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Enabling Endodontists: How to choose the right cleaning and shaping instruments?
Clinical endodontics includes a number of treatments, and they have in common the goal of preventing and treating microbial contamination of pulps and root canal systems. Clinical evidence demonstrates that root canal systems can be shaped and cleaned and obturated in three dimensions with a high degree of predictability, approaching more success. More recently, new technologies and improved devices and instruments have been evolved. A brief presentation on cleaning and shaping of instruments by Dr. Suman Lamba M.D.S(Associate Professor at People’s Dental College and Hospital, Kathmandu, Nepal will help you give better learning.
About the Speaker
Dr. Suman Lamba
Associate Professor at People’s Dental College and Hospital, Kathmandu, Nepal
Lasers in dentistry: Practical applications and Implementation
Lasers are used for various soft tissue procedures like gum contouring, frenectomy, and removal of oral lesions with minimal bleeding and postoperative discomfort. They can effectively remove dark patches or pigmentation from the gums to enhance esthetics. Laser-assisted periodontal therapy can help remove infected tissue and promote gum reattachment in cases of gum disease. They can be used to remove decayed tooth structure, reducing the need for traditional drilling and preserving more healthy tooth material. Dental lasers can help alleviate tooth sensitivity by sealing open dentinal tubules and reducing nerve exposure. Laser-assisted teeth whitening procedures can accelerate the bleaching process, enhancing the effectiveness of in-office whitening treatments. Lasers can precisely remove tooth structure for dental restorations and cavity preparations, minimizing discomfort for patients.
Precision in Endodontics: Exploring Obturation Strategies
Obturation, or the filling of the root canal system, is a critical step in endodontic treatment to ensure the success of the procedure. Precision in obturation is essential to achieve optimal seal and prevent reinfection of the root canal system. Various obturation strategies have been developed to enhance precision and improve treatment outcomes in endodontics. The choice of obturation technique depends on factors such as root canal anatomy, operator skill, and the specific needs of the patient. The lateral condensation technique is a commonly used obturation method that involves the placement of a master cone and accessory cones. Precision in lateral condensation relies on proper selection of cone sizes and accurate compaction of the gutta-percha. Warm vertical compaction is another popular obturation technique that uses heat and pressure to compact gutta-percha in the root canal. Obtura II and System B are examples of devices commonly used for warm vertical compaction. The single-cone technique is a simplified obturation method that involves using a single, larger gutta-percha cone to fill the root canal.
Endo Perio Lesions: A Comparative Review to Management
Endo perio lesions can be caused by various factors, including periodontal disease, trauma, occlusal forces, and dental caries. The diagnosis of endo perio lesions requires a thorough examination that includes clinical and radiographic evaluation, as well as pulp vitality testing. The primary goal is to eliminate the infection and inflammation from both the endodontic and periodontal systems.
Mishaps in Endodontic treatment World Toothache Day
Endodontic mishaps are unfortunate mistakes that occur during the treatment or diagnosis of RCT. Mishaps are instrument separation and lodging in the canal, lack of adaptation of filling material to the canal walls, loss of coronal seal leading to reinfection, Iatrogenic damages to adjacent structures, such as the inferior alveolar nerve or the sinus. Proper irrigation, cleaning and shaping is crucial in avoiding endodontic mishaps. If a perforation occurs, sealing the perforation with appropriate material can prevent further complications. Radiographic and clinical examinations should be performed to determine the extent of the mishap.
Access Cavity Preparation : How to avoid Perforations?
Access opening is the first step in the root canal treatment procedure. In this process the carious portion of the tooth is excavated and access to the pulp . i.e. to the root canals is made by an airotor with a rotary bur. In this process of making an access to the opening of a root canal there might be an unintentional communication formed while cavity preparation. This communication between the root canal system to the soft tissues of the tooth or teeth is known as a perforation