ENDODONTIC

TIPS & TRICKSBy Dr.M.Eldesouky

Hint No.1 Diagnosis

Bad oral hygiene vs good O.H

Hint No.2 anaethesianerve block upperPalatal anaethesisIntral pulpalIntralegamental------------

Hint NO 3. access cavity

Round bur Anatomy Conserve cavity Dust motion Map lines

Hint no 4.canal negotiaition Reamer first (low resistance ,more

tactile sensation) Donot skip size Never file a dry canal Recap Curved canal maximum #25 k file No filling motion at full length (only

quarter turn) Conserve vs flaring

Hint NO 5 .Irrigation Vital and non vital pulp start with ? Donot use NaOcl at first with vital pulp cause clogging of

pulp, use EDTA Donot use NAOCL with pus –clogging start with saline Start with NaoCl in non vital—dissolve tissue remenants Mix of chlorohexidine and H2o2 Mix of h2o2 and Naocl Hot Naocl Antibiotic injection Small gauge syringe passive irrigation End with? To dry the

canal

Medication between visits

No rubber dam

Donot leave ts cavity opened

Maximum time for temporary restoration is 7 days

Diluted irrigation without distilled water

perio endo

Same irrigatiion syringe every visit Same syringe for all canals Low pt resistance

Hint no 6 – Obturation Master cone minimum # Master cone xray One cone vs multiple (vital ,non vital ,small or large canal) Lateral condensation technique Sealer (Granulotech)

ZOE + antibiotic powder

Vertical plugger

Remove all gutta percha at pulp chamber (act as acussion under rest)

Remove all remenant sealer with bur not cotton(filling union)

Thank you Dr.M.€ldo$ok¥