Lecnion 4

1
Lecnion 4

• Endodonty. Determination of concept. Anatomical
  features of structure of cavity of tooth and
  root-canals. Stages of opening of cavity of
  tooth.
• Endodontical tool variety, settings, rules of
  the use. Modern endodontical tool for cleaning
  and expansion of root-canals. Standards of ISO.
  Basic manipulations in root-canals amputation,
  exterpation of pulp, impregnation and
  mummification. Medicinal facilities. Modern
  methods of treatment of root-canals.
•  

2

•      Determination of concept endodonty.
  Purpose of endodontical treatment.
• Topography-anatomical features of the second
  teeth temporal. Technique of opening cavity of
  tooth.
• Principles and approaches to endodontical
  treatment.
• Endodontical instrument, classification,
  standardization and settings.
• Technique of the use of endodontical instruments.
• Technique of instrumental treatment of
  root-canals by domestic instruments.
• Technique of treatment of root-canals forward
  step and back step by modern endodontical
  instruments.
• Hybrid technique of treatment of root-canals with
  the use of profiles.

3

• Root canal anatomy
• The mesial root of a mandibular first molar in
  buccallingual section,
•  showing various types of complex anatomy.
•  

4
Location of the lingual canal in mandibular
premolars  

5

• CRITERIA OF HIGH-QUALITY PREPARATION OF CROWN
  CAVITY FOR ENDODONTIC INTERFERENCE
• 1. A form and size of cavity provide free access
  by instruments to the root-canals.
• 2. The walls of carious cavity and cavity of
  tooth make a straight line.
• 3. There are no overhanging edges.
• 4. The anatomic form of cavity concerns
  expressly.
• 5. All necrotizing fabrics of tooth are remote.
• 6. Expressly certain enter to carious ducting.

6

• Algorithm of trepanation of cavity carious the
  staggered tooth
• Tooth intact  Near neck cavity.    Carious cavity
  on an approximal surface (II class)  Carious
  cavity (II class) on medial and distal approximal
  surfaces.   Carious cavities are localized below
  than an equator on approximal surfacesTrepanation
  of crown of the tooth pursuant to the projection
  of pulp chamber. Stopping of near neck cavity,
  trepanation of crown of the tooth in near neck
  chamber. A cavity hatches on a masticatory
  surface in obedience to the projection of pulp
  chamber A carious cavity is stopped on a distal
  surface, from a medial surface a cavity hatches
  on a masticatory surface in obedience to the
  projection of pulp chamber. Carious cavities are
  stopped the crown of the tooth is trepanned in
  obedience to the projection of pulp chamber. 

7
(No Transcript)
8
(No Transcript)
9
(No Transcript)
10
(No Transcript)
11
(No Transcript)
12


????????? ?????

13




14




15


16
(No Transcript)
17
(No Transcript)
18
CERAMFILA.R.T.

• ????????????? ??? ??????? ?.?.?. (?? ?????-1 ????
  ???????? ??????????) ??????? ??? ??-1 ??? ?
  ????????????? ?????. ??????? ?????????. ??????
  ??????????? - ?????? ???????? ????.
• ???????????? ??? ??????????? III, V ??????,
  ???????? ?????, ????????????? ??????, ???
  ???????????? ?????? ? ????????????? ??????
  ??????????? ?????

???????? 20?. ???????, 20 ??. ????????
19

• CANAL

????????????? ??? ?????????????
?????????? ??????? ?? ?????? ???? ? ?????????
????????
???????? ? ?????? ????????? ?????? ?????? ?
????????? ??????????? ???????????????
????????????. ???? ?????????? ?????? ?????.
???????? ???????? ???????? ???????????????
????????? ??????? ????????? ????????? ??????????
????????? ? ????????????? ???????????? ???????
??? ??????????? ????????? ??????. LAR6AL ULTRA
???????? ? ?????? ????????? ?????? ?????? ?
????????? ??????????? ???????????????
????????????. ???? ?????????? ?????? ?????.
???????? ???????? ???????? ???????????????
????????? ??????? ????????? ????????? ??????????
????????? ? ????????????? ???????????? ???????
??? ??????????? ????????? ??????. LAR6AL ULTRA
20
LAR6AL ULTRA

• ???????? ?????????? ??? ???????????
• ?????????? ???????
• ??????????? ???????? ???? ? ????????.
• ????????? ?????? ??????? ?????????????? ?????????
  (39,7 ???. ?? ??) ??????? ?????, ???
  ????????????? ????????????? ????????? ? ?????
  ????? ??????, ??????????? ? ????????????
  ???????????? ? ?????????? ????????? ?????? ?????.

