MINI-DENTAL SCHOOL

ENDODONTIC LECTURE

AND HANDS-ON

SIMULATION Dr. Donald Kleier

Dr. Robert Averbach

Dr. Beatriz Robles

HOW ABOUT A LONG,

SLOW ROOT CANAL!

How does the public view us

endodontists?

WHAT IS A ROOT CANAL,

ANYWAY? • It’s Endodontics

• (Inside the tooth)

ANATOMY OF A TOOTH CAN BE COMPLEX

AND DIFFICULT TO UNDERSTAND

Radiograph Interpretation

Cone-Beam Computed

Tomography

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

WHAT IS ENDODONTICS

So - WHAT IS ENDODONTICS

• It’s the study of the pulp and periapical

structures that form and innervate the

teeth

• It’s also the surgical removal of the pulpal

tissue from within the root canal space

• Once the pulpal tissue is removed its

replaced by a material that seals the root

canal space.

WHEN DO YOU DO IT?

• When the clinical exam and the patient’s

symptoms warrant it

• Elimination or prevention of pain and

infection

ENDODONTICS IS A SURGICAL

SPECIALITY

HOW IS ENDODONTICS PERFORMED?

• Endodontists use an armamentarium

specific to this practice.

• There are major steps involved in

achieving specific clinical goals

• There are many correct ways to achieve

these goals and many different items in

our armamentarium bag.

• We use many different products to

achieve our clinical goals

Communication

HOW DO YOU DO IT?

AH! FIRST A COUPLE OF

LITTLE ADDITIONS WE HAVE

TO DEAL WITH... • Infection Control

and OSHA

– Gloves, masks,

eyewear, disease

transmission

– Accident

prevention and

protocols

MAJOR STEPS

• Access

• Working length

• Canal cleansing and shaping

• Canal obturation

• Interim restoration

SIMULATION CLINIC

EXERCISE

SIMULATION CLINIC

EXERCISE

SIMULATION CLINIC

EXERCISE

SIMULATION CLINIC

EXERCISE

SIMULATION CLINIC

EXERCISE

USE OF PAPER POINTS

• Reference point

ROOT CANAL SEALER

CRITERIA FOR COMPLETE

OBTURATION

• Extension to

complete root

canal length

• No voids or space

in obturation

• Obturation is

dense

• Excess material

removed to facial

CEJ

TEMPORARY

RESTORATION

Questions????