • 25,222 views

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Root Canal Preparation Techniques

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! Root canal preparation techniques

1. ROOT CANAL PREPARATION TECHNIQUES PRESENTED BY DR
FASAHAT AHMED BUTT
2. CONTENTS • OVERVIEW OF ROOT CANAL TREATMENT •
OBJECTIVES OF ROOT CANAL PREPARATIONS • TYPES OF
PREPARATIONS • FILING TECHNIQUES
3. Access cavity preparation Working length Initial filing Cleaning
& shaping Obturation Core buildup
4. OBJECTIVES BIOLOGICAL COMPLETE REMOVAL OF • PULPAL
TISSUE • BACTERIA MECHANICAL • CONTINUOUSLY TAPERING
PREPARATION • MAINTAINING ORIGINAL ANATOMY •
MAINTAINING POSITION OF APICAL FORAMEN • NARROW APEX
5. RECAPITULATION
6. TYPES OF ROOT CANAL PREPARATIONS • CROWN DOWN • STEP
BACK • HYBRID
7. CROWN DOWN Caries removal & access cavity GG drills WL#15
k file Smaller file inserted & repeated until working length is
reached Watch windingLarger file inserted
8. ADVANTAGES • ELIMINATES CORONAL INTERFERENCES • EASY
ACCESS • IMPROVED DISTRIBUTION OF IRRIGANT • FACILITATES
REMOVAL OF DEBRIS • REDUCES CHANGE IN WL DURING APICAL
PREPARATION
9. DISADVANTAGES • INCREASED REMOVAL OF TOOTH
STRUCTURE
10. STEP BACK
11. ADVANTAGES • APICAL PREPARATION KEPT SMALL • REDUCES
PROCEDURAL ERRORS • IMPROVES DEBRIDEMENT • SMALLER
FLEXIBLE INSTRUMENTS ARE USED IN THE APICAL REGION
WHILE LARGER USED SHORT OF THE APEX
12. DISADVANTAGES • BLOCKAGE OF THE CANAL MAY OCCUR •
IRRIGATION CAN BE DIFICULT • RISK OF DEBRIS EXTRUSION •
ALTERATION IN WORKING LENGTH
13. ADVANTAGES • IT PERMITS CANAL MORPHOLOGY TO DICTATE
PREPARATION SHAPE • DOES NOT REQUIRE FORCING OF FILES
INTO CANAL THAT CANNOT ACCOMMODATE THEM • MINOR
CANAL OBTURATION • SLIGHT ENLARGEMENT OF THE CANAL IN
APICAL TO CORONAL DIRECTION
14. HYBRID TECHNIQUE Canal negotiation Apical clearing WL
determination MAF determination Straight line access Rotary
preparation of the middle one thirds of the root Apical step back
15. ADVANTAGES • LESS CHANCES OF LEDGE FORMATION
16. FILING TECHNIQUES • WATCH WINDING • REAMING • FILING •
CIRCUMFERENTIAL FILING • ANTICURVATURE • BALANCED FORCE
TECHNIQUE
17. WATCH WINDING
18. REAMING
19. FILING
20. CIRCUMFERENTIAL FILING
21. ANTICURVATURE FILING
22. BALANCED FORCE TECHNIQUE
23. REFERENCES • TORABINEJAD • COHEN’S PATHWAY OF PULP •
GOOGLE
24. THANK YOU

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