Tips and Tricks in Root Canal New-4
Tips and Tricks in Root Canal New-4
Tips and Tricks in Root Canal New-4
1. PRE- ENDODONTIC
MANAGEMENT
• Rubber dam isolation.
• Irrigation
• Inter-appointment temporization
• Prevents fractures of the weakened tooth structure
• Improves aesthetics
• Facilitates post-endodontic restoration.
Gavriil D, Kakka A, Myers P, O´ Connor CJ. Pre-endodontic
C+ files
Jain P, Patni P, Hiremath H, Jain N. Successful
removal of a 16 mm long pulp stone using ultrasonic
tips from maxillary left first molar and its endodontic
management. Journal of Conservative Dentistry: JCD.
2014 Jan;17(1):92.
5. Use of pulp devitalizing paste
Used only if pulp is vital Available as both gel and paste form
• It contains paraformaldehyde which is
highly toxic.
• Avoid contact with tissues
When to avoid?
• Perforations
• Non vital tooth
• Delayed appointments
6. Perforations
How to avoid?
Factors affecting prognosis
• Time
• Size
• Location
• MTA
• BIODENTIN
• GIC
Faraj BM. The frequency of the second mesiobuccal canal in maxillary first molars
among a sample of the Kurdistan Region-Iraq population-A retrospective cone-beam
computed tomography evaluation. Journal of Dental Sciences. 2021 Jan 1;16(1):91-5.
14. Have I located All canals ?
Mandibular incisors
de Lima CO, de Souza LC, Devito KL, do Prado M, Campos CN. Evaluation of root canal
morphology of maxillary premolars: a cone ‐beam computed tomography study. Australian
Endodontic Journal. 2019 Aug;45(2):196-201.
Maxillary second premolars
If only canal it will be on Centre ,oval shape and wide bucco lingually
Occasionally single canal will split in to two and it will exit in to two orifices..
Mandibular molar
• In 40 % of time there will be two canals in the distal root of mandibular first
molars.
• 64% of the cases had three root canals (mesiobuccal, mesiolingual and distal)
• 36% had four root canals. (mesiobuccal, mesiolingual, distobuccal and
distolingual
Clock Wise and counter clockwise rotation around a quarter turn of the file.
Chance of ledge formation reduced.
File breakage reduced and enables easier canal location.
18.Use of EDTA in canal negotiation
Weine FS, Healey HJ, Theiss EP. Endodontic emergency dilemma: leave
tooth open or keep it closed?. Oral Surgery, Oral Medicine, Oral
Pathology. 1975 Oct 1;40(4):531-6.
• Pulpal disease can become established periapical disease if we are giving an open
dressing.
• Patient may get an immediate relief but long term success rate may be compromised.
21. Occlusal Reduction?