Determining and De!ning Endodontic Excellence

Access

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Sybron����������� ������������������  Mini����������� ������������������  EndoP5����������� ������������������  unitBUC����������� ������������������  1Carr����������� ������������������  tips

Ultrasonic

Trough the line

Fissure/fusion line observed. Used Munce Discovery Burs to trough and extend preparation - the “line” became visible.

Trough the line

#6 ‘C’-!le to explore the “line” for MB2

After coronal shaping

DB1

DB1

DB2DB1

DB2

Nature is not beholden to

insuraDB2nce codes

Nor does it understand

single !le endo

Micro-etch the "oorcontinuously during access preparation - satinize it - it ensures maximum optics and differentiation - the orientation of the MB2 is within limits - MESIAL

Mandibular Molars

Middle Mesial Canal

1 - 15% of cases

Access is about the radicular area of the root canal space, not simply geing into the canal, no maer how elastic a !le, it can’t go where it won’t !t

Off axis orientation mandates crown down approach - glide path - large to small tapers, small to large tip size - NEVER rush with nickel-titanium - no maer the design, no maer the brand, no maer the metallurgy, their super-elasticity has limits

One !le cannot possibly do all canal systems...it’s a dangerous and slippery slope... There is no reason to rush to judgment, took the tooth years to calcify, you need to soften, debride, disinfect - shape is but a component of the !nal result - Michaelangelo did not care the Piata with one chisel...