STEP BY STEP

ROOT CANAL TREATMENT

 DVD Contents

A Video Clipping on

Access, Shaping, Cleaning and Filling of a Canal in an

Acrylic Block
 STEP BY STEP
ROOT CANAL TREATMENT

Vivek Hegde
MDS (Conservative Dentistry and Endodontics)
Professor and Head
Department of Conservative Dentistry and Endodontics
MA Rangoonwala College of Dental Sciences and Research Centre, Pune

Gurkeerat Singh
MDS (Ortho) M Orth (Intercolligate)
Professor and Head
Sudha Rustagi College of Dental Sciences and Research
Faridabad

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Step by Step Root Canal Treatment
© 2006, Vivek Hegde, Gurkeerat Singh

All rights reserved. No part of this publication and DVD ROM should be reproduced, stored in a
retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying,
recording, or otherwise, without the prior written permission of the authors and the publisher.
This book has been published in good faith that the material provided by authors is original.
Every effort is made to ensure accuracy of material, but the publisher, printer and authors will
not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are
to be settled under Delhi jurisdiction only.
First Edition: 2006
ISBN 81-8061-874-9
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd, Sector 60, Noida
 Dedicated
to our parents
and
teachers
 Foreword

The dental profession has grown by leaps and bounds in

the past decade. This is not only seen by the emergence
of newer technologies and better treatment capabilities
but is also reflected by the increased awareness about
dental health by the common man. The biggest change
that we see today is the patients ‘demand’ to save the
most painful of teeth. The only cure in 90 percent of such
cases exists by the use of root canal treatment procedures.
The handbook Step by Step Root Canal Treatment is
a gallant attempt by two young authors to simplify and
yet present in a stepwise manner the routine diagnostic as
well as biomechanical procedure involved in treating canal
infected tooth. The book is well illustrated and I think would
act as a ready reference guide to the young dental
practitioners of today.
viii ROOT CANAL TREATMENT

I take this opportunity to wish them all success and

sincerely hope that they would continue to support the
dental profession by publishing such books, which are
clinically oriented and useful in the day-to-day practice of
dentistry.
My compliment and good wishes to the young and
dynamic authors.

Anil Kohli
 Preface

This book has been written with an objective of filling the

lacunae left between the concepts taught by the various
endodontics textbooks and actual practice of clinical
endodontics. This handbook will specifically meet the
requirements of a general dental practitioner.
The chapters have been arranged specifically for better
understanding and provide a step by step approach to
understanding the need and procedure of actual root canal
treatment. It is actually A Step by Step approach to root
canal treatment. It is adequately illustrated both with
diagrams and clinical pictures wherever necessary.
It is quite possible that there are errors of omission and
commission in this attempt. We would be sincerely grateful
to readers for their suggestions to improve the book.

Vivek Hegde
Gurkeerat Singh
 Acknowledgements

We sincerely thank Mr PA Inamdar, President, MCE Society,

Dr SN Kaul, Principal, MA Rangoonwala Dental College
and Research Centre, Dr Parvez Inamdar, Mr Dharamveer
Gupta, Chairman, Lala Bhawan Dass Trust, Dr M Gulati,
Principal, Sudha Rustagi College of Dental Sciences and
Research, Faridabad, for their constant unconditional
support during the preparation of this handbook.
Our deep appreciation to Dr Premanand Kamath,
Dr Naresh Thukral, Dr Arun Khatavkar, Dr Chirag Sarkari
for providing us with valuable information, pictures and
data which has helped this handbook to come into shape.
The contributions of Dr Vinu Nair, Dr Shyju Neyyan
and Dr Akanksha Gulati deserve special mention, towards
the compilation of this book. Our thanks to Mr Abrar,
Mr Shahnavaz and Mr Shyam for working overtime during
the prepartion of this book.
We appreciate Mr Imran for featuring in the photo-
graphs of the chapter on diagnosis.
 Contents

1. Introduction .............................................. 1

2. Rationale for Endodontics ........................ 5

3. Principles of Endodontic Treatment ........ 15

4. Diagnosis ................................................ 29

5. Access Cavity Preparation ...................... 47

6. Assessment of Working
Length (Endometrics) .............................. 69

7. Irrigants and Intracanal Medicaments ..... 81

8. Biomechanical Preparation ..................... 93

9. Sealers and Obturating Materials ......... 109

10. Obturation of the Radicular Space ........ 121

Index ......................................................... 141