Category: Endodontic

How to Detect Recurrent Decay

HOW TO DETECT RECURRENT DECAY Recurrent decay can be detected by looking for the subtle changes occurring in the coloration of the enamel surrounding the restoration.  Enamel is like opaque glass. You can’t see what’s on the other side, but you can see if it is brown or black. For the most part, darkened enamel […]

July 14, 2013 | 0 Comments More

Principles of tooth preparation

If there’s a missing tooth è Decay, overeruption, tilting, food impaction and gum diseases. Principles of tooth preparation: a-Biological consideration. b-Mechanical consideration. c-Esthetic consideration.   a-Biological Consideration: 1-damaging during tooth preparation – Prevention of damaging of adjacent tooth by a metal matrix, and proximal enamel of the tooth being prepared (lip or fin). – prevention […]

May 31, 2013 | 0 Comments More

Causes of failure of pit & fissure sealant

Causes of failure of pit & fissure sealant The Causes of failure of pit & fissure sealant are as following : 1) contamination by saliva 2) delayed mixing 3) delayed applying in the surface 4) vigorous mixing leading to formation bubble . 5) over extention 6) over dated sealant used

April 22, 2012 | 0 Comments More

Diagnostic aids for pulpal pathology

Diagnostic aids for pulpal pathology Diagnostic aids for pulpal pathology can be divided in to 2 sections: Subjective symptoms – most common being pain Objective symptoms Visual and tectile inspection- Color Contour Consistency Thermal tests Heat tests- isolation of the tooth use of : warm air hot water hot burnisher hot gutta-percha stick cold tests […]

April 17, 2012 | 0 Comments More

Classification of pulpal pathology

Classification of pulpal pathology Engel’s classification of pulpal pathology 1.Inflammatory changes: A. Hyperactive pulpalgia -Hypersensitivity -Hyperemia B. acute pulpagia -Incipient -Moderate -Advanced C. chronic pulpagia D. hyperplastic pulpitis E. pulp necrosis 2. retrogressive changes A. atrophic pulposis B. calcific pulposis   Grossman’s clinical classification Pulpitis Reversible -Symptomatic(acute) -Asymptomatic (chronic) Irreversible pulpitis -Acute -Chronic 2. Pulp […]

April 17, 2012 | 0 Comments More

Chronic Pulpalgia : Diagnosis and Treatment

Chronic Pulpalgia : Diagnosis and Treatment Chronic pulpalgia is completely irreversible.Patients complains about discomfort for weeks or even years, suppressing the pain with analgesics. Chronic pulpalgia often refers to other teeth or the opposing arch. Pain may be precipitated by biting down on an open cavity. Cold has little effect, but heat may increase the […]

April 17, 2012 | 0 Comments More

Acute Pulpalgia : Treatment

Acute Pulpalgia : Treatment Acute pulpalgia is found in three stages : incipient, moderate, and advanced. All three are related to advancing degrees of inflammation. Incipient acute pulpalgia Incipient acute pulpalgia should be completely reversible. It is characterized by mild discomfort such as that experienced following cavity or crown preparation. It may be gone by […]

April 17, 2012 | 0 Comments More

Root canal obturating materials for primary teeth

Root canal obturating materials for primary teeth Mostly used Root canal obturating materials are: 1.Camphorated parachlorophenol mixed with calcium hydroxide [CPC + Ca (OH)2] 2.CPC mixed with zinc oxide    3.Formocresol mixed with ZOE 4.Chlorhexidine mixed with ZOE                           5. Kri TM paste 6.Zinc oxide eugenol  7.Zinc oxide mixed with sterile water 8.Calcium hydroxide with sterile […]

April 15, 2012 | 0 Comments More

Pulpectomy : Definition, Indication and Contra-indication

Pulpectomy :  Definition, Indication and Contra-indication Definition It is the technique to gain an access to the root canals, remove as much dead & infected material as possible & fill the root canals  with a suitable material to maintain the tooth in a non – infected state. Complete/Total Pulpectomy: It is the extirpation of normal […]

April 15, 2012 | 1 Comment More

Precautions for electric pulp testing

Precautions for electric pulp testing The following precautions should be taken for electric pulp testing. These are as follows: Isolate individual teeth with a small portion of rubber dam if necessary Always record electric pulp test values in the notes — a progressive change in reading over time may indicate declining vitality If results remain […]

April 14, 2012 | 0 Comments More
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