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Endodontic Access Cavity Preparation
Endodontic Access Cavity Preparation
Preparation
PREPARED BY:
DR. HAMED AL-HADDAD
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Access Cavity Preparation
MAJOR OBJECTIVES
Straight-Line Access -1
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Endodontic Preparation of
Maxillary and mandibular
Anterior Teeth
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Maxillary Central
Incisor
All upper anterior teeth have
one root and one canal.
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Access cavity preparation
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Endodontic Preparation of
Maxillary Anterior Teeth
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Endodontic Preparation of
Maxillary Anterior Teeth
Adult tooth
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Cavity Access. Canine
Extensive ovoid, funnel-shaped coronal preparation
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Maxillary Anterior Teeth
ERRORS in Cavity
Preparation
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Maxillary Anterior Teeth
ERRORS in Cavity
Preparation
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Endodontic Preparation of Mandibular
Anterior Teeth
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Mandibular Anterior Teeth
ERRORS in Cavity Preparation
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Mandibular Anterior Teeth
ERRORS in Cavity Preparation
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Endodontic Preparation of
Maxillary and mandibular
Premolar Teeth
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Maxillary First Generally has 2 root with 2
Premolar canals, but in the case of 1 root has 2
canals which open in a common apical
.foramen
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Maxillary Second Premolar
The typical second premolar has one
root and one canal and sometimes
.has an apical distal curvature
The Type I canal form is prevalent with
a frequency of 48%, approximately the same
.as types II and IV-VII combined
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Endodontic Preparation of Maxillary
Premolar Teeth
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Maxillary Premolar Teeth
ERRORS in Cavity Preparation
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Maxillary Premolar Teeth
ERRORS in Cavity Preparation
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Mandibular Premolars
Usually has a single delicate root
with a mesial concavity, but
occasionally present a division of
.the root in the apical half
.As a rule, both teeth have a single canal
The coronal pulp is wide B-L with a large
.buccal horn and a small lingual horn
The shape of the canal is similar in first and second
.premolars
Its buccolingual extension is broad until the
middle third of the canal, but is very narrow in
.the apical third Average Length: 22mm
Cavity Access
Because of the inclination of the crowns of •
mandibular teeth and the smaller lingual
cusp, the access opening should be placed
.buccal to the central fissure
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Endodontic Preparation of Mandibular
Premolar Teeth
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Mandibular Premolar Teeth
ERRORS in Cavity Preparation
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Mandibular Premolar Teeth
ERRORS in Cavity Preparation
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Endodontic Preparation of
Maxillary and mandibular
Molar Teeth
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Maxillary First Molars
Generally three rooted with 3 canals. Additional
.canal is located in the MB root
Large pulp chamber, triangular in shape, with
the base toward the buccal and the apex toward
.the lingual surface
.Slightly curved buccal roots
.DP curvature of the MB root
Apical-buccal curvature of the
palatal root (55%)
:Average Length
MB: 20mm
DB: 19.5mm
P: 20.5mm
Maxillary First Molars
.It has 3 or 4 pulp horn, the MB is the longest
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Maxillary Second Molar
:It is similar of the first molar
.Large pulp chamber
Mesiobuccal, distobuccal, and palatal
.roots, each with one canal
.Gradual curvature of all three canals
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Endodontic Preparation of Maxillary Molar
Teeth
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Locate canal orifices & obtain
Straight-Line Access
Probing the Canal Entrances
After the roof of the pulp chamber has been penetrated
and the access cavity prepared, the entrances to the
.pulp canals must be probed
A hooked explorer can be used to determine if
enough dentin has been removed
,The canal entrances are found by feeling with a thin
stiff explorer. If the explorer sticks in a spot, a size 15
Hedstr6m file is used to verify that the spot is indeed
the entrance to a root canal and not a perforation. Only
then is the opening gently enlarged. Narrow root canals
must first be enlarged coronally with a Hedstr6m file
.before the deep preparation with Gates-Glidden burs can be started
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Maxillary Molar Teeth
ERRORS in Cavity Preparation
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Maxillary Molar Teeth
ERRORS in Cavity Preparation
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Mandibular First Molar
Usually has 2 roots one mesial
.and one distal
.The Distal root is smoller and vertical
Distal curvature of the mesial root
(84% of the time) which has two
.canals
The distal canal is larger and more
.oval
The MB is the most difficult canal to
.instrument because its tortuous path
Average Length: 21 mm
The cavity is primarily within the mesial
half of the tooth but is extensive enough
to allow positioning of instruments and
.filling materials
Triangular outline form
reflects the anatomy of
the pulp chamber, with
the base toward mesial
and the apex toward the
.distal surface
Mandibular Second Molar
It is smaller version of the first molar with •
.an average length of 20mm
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Endodontic Preparation of Mandibular
Molar Teeth
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Mandibular Molar Teeth
ERRORS in Cavity Preparation
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Mandibular Molar Teeth
ERRORS in Cavity Preparation
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Thank you
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