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Tahani Abualteen
o PARACHLOROPHENOL (PCP) It is a substitution product of phenol It penetrates deep into dentinal tubules 1% solution has shown destruction of microorganisms It produces mild inflammation
2/10
HALIDES o SODIUM HYPOCHLORITE (NaOCl) Chlorine is the active ingredient NaOCl vapor is bactericidal It reacts rapidly with organic matter (good tissue dissolving ability) It is Unstable It is activity is intense BUT of short duration It is TOXIC to periapical tissues ** It is one of the most famous agents that is used as irrigant and intracanal medicament ** Used in a concentration of 0.5-5.25%
3/10
o Application: Powder is mixed with water or saline or glycerin until mixture gets a creamy texture Lentulo spiral (also called a root canal filler) is coated with Ca(OH)2 mixture and applied inside the root canals while being rotated Hand spreader and syringes can be also used to place Ca(OH)2 Finger spreaders and files can be also used to place Ca(OH)2 in anticlockwise motion to prevent forcing it outside the apex It is very important to apply the Ca(OH)2 to all canal walls from inside and reach all the areas ** Unfortunately it is very difficult to any chemical agent to reach each area inside a canal because of the complicated internal anatomy It is very important for Ca(OH)2 to reach the apical area of the canal There are two types of Ca(OH)2: Setting( Dycal, used for lining and capping) & Non-setting (used as intracanal medicament)
5/10
** Sometimes, no cotton pellet is used, which is right, but it will make it very difficult for the temporary filling material to be removed from the orifices of root canals ** Putting a very big cotton pellet is wrong because it will compromise the space available for the temporary filling material and eneases its breakage under occlusal loads
8/10
Provisional Post Crowns o Used when a cast post and core is being fabricated o The post could be (preformed aluminum post, safety pin wire, paper clip, or a sectioned large endodontic file) o The coronal seal is generally inadequate o The post should fit the canal snugly (not binding) o The post should extend apically 4 to 5 mm short of working length and coronally to within 2 to 3 mm of the incisal edge o A polycarbonate crown is trimmed to a good fit o Good contouring and occlusal adjustment o Provisional luting cement (Temp Bond or similar cement) is placed on the coronal 3 to 4 mm of the post and root face o A provisional removable partial over-denture is a useful alternative
9/10
10/10