endodontics dental materials i dh 113. aae one of the nine dental specialties over 6400 members in...
TRANSCRIPT
![Page 1: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/1.jpg)
Endodontics
Dental Materials I
DH 113
![Page 2: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/2.jpg)
AAE
• One of the nine dental specialties
• Over 6400 members in US, Canada & Internationally
• Certifying Board – American Board of Endodontics (ABE)
![Page 3: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/3.jpg)
What is an Endodontist?
• Dentist who specializes in root canal (endodontic) treatment
• Removes damaged tissue from inside the root canals of a tooth
• Have advanced surgical and nonsurgical skills for complex cases
• 2-3 year post-graduate course work after dental school
![Page 4: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/4.jpg)
Why Endo?
• Prolonged sensitivity to hot and/or cold
• Abcess – look for fistula
• Pain
• Irreversible Pulpitis– Deep Caries– Trauma (external)– From dental work (nerve dies)– Cracked or chipped tooth
http://www.dentalnews.at/en/dental-fistula/
![Page 5: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/5.jpg)
Saving the Tooth
• Infected pulp is removed
• Pulp canals are cleaned and shaped, then filled
• Following RCT, tooth generally requires a crown – endo treated teeth may become brittle and are more prone to fracture
![Page 6: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/6.jpg)
Alternatives
• Most often, extraction of the tooth is the only option
![Page 7: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/7.jpg)
![Page 8: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/8.jpg)
Cracked root
![Page 9: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/9.jpg)
Trauma
![Page 10: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/10.jpg)
Retreat
![Page 11: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/11.jpg)
Endo Instruments
• Reamer, K File, Hedstrom File
![Page 12: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/12.jpg)
Root Canal Anatomy
• Multiple Canals
• Accessory Canals
![Page 13: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/13.jpg)
Accessory Canals
![Page 14: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/14.jpg)
Lateral Canal
• Extrusion of gutta percha into lateral canal
![Page 15: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/15.jpg)
The Root Canal
Step 1: Exam & diagnosis» X-Rays, Pulp testing
Step 2: Patient preparation» Local anesthetic, place rubber dam
Step 3: Open the toothStep 4: Clean & shape the Root Canal
» Endo files, laser, ultrasonic» Additional XR to ensure end of root reached
![Page 16: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/16.jpg)
Step 5: Fill the canal» gutta percha and adhesive » glass ionomer-type cement» Calcium hydroxide» ZOE-type
Step 6: Make post space for restorativeStep 7: Temporary filling
Then: Refer back to dentist for permanent restoration
Re-evaluate in 6-9 months with follow-up XR
![Page 18: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/18.jpg)
Finding Correct Length
Upper right lateral Laterally condensed
with diagnostic point gutta percha
through apex
![Page 19: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/19.jpg)
Apex locator
j. morita.com
![Page 20: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/20.jpg)
Lower Molar
• C shaped canal• C shaped canals with diagnostic points• Gutta percha in place
![Page 21: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/21.jpg)
When things go wrong…
![Page 22: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/22.jpg)
Apicoectomy
![Page 23: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/23.jpg)
Retrofill
Endo Lesion Amalgam fills apex
![Page 24: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/24.jpg)
Other types of Endodontic surgeries
1) Curettage (removing inflamed tissue)
2) Root amputation (selected removal of
roots)
3) Hemisection (dividing the tooth in half)
4) Intentional Replantation (removing and
reinserting the tooth).
![Page 25: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/25.jpg)
Autoclavable Kit
![Page 26: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/26.jpg)
Irrigating the Canal
• Syringe
• Narrow tips
![Page 27: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/27.jpg)
Paper Points
• Absorbant
![Page 28: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/28.jpg)
Root Canal Sealer
• Calcium hydroxide/Eugenol sealer with Iodoform
![Page 29: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/29.jpg)
Gutta Percha, Points & Fillers
![Page 30: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/30.jpg)
Gutta Percha
• A rubbery substance derived from the latex of any of several tropical trees of the genera Palaquium and Payena, used as an electrical insulator, as a waterproofing compound, and in golf balls.
• Just a bit of trivia!
![Page 31: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/31.jpg)
Endofil
• Endo filling material based on ZOE
![Page 32: Endodontics Dental Materials I DH 113. AAE One of the nine dental specialties Over 6400 members in US, Canada & Internationally Certifying Board – American](https://reader035.vdocuments.us/reader035/viewer/2022062300/56649caf5503460f94972ca7/html5/thumbnails/32.jpg)
ADA News: FDA clears laser root canal therapy (01/29/02)
• Enamel, dentin and pulp removal as well as shaping the root canal
• provides optical energy to water, and the water particles provide the cutting of dental hard tissue: Waterlase
• Postoperatively, it may reduce pain, discomfort, swelling and the need for antibiotics.• Laser energy kills viruses and bacteria
during debridement phase