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Leeds Dental Institute

Faculty of Medicine & Health

Clinical Skills A Endodontics

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Remove roof of pulp chamber In order to enable preparation of root canals

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Carefully assess pre-operative radiograph


Appreciate size / shape / location of pulp chamber Look for potential problems:

Pulp stones, Sclerosis, Resorption, Fractured Instruments, Curved Canals

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Assess condition of tooth / existing restorations:

Will it enable isolation with rubber dam? Is there any caries? Consider replacement with a durable provisional restoration eg GIC, Amalgam

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Criteria for Access Cavity


Entire roof of pulp

chamber removed Straight-line access No damage to pulp floor As conservative as possible

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Pre-operative radiograph Knowledge of pulpal anatomy Magnification

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Find the pulp chamber 2. Locate the canals 3. Ensure adequate access to canal orifices
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