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So, we've just finished our first week of endo lab here at Arizona, and I'd like some feedback from those who have gone before me. Here's the general procedure I follow on a molar endo, and I'm wondering what everybody else does (ie, I'd like any tips/tricks that work!):
1) Access canals (rubber dam is in place/anesthesia is done) with #4 round bur.
2) Clean out pulpal tissue with same round bur.
3) Make occlusal adjustments if necessary for better access.
4) Use #8 K hand file to find working length for canals (take digital radiograph).
5) With working length noted, move through #10, #15, #20, and #25 handfiles (irrigating with NaOCl in between each filing).
6) Use #2 Gates to widen orifice if needed.
7) Apply prolube directly to NiTi rotary files/or apply it to the canals.
8) Use rotary files in crown down method and go within 4mm of my working length (the first rotary is the same size or one size down from my final hand file).
9) Dry canals with air, then place paper points and then use air again.
10) Use auto-fit gutta percha and sealer
I'd like to use apex locators, but we won't have those available until we are in our clinic. Does anybody who finds working length using radiography use rotary before finding working length?
1) Access canals (rubber dam is in place/anesthesia is done) with #4 round bur.
2) Clean out pulpal tissue with same round bur.
3) Make occlusal adjustments if necessary for better access.
4) Use #8 K hand file to find working length for canals (take digital radiograph).
5) With working length noted, move through #10, #15, #20, and #25 handfiles (irrigating with NaOCl in between each filing).
6) Use #2 Gates to widen orifice if needed.
7) Apply prolube directly to NiTi rotary files/or apply it to the canals.
8) Use rotary files in crown down method and go within 4mm of my working length (the first rotary is the same size or one size down from my final hand file).
9) Dry canals with air, then place paper points and then use air again.
10) Use auto-fit gutta percha and sealer
I'd like to use apex locators, but we won't have those available until we are in our clinic. Does anybody who finds working length using radiography use rotary before finding working length?