21
Endosolv

• ???????? ??? ??????????? ??????????? ????????
  ??????
• ???? ??????? ??????????? ? ???? ????? ?????????
  ? ? ????????? R. ????????? ? ???????????? ???
  ??????????? ? ??????????? ??????? ?? ??????
  ????????. ???????? ??????????? ? ??? ???????
  ???????? ???????????????. ????????? R ????????
  ????? ?? ????????? ?? ?????? ?? ?????? ?????????
  ???? ? ??? ???????? ??????????? ???????? ????????.

22
PARCAN

• 3 ????????????????? ??????? ??????????? ??????
  ??? ?????????? ???????? ???????
• ???????? ??????? ????????????? ????????? ??
  ????????????????? ? ????????????????? ????????,
• ????????? ???? ?????? ? ???????. ??????????
  ??????? ?????? ? ???????????? ?????? ???????,
  ????????? ??????????? ??????????? ? ??????????
  ??????? ????????? ??????? ?? ????????? ??????.
  ?????????? ??????, ??????? ?????? ? ??????,
  ????????? ??????????????? ???????? ? ????????????
  ?????????? ???? ????????.

23
CRESOPHENE

• ?????????????, ?? ???????????? ???????????????????
  ?? ? ????????????? ???????? ??? ??????????
  ???????? ??????? ????????? ?? ??????????
  ????????????????? ????????????? ??????? ?
  ?????????????, ???????? ????????????? ???????
  ???????? ???????? ??? ??????????????? ?????????
  ???????. ? ??????? ?? ??????????? ????????????,
  ???????????? ??? ???????? ???????, ???????? ?????
  ????????? ? ?????????????. ??????????? ??
  ????????? ???????????? ????????, ??? ?????????
  ????? ???????? ?????? ?????? ??? ?????????
  ??????? ??????? ???????.

24
R4

• ??????? ??? ??????????? ???????? ??????? ??
  ?????? ?????????????
• ???????? ???????????? ????????? ???????? 2
  ??????? ????????????? ???????????. ??????
  ????????, ??? ?????? 2 ??????? ?????????????
  ???????? ??????????? ??? ??????????? ????????
  ???????. ???????? R4 ????????? ??????????? ??
  ????? ??? 13 ????? ?????????? ????????. ?????????
  ??????? ????????? ??????, ??????? ???????
  ????????????? ?????????? ????????, ????????
  ?????????? ????????? ??????? ?????????????? ?
  ?????? ? ? ??????? ??????????? ???????
  ???????????? ???????? ?????????????.

25
GRINAZOLE

• ???????? ????? ?? ??????
• ????????????? ???
• ????????????????? ? ??????????????????????
  ???????????
• ??? ??????? ????????? ? ?????????????
• ???????? ????????? ???????????? ?????????????
  (?? ?????????? ?????) ? ?????????????????????.
  ?????, ??? ???????? ????????? ? ?????????????
  ?????, ??? ????????? ????? ??????? ??? ? ????????
  ?????? ? ???????????? ?????????? (? ??????? 2 -3
  ????) ?????????? ?????????????.

26
SEPTOMIXINE

• ???????? ????? ?? ??????
• ????????????? ???
• ????????????????? ? ??????????????????????
  ???????????
• ??? ??????? ????????? ? ?????????????
• ???????? ????????? ???????????? ?????????????
  (?? ?????????? ?????) ? ?????????????????????.
  ?????, ??? ???????? ????????? ? ?????????????
  ?????, ??? ????????? ????? ??????? ??? ? ????????
  ?????? ? ???????????? ?????????? (? ??????? 2 -3
  ????) ?????????? ?????????????.
• SEPTOMIXINE
• ????????
• ?????????????????????
• ????? ?? ?????? ?????????????? ? ????????????
  ????????
• ??????? ????????
• ??????? ? ??????? ?????????????? ????????????
  ?????????? ????????? ?????????? ??????????. ???
  ????????? ??????? ????????????? ?????????? ??????
  ? ??????? ?????????? ????????????????????? ?
  ?????????????? ????????. ?????????? ???
  ????????????????? ???????? ???????? ???????,
  ????????? ??????? ?? ???????? ? ?????????? ?????
  ? ??????, ??? ????????? ??? ????????????? ?
  ????????????? ?????????? ?????????? ?? ???????
  ?????????????? ??????.

27
ENDOCAL???? ?? ???????????????? ???????
?????????????????? ????????? ???????? ??????? ?
?????????????????????? ????????? ? ?????

