Beruflich Dokumente
Kultur Dokumente
YASIR KHATTAK
ASSISTANT PROFESSOR
SBDC
Root canal treatment is divided into three main steps
1. Biomechanical preparation(Cleaning & Shaping)
2. Disinfection
3. Obturation
The basic objectives of cleaning and shaping
includes removing of infected hard and soft tissues,
give disinfecting irrigant access to the apical canal
area, create space for the transport of medicaments
and retain the integrity of radicular structures
1- Endodontic Diagnosis
2- Patient Education
3- Local Anesthesia
4- Rubber Dam Isolation (single isolation)
5- Access Cavity
6- Working length
7- Instrumentation
8- Obturation
9- Final restoration
Injection of local anaesthesia into the soft tissue near
the root apex is known as infiltration. Ideally the
needle is inserted into the muco-buccal fold mesial to
the tooth to be anesthetized.
In case of mandible, infiltration alone cannot
achieve this goal becz of thick dense buccal plate, thus
for the inferior alveolar and long buccal nerve, block
technique should be used(Inferior Alveolar Block).
Gow-gate technique is another type of anaesthesia for
mandibular nerves. In this type of technique
anaesthesia is deposited in the lateral aspect of the
neck of the condyle instead of mandibular sulcus.
Intra-pulpal anaesthesia is another type , which is used
when block or infiltration is not affective. In this,
anaesthetic solution is directly injected into the
exposed pulp by introducing the needle into the root
canal until it binds and then forcefully inject the
solution
Root length- Longer roots are generally more
difficult to treat.
Root width- Narrow, curved roots are at risk for
apical and lateral stripping perforations. Small canals
are more difficult to prepare and may not exhibit any
natural taper.
Canal curvature- Difficulty increases as curves
progress from gentle to sharp dilacerations.
Resorptions- Resorptions present potential problems
for negotiation, cleaning, shaping, and obturation.
Restorations- Restorations may change the
orientation of the tooth in the dental arch, block
canals, and restrict vision.