1/10/2024 0 Comments Dental endo set up kitNow that the canals are visible, widen the coronal portion further using Gates Glidden. Once the canals are located, I’ll use a 0.10 Sybron TF rotary file to enlarge the coronal third and remove pulp tissue. With an endodontic explorer, locate all the canals in the chamber. Using either a round or football bur, open the pulp chamber. Reducing the occlusal surface creates easier access and reduces post-op discomfort. That gives me permission to flatten the occlusal surface and take the tooth out of occlusion, usually with a football bur. Irrigation: sodium hypochlorite (NaOCl), 17% EDTA, 2% chlorhexidineīefore starting the root canal, I will have a conversation with the patient and have him or her commit to a crown.Basic set: endo plugger, endo explorer, endo spreader.The apex locator shows the working length every time the operator is instrumenting, which helps to ensure the operator does not over-instrument past the apex. Having a rotating file directly connected to the apex locator is very reassuring. This greatly helps avoid file separation. When it senses too much torque is being applied on the file, this handpiece will start rotating back and forth in 90-degree quarter-turns. The Morita Root ZX II with the attached low-speed handpiece is a terrific device. Gates Glidden drills are used to open the orifice of each canal to achieve good access. The Brasseler EndoSequence files are used to finish instrumentation for a single cone fit. A canal that’s very calcified is easier to instrument in smaller increments. Used for approaching a curved or calcified canal, I found having a 12.5 mm C-file in my armamentarium is important. The only hand files in my setup are the C-files. Using the crown-down technique, the 0.04 mm file should reach most canals to working length. I’ll use them for most of my instrumentation, because they’re extremely flexible and will rarely separate. The Sybron Twisted Files (TF) serve as the workhorse for instrumentation. By the time the patient is fully numb, we have to start working on the problematic tooth. Our setup is small, but it has everything we need. It would be a waste of resources to allocate an entire operatory just for a root canal procedure. PETER MANN | Dental implants: The importance of patient compliance with immediate loadingĪs a general dentist, my assistants have to be able to set up an operatory within five minutes. I don’t believe in ever working rushed however, our systems and proficiency have reached a point where most root canals are completed within an hour.ĪLSO BY DR. I have no interest in promoting any products, but I will mention products that I use. I’d like to share how this dental office has made root canals efficient, profitable, routine, and stress free. They feel comfort knowing that in an emergency, they’ll know where to go for help. Some of these patients have switched their insurance just so they could continue coming to our office. These patients are impressed that I was able to fit them in on short notice and performed the root canal efficiently and pain free. Although I will not disparage their previous dentist, it’s not uncommon for patients to hold a grudge against their last dentist, who couldn’t see them for an emergency visit or does not perform root canals. Let me explain.ĪDDITIONAL READING | Dismay with kid decay: treatment options for broken down permanent teeth in the mixed dentitionĪlthough many of these patients will first come in for an emergency visit, many will stay to become loyal patients in the practice. Root canals have become a predictable and efficient part of my practice. I’m a general dentist, and root canals are one of the procedures I enjoy performing the most. The times that still stand out the most are when I get a chance to help someone out of excruciating pain or change a person’s life dramatically by giving him or her the smile he or she has always wanted. When applying to dental schools, we were all asked to write in essays and discuss during interviews “Why do you want to become a dentist?” Most of us responded: “Because I want to help people.” I’ve found no greater satisfaction as a dentist than to help someone who is suffering from terrible discomfort.Īfter the first five years of private practice, dentistry has pretty much become a routine. However, many more dentists shy away from performing root canals, refer out all molar cases, and don’t see the procedure as being profitable for their practices at all. There are many dentists I’ve met who are great and efficient at performing root canals daily in their practices.
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