• ????????? ???????????????? ? ?????????? ?????? ??
  ????????? ? ????????????? ??????. ???? ???????
  ????????? ? ??????? ????????????????, ???
  ??????????? ???????????? ???????? ? ?????.
  ???????? ??????????????? ?????????. ?? ????
  ???????? ???????? ????????????? ? ??????,
  ??????????? ?????- ? ???????????, ??????????? ??
  ????????? ????????.

28
Sealer must answer the followings
requirements 1. After involving must have sticky
consistency, that after consolidation to provide
good adhesion to the walls of channel. 2.
Hermetically to seal up a channel. 3. To be x
ray contrast. 4. Not to give contraction in the
process of consolidation. 5. Not to paint fabric
of tooth. 6. To own a bacteriostatic effect or
even not to support growth of microorganisms. 7.
Slowly to overtake. 8. Not to dissolve in the
liquids of tissues. 9. Not to annoy periapical
fabric. 10. To dissolve in standard solvents if
necessary to the repeated stopping of
channel. 11. Not to cause immune reactions in
periapical fabrics. 12. Not to own carcinogenic
effect.
29
(No Transcript)
30
(No Transcript)
31
FILE - EZE

• ???? ??? ?????????? ??????? ? ??????
  ???????????????? ???????????

• 94 ????????? ?? ??????? ???????????
  ????????????????? ?????????? ???????????????
  ?? ?????? ?? ???????
• ???????????? ????????????
• ????????? ?? ?????? ? ?????????????????? ???????
  ???????
• ????? ?????????? ??? ???????????????????????
  ???????
• File-Eze - 19 ?????? ??????? EDTA, ????????????
  ? ???????? ?????? ???????????????? ???????????, ?
  ????? ??? ???????? ??? ?????????? ??????? ?
  ???????? ?? ??? ??????.

32
ULTRACAL ? ULTRACAL XS????? ?? ?????? ??????????
???????, ?????????? ???????????????

• ????????
• UltraCal ???????????? ????? ????????????? ?
  ?????? ????? ?????????? ???????
• ??? ?????????? ??? ????????? ?????????,
  ?????????? ????????????? ???????? ???????, ?
  ????? ??????????????? ??????? ?????????????.
  UltraCal - ???????????????????. ?? ?? ?????????
  ??????????????? ? ????????????????????????????
  ???????????.
• UltraCal XS ???????? ??????? ??????????
  ?????????? ???????, ??? ??????? UltraCal.
• ?????????
• ??? ???????? ?????? ? ???????? ????????? ???
  ???????????, ??? ????????? ???????? ??? ???
  ????????? ????????? ?????? ? ?????????? ?
  ???????????? ? ???????? ??????????.

33
SHAPING ? APICAL ????? ENDD ?????? ????????.

• ?????? ? ??????????

??????? 24 - 27 ??
??????? gt 27 ??
?????-???????? 16-19 ??
???????? 20 - 23 ??.
34

• K Flexoreamer golden mediums
• A range of Flexofile instruments.
• The size 20 instrument is being measured using a
  ruler on the Endoring.

35
ProRoot
36
??? ??????????????? ?????? ???????????
??? ???????????? ?????? ??????????? REF A 0408
37
??????????? ??? ???????? ????????????????
???????

• ??? ???????? ??? ???????????????? ???????
• Howard Martin
• ? ?????????? ????????

38
??? ?????????????? Endo-Z?-?? Zekrya???????
?????????? ??? ? ?????????? ????????
??? ?????????????? ?????????? Excavabur ?????????
?? ????????? ?????? ??? ??????? ???????
?????????????
??? ??????????????, ??????????, ?????????? - ???
LN
39
??? ?????????????? ???????
??? ?????????????? ???????
??? ?????????????? ???????
??? Gates Glidden
40
(No Transcript)
41


File K-File Colorinox


42
(No Transcript)
43
(No Transcript)
44
Rotating NiTi instruments
45

• File K-Reamer Colorinox6

File K-Flexofile Golden Mediums
46
Hand endodonthic instruments








47

• File Hedstroem Colorinox

48
(No Transcript)
49


50
(No Transcript)
51
(No Transcript)
52
Instruments and materials for obturation
53
(No Transcript)
54
(No Transcript)
55










56
(No Transcript)
57
(No Transcript)
58
(No Transcript)
59
(No Transcript)
60
(No Transcript)
61
(No Transcript)
62
(No Transcript)
63
(No Transcript)
64
(No Transcript)
65
(No Transcript)
66
(No Transcript)
67
(No Transcript)
68
(No Transcript)
69

• Proultra Endo

70
(No Transcript)