ENDODONTICS

preclinical course
Endodontic instruments

Armamentarium for endodontic therapy

Session outline

Roentgenography, magnification

Instruments for chamber and access
preparation

Basic endodontic instruments –
standardization and using methods (hand
and rotary instruments)

Equipment for working lenght evaluation

Instruments for obturation of canal system
Roentgenography

Radiographs are
essential to all phases of
endodontic therapy

Inform the diagnosis and
the various treatment
phases and help
evaluate the success or
failure of treatment

High-quality radiographs

Film holders
Series of radiographs

During endodontic treatment- minimum 4

radiographs

1. Periapical radiograph ( diagnostic)

2. Radiograph with an instrument ( WL
radiograph)
3. Radiograph with a filling material (MAP)
4. Control radiograph
Periapical radiograph

Anatomy – number of roots, canals

Curvatures
Abnormal conditions in the pulp or periradicular tissues
Caries, fracture, resorption, leaky restoration
Working length radiograph

Instrument in the canal

Rubber dam clamp

Radiograph with a filling material
(cone fitting)

Guttapercha
Control radiograph
Digital radiography

Digital radiography is a type of X-ray that

uses a small sensor instead of the film
used in conventional X-rays. The sensor
transmits the image to a computer
monitor.

Digital radiography is rapidly replacing

conventional dental X-rays and provides
several benefits.
Digital radiography

Schick System

Digora System

Trophy System
Digital radiography- advantages

TIME( increased speed of obtaining images- available in seconds)

LESS RADIATION EXPOSURE ( up to 90% of the dose)

MAGNIFICATION (images can be usefully magnified 2-10 times)

CONTRAST, DENSITY

HIGHLIGHTING, COLORIZATION

MEASUREMENTS

LESS EQUIPMENT( eradication of film chemicals, developers)

STORAGE, PRINTING ( all films are labelled by name and date,
filed and retrieved easily, copies are the same as originals and
simple to make)

PATIENT EDUCATION
Digital radiography
 Orifice localization
MAGNIFICATION

Loupes and opearting microscope are tremendous
help during RCT and other procedures

Magnification eliminates errors, inaccuracy and

guesses…

Microscope offers
 Very light illumination in eyesight line
 Several magnification levels
 Allows documentation
 Ergonomic operator’s position
MICROSCOPE

The microscope in
endodontics is particularly
useful for:

Identifying cracks

Finding calcified and
additional canals

Removing posts and broken
instruments

Repairing perforations

Performing periapical
surgery
Courtesy of Dr. Fred Barnett
 middle mesial

Courtesy of dr Sashi Nallapati