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PURPOSE OF THE PURPOSE OF THE PRESETAIO: PRESETAIO: 1. Inform - PowerPoint PPT Presentation

PURPOSE OF THE PURPOSE OF THE PRESETAIO: PRESETAIO: 1. Inform you about the procedure. Inform you about the procedure. 1. 2. Help answer any questions. Help answer any questions. 2. 3. When you have an office visit this


  1. PURPOSE OF THE PURPOSE OF THE PRESE�TAIO�: PRESE�TAIO�: 1. Inform you about the procedure. Inform you about the procedure. 1. 2. Help answer any questions. Help answer any questions. 2. 3. When you have an office visit this When you have an office visit this 3. will help to understand the x*rays. will help to understand the x*rays. 4. Press the “ Press the “Down Arrow Down Arrow” or ” or 4. “�ext Page �ext Page”key to view next slide ”key to view next slide “

  2. ����������������� ����������������� ����������������� ������������������ ������������������ ������������������ ���������������������� ���������������������� ����������������������

  3. A healthy tooth consists A healthy tooth consists of a crown... of a crown... Crown

  4. ...and a root. ...and a root. Crown Root

  5. Under the hard layers of Under the hard layers of enamel and dentin... enamel and dentin... Enamel Dentin

  6. is soft tissue called pulp. pulp. is soft tissue called Enamel Pulp Tissue Dentin

  7. PULP CO�TAI�S: PULP CO�TAI�S: � ����������������������� � ��������������������������� � ������������������ � ��������������� � ������������� � ������������������������ ������������������������

  8. The pulp creates The pulp creates dentin during tooth during tooth dentin development. development. (Ages 2*18) (Ages 2*18)

  9. The pulp may The pulp may become infected or damaged. become infected or damaged. Decay Damaged Pulp

  10. By: Injury... Decay... deep or By: Injury... Decay... deep or repeated fillings to a tooth. repeated fillings to a tooth. Decay

  11. The Pulp (“�erve”) of the tooth The Pulp (“�erve”) of the tooth can become damaged or can become damaged or infected: infected: � �!�����������"�������������� � #�������$����������� ��������������������� � $����������%�������&����� �����' (( �)����������%� ���������������������

  12. If left untreated, If left untreated, an abscess abscess will form. will form. an Decay Damaged Pulp Abscess

  13. How do “deep fillings” How do “deep fillings” cause pulp problems?? cause pulp problems?? � $��������� $����������������������� � ������*�� � �����%�������"���"�� ��������������������������� ���"���������*� � ��������������%������"���"�� ���������������������*�

  14. How do “deep fillings” How do “deep fillings” cause pulp problems?? cause pulp problems?? � ��������*� ��������*��������������"�� � ���%��������+,������ ������������������������������ ������������������������ ���"-��� � �������"����-�����������.���� ������������� ����������

  15. How do you know if the pulp of How do you know if the pulp of your tooth is damaged? your tooth is damaged?

  16. Signs of damaged pulp: Signs of damaged pulp: � /���������%������������.�"��� ��""����.����������������� � ��"���"���������������. ����--��*�����.��� ����������������������� ��������������

  17. Signs of damaged pulp: Signs of damaged pulp: � ������������""������"���� ������������������.����%��� -���"������������-����* ��������.���������� � ��+����������������������� ���������������������������� ����!�%�

  18. Signs of damaged pulp: Signs of damaged pulp: � 0������������%����1�����2 ���������������������������3��� ������������*�������������4, ���� � 5������"���"����� �"�����������"�2��*���� ������������*�����������-���

  19. Signs of damaged pulp: Signs of damaged pulp: � ��+������-������"������"6 ����������������������� �%�����*������������������ ����*�"�� � 7����-��������������%�� ����������������������������. ����������������������"�� �����-������������

  20. Sometimes there are Sometimes there are no symptoms. no symptoms. Some endodontic problems are only evident on an x�ray...

  21. During your During your TREATME�T TREATME�T visit at our office, the following visit at our office, the following steps are taken: steps are taken:

  22. Preparation for Treatment Preparation for Treatment � ����������+�"���� � �����������4,�����"���-� ��������� � ��������������*���� � $��������"����������

  23. A dental dam is a small sheet A dental dam is a small sheet of rubber that surrounds of rubber that surrounds the tooth. the tooth. It will isolate your tooth and keep it clean during the procedure. As well as keep the debris out of your mouth during treatment.

  24. Once your tooth Once your tooth is completely numb... is completely numb...

  25. …I will make …I will make an opening opening in the crown... in the crown... an Access Opening

  26. A microscope may be used A microscope may be used to see more clearly deep to see more clearly deep inside the tooth. inside the tooth. This allows for a much clearer view when there are potential problems

  27. …then gently clean the pulp …then gently clean the pulp from the pulp chamber... from the pulp chamber... Access Opening Cleaned and Shaped Pulp Chamber

  28. ...and canals inside the roots. ...and canals inside the roots. Access Opening Cleaned and Shaped Pulp Chamber and Root Canal

  29. To clean in the canals I use To clean in the canals I use very small, thin instruments very small, thin instruments called FILES. called FILES. The files look like a small thin wire… it simply has file edges along the outside

  30. The first ones used are The first ones used are 10/100th of a th of a millimeter millimeter. . 10/100 That is 1/254 1/254th of an th of an inch inch!! !! That is So small they may occasionally separate or break within the tooth. This rarely causes a problem.

  31. IF a file were to break, they are IF a file were to break, they are so fine, they are often sealed so fine, they are often sealed within the canal. within the canal. It is not a cause for concern. I will certainly advise you, if any difficulties occur during the procedure..

  32. Once the root canals are cleaned Once the root canals are cleaned and shaped and disinfected... and shaped and disinfected...

  33. …I will …I will fill the canals... fill the canals... Filled Root Canals

  34. …with a rubber*like material …with a rubber*like material called gutta*percha. called gutta*percha. Filled Root Canals

  35. At this time the root canal is At this time the root canal is FI�ISHED, and the tooth must FI�ISHED, and the tooth must be sealed be sealed Three kinds of sealing techniques may be used.

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