ENDODONTIC ACCESS CAVITY

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  • #15634
    Drsumitra
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    Registered On: 06/10/2011
    Topics: 238
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     Emphasises the anatomy of molar teeth in relation to endodontic treatment.
    Discusses the assessment of teeth prior to commencing endodontic treatment.
    Describes common problems encountered when preparing access cavities and how to overcome the
    The main objective of access cavity preparation is to identify the root canal entrances for subsequent preparation and obturation of the root canal system. Access cavity preparation can be one of the most challenging and frustrating aspects of endodontic treatment, but it is the key to successful treatment. Inadequate access cavity preparation may result in difficulty locating or negotiating the root canals. This may result in inadequate cleaning, shaping and filling of the root canal system. It may also contribute to instrument separation and aberrations of canal shape. These factors may ultimately lead to failure of treatment. Good access cavity design and preparation is therefore imperative for quality endodontic treatment, prevention of iatrogenic problems, and prevention of endodontic failure

    #15636
    drsushant
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    Registered On: 14/05/2011
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    Access cavity preparation- Rules of thumb
    1. To remove the entire roof of the pulp chamber so that the pulp chamber can be cleaned and canal entrance exposed.
    2. To enable root canals to be located and instrumented by providing direct-line access to the apical third of the root canals.
    3. To avoid damage to floor of the pulp chamber. Natural floor tends to guide an instrument in to the canal orificefloor tends to guide an instrument in to the canal orifice.
    4. To enable a temporary seal to be placed.
    5. To conserve as much sound tooth tissue as possible compatible with above.

     

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