1 / 129

Cleaning & Shaping

Cleaning & Shaping. Presented by: Josef Ma. Karlos S. Bringas, D.M.D., D.D.S., M.S. Department of Endodontics. Endo Guards. Prerequisites. 1. Record the following information: Length of root in mm = PATENCY LENGTH b. Working length ( WL ) = (Length of root) – 1.0 mm

norina
Download Presentation

Cleaning & Shaping

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Cleaning & Shaping Presented by: Josef Ma. Karlos S. Bringas, D.M.D., D.D.S., M.S. Department of Endodontics

  2. Endo Guards

  3. Prerequisites 1. Record the following information: • Length of root in mm = PATENCY LENGTH b. Working length (WL) = (Length of root) – 1.0 mm c. Master Apical Rotary (MAR) length = WL – 1.0 mm = (Length of root) – 2.0 mm

  4. Lengths • Record the following: • Tooth length • WL • MAR length

  5. Lengths • Record the following: • Tooth length • WL • MAR length

  6. Lengths 23 mm • Record the following: • Tooth length: 23mm • WL • MAR length

  7. Lengths 22 mm • Record the following: • Tooth length: 23mm • WL: 22mm • MAR length

  8. Lengths 21 mm • Record the following: • Tooth length: 23mm • WL: 22mm • MAR length: 21mm

  9. Prerequisites 1. Record the following information: a. Length of root in mm = PATENCY LENGTH b. Working length (WL) = (Length of root) – 1.0 mm c. Master Apical Rotary (MAR) length = WL – 1.0 mm = (Length of root) – 2.0 mm 2. Patency.

  10. Patency • Set the stops to Patency Length. #10 #15

  11. Patency 23 mm • Set the stops to Patency Length. #10 #15

  12. Patency • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  13. Patency • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #15 #10

  14. Patency • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  15. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  16. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  17. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  18. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  19. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #15 #10

  20. Patency 23 mm • Determine if a #10 or #15 hand file can be inserted to the apical terminus. • Always use RC Prep. #10 #15

  21. Steps of C&S ( Technique) • Rotary file cleaning and shaping. 2. Apical preparation.

  22. Steps of C&S ( Technique) • Rotary file cleaning and shaping. • 35/.12 • 20 series • 30 series 2. Apical preparation.

  23. Coronal Preparation • Use the ProFile GT .35/.12, 17mm file. • The color band denotes size. • Green band means a size 35.

  24. Coronal Preparation • Use the ProFile GT .35/.12, 17mm file. • The color band denotes size. • Green band means a size 35. • Each band denotes 0.02mm of taper, • thus 6 x (0.02) = 0.12mm taper.

  25. Use of Rotary Handpiece • Use 8:1 gear reduction attachment. • Run at constant speed: • 35 0.12 (500 rpm’s) • 20 series & 30 series (300 rpm’s) • USE LIGHT PRESSURE.

  26. Use of Rotary Handpiece • Start the handpiece before entry into the canal and maintain at a constant rpm’s. • The file should not be in contact with canal walls for more than 5 seconds. • Advance the file slowly and carefully in 0.5 -1.0 mm increments using constant light pressure. • NEVER FORCE A FILE IN A CANAL.

  27. 35/.12 • Hand fit file to binding point.

  28. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm.

  29. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm.

  30. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  31. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  32. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  33. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  34. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  35. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments.

  36. 35/.12 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 1mm increments. 2mm advancement accomplished

  37. Recap • Irrigate with NaOCl • Recapitulate with #15 file. Length should reach to entire length of the tooth. Ex. 23mm

  38. Recap 23 mm • Irrigate with NaOCl • Recapitulate with #15 file. Length should reach to entire length of the tooth. Ex. 23mm

  39. Rotary File Instrumentation • Use of 20 series Profile GT

  40. 20/.10 • Hand fit file to binding point.

  41. 20/.10 • Hand fit file to binding point.

  42. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm.

  43. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm.

  44. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 0.5 - 1mm increments.

  45. Stop usage of file after: 21 mm • 2mm advancement. • File stalls twice. • File advancement to MAR length. • Ex: MAR = 21mm

  46. Stop usage of file after: 21 mm • 2mm advancement. • File stalls twice. • File advancement to MAR length. • Ex: MAR = 21mm

  47. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 0.5 - 1mm increments.

  48. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 0.5 - 1mm increments.

  49. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 0.5 - 1mm increments.

  50. 20/.10 • Hand fit file to binding point. • Back-up stopper by 1-2mm. • Attach file to handpiece and advance apically in 0.5 - 1mm increments.

More Related