口腔内科学 口腔内科学、根管治疗术 根管治疗3.pptVIP

TBotero Lateral condensation Steps 1. Master apical cone selection and radiograph 2. Finger spreader selection 3. Final irrigation 4. Drying the canal 5. Mixing and placement of sealer 6. Lateral condensation 7. Obturation radiograph 8. Searing off of excess gutta-percha and finishing 9. Final root canal treatment radiograph TBotero Lateral condensation Step 1 Master apical cone selection and radiograph Same size as MAF Same length as WL Insert the cone into the canal “Tug Back” Make a mark at the reference point Take the master cone radiograph TBotero Problems Step 1 Dentin Plug Go back to the MAF Ledge Go back to the IAF Wrong cone size Try different cones Cone does not reach the working length TBotero Master cone extends beyond the apex Inaccurate WL or reference Check the WL and adjust the cone Inaccurate cone size Select and adjust a new cone Ledge and apical perforation Adjust the WL and cone size Problems Step 1 TBotero Step 2 Spreader selection Finger spreader Size B (red) Fit loosely in the canal Rubber stop 1mm short of WL TBotero Step 3 Final irrigation EDTA Sodium hypoclorite TBotero Step 4 Drying the canal Paper points To working length TBotero Step 5 Mixing and placement of the sealer Incorporation of powder and eugenol Thick consistency File, counterclockwise motion Master cone TBotero Step 6 Lateral condensation Coat master cone tip with sealer Insert master cone to WL Place finger spreader 1 mm short of WL Apply apical and lateral pressure Use accessory MF cones Measure the first 2-3 cones 1 mm short of WL TBotero Step 6 cont. Repeat the same sequence Stop when the spreader can no longer be pressed beyond the coronal third Lateral condensation TBotero Step 7 Obturation radiograph Take the obturation radiograph before searing off TBotero