Obturation, Step No. 1: Cone Fit
Cone fit is the first step and a good starting point for a perfect 3D obturation of the root canal system. During this phase, we need: gutta-percha cones, a dedicated caliper and a blade or micro-scissors. Guttapercha cones are available in three different categories: 1) Non Standardized, with 0.20 tip and available in 9 size: […]
Apical Gauging: measuring the Control Zone
Apical gauging is a mechanical term which clinically indicates the measuring of the apical diameter prior to obturation of the root canal system. This technique envisages the need to confirm that apical continuity of taper exists and that the tapered preparation, made with the last instrument, extends all the way to the end of the […]
A synopsis about the first phases of canal shaping
After the last articles, by Fabio Gorni, Massimo Giovarruscio and Enrico Cassai, it is important to make a point of preflaring, scouting and glide-path preparation, the first phases of canal instrumentation. We have proposed a new classification of endodontic instruments based upon their clinical use, depending on the distinct phases of the endodontic treatment, namely: […]
Glide Path Management: tips and tricks
“…I’ve often said on stage that I have two things to teach for the rest of my life and one is Endodontic Access Cavity Preparation and the other is Glide Path Management…” (Cliff Ruddle) Has been described on previous articles that canal preparation consists of three distinct stages: initial canal negotiation (Scouting and Preflaring), creation […]
The working length
After having realized a minimally invasive access cavity and removed the coronal interferences (preflaring) the next step is passed to the scouting of the apical third canal as described in the two preceding articles of Dr Massimo Giovarruscio (http://styleitaliano.hime.host/scouting-the-root-canal) The advantages of the apical third scouting only after a preflaring in summary are: - Best […]
Mandibular Premolars: Teeth not to underestimate
The success of endodontic treatment depends on removing microorganisms from root canal system, three dimensionally sealing and the placement of a good coronal seal to prevent communications between oral cavity and the periradicular tissues (1-4). The operator should be able to assess the endodontic case and know about tooth anatomy and the suspected anatomical variations […]
Scouting The Root Canal
As discussed on the previous article, the manual preflaring creates a glide path for safer use of hand files and NiTi rotary instrumentation. Canal scouting is the first phase of canal instrumentation, during which procedural difficulties or errors might more frequently occur.
Coronal Preflaring
After access cavity, Preflaring, Canal Scouting and Glyde Path are the first phases of canal instrumentation and it has also been noted that, during these phases, the clinician might more frequently encounter procedural difficulties. These problems include instrument fracture, ledge formation, canal zipping or canal straightening, strip perforation, apical perforation, elbow formation and apical blockage. […]
Shaping&Cleaning of the endodontic space: the Style Italiano Endodontic Philosophy and techniques
Endodontic diagnosis, therapies and follow-up procedures can be the most complex of dental treatments; among these, shaping the root canals has always been considered as the basic and most important procedure. Various instruments and techniques have been developed in the history of endodontics, to deal with the almost infinite anatomical variations of root canals; this […]
Ultrasonics in Endodontics: Part 2
Having reviewed the history of ultrasound and ultrasonic tips in "Ultrasonic in Endodontics: Part 1" (http://styleitaliano.hime.host/ultrasonics-in-endodontics-part-1) in this second part will be highlighted the clinical applications of these tools, that has today become fundamental in almost every phase of the endodontic therapy. In fact, if they assist the execution of a minimal invasive cavity access, […]
Ultrasonics in Endodontics: Part 1
Around the end of 1950 the ultrasonic technology has had a wide spread not only in the field of hygiene and periodontology, but also in endodontics. Nowadays the operators thoroughly know the benefits of the use of ultrasound in the endodontic field, where a minimally invasive approach is always needed, together with magnification, in order […]
A simple trick for a sharp apical barrier placement
One step apexification with MTA is nowadays a widely diffused procedure, although the major problem in cases of a wide open apex is the need to limit and confine the apexification material at the apex, avoiding its extrusion into the periodontal tissue. The use of a biocompatible matrix is advisable because its placement in the […]