Ensure you are providing the best endodontic treatment for your patients using our comprehensive step-by-step endodontic workflow guide, featuring product recommendations from trusted brands.
1. Diagnosis
The initial step in the endodontic process involves diagnosis of the issue. Typically, patients report pain or discomfort in a specific tooth or region, prompting a comprehensive examination by a dentist. During this process, the dentist must establish whether an endodontic procedure is indicated.
Various diagnostic tools and techniques are employed to assess the tooth and the surrounding structures, allowing for the identification of the underlying cause. This crucial step enables the development of an appropriate treatment plan, tailored to the individual patient's needs.
For reliable diagnosis, a radiograph is required, which can be carried out by the traditional use of an X-ray, or a CBCT in more complex cases.
Endo spray and a heated plugger can also be used to verify whether the patient has reversible or irreversible pulpitis.
A simple definition of CAD/CAM dentistry is the use of digital software to design and manufacture dental restorations and prostheses. CAD stands for computer-aided design and CAM stands for computer-aided manufacturing. The technology can be used to create crowns, dentures, inlays, onlays, bridges and veneers among other things. The speed of the CAD/CAM process allows for dental prosthetics to be designed, manufactured and delivered to the patient in quick time, sometimes the same day. The wider system of using computer assisted technologies to produce restorations is known as CEREC (Chairside Economical Restoration of Aesthetic Ceramics).
4. Shaping
After you’ve gained access, it's time to shape the canals to remove the pulp and any bacteria or debris from the root canals. You will need to work carefully and thoroughly to ensure all pulp tissue is removed, leaving the canals clean and free from infection.
For the best possible shaping, you should have a range of files available for use, providing you with a suitable solution, no matter the canal shape.
The Endoflex K-file range is flexible enough to navigate anatomy, allowing you to create a sufficient glide path, or to apically gauge. They can also be used alongside the BA Optima or the EDGEAPEX HP motors with built-in apex locators which allow you to accurately find the working length.
For the shaping and finishing phases of preparation, EdgeEndo’s extensive range of products includes a large variety of heat-treated NiTi files, complete with high cyclic fatigue resistance and flexibility – ideal for shaping canals of all complexities.
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5. Irrigation and Debridement
Once the pulp tissue has been removed, the root canals should be cleaned and shaped in preparation for filling. This step, known as irrigation or debridement, involves using small instruments to remove any remaining pulp tissue, bacteria, or debris from the canals.
It is important that the canals are well cleaned and shaped to allow the filling material to be placed easily and effectively. By using a methodical approach, you can ensure that the tooth is properly prepared for the final stage of the endodontic process.
Henry Schein offers a range of irrigation solutions including Sodium Hypochlorite 3% to aid disinfection, and EDTA Solution 17% to remove the smear layer and further enhance the disinfection process.
Henry Schein’s disposable Syringe Sterile Luer Locks come in two sizes (27G and 30G) and are side vented, making them a reliable choice as they reduce the chance of apical extrusion. Irrigating needles offer another great option for this step of the endodontic process.
5. Irrigation and Debridement
Once the pulp tissue has been removed, the root canals should be cleaned and shaped in preparation for filling. This step, known as irrigation or debridement, involves using small instruments to remove any remaining pulp tissue, bacteria, or debris from the canals.
It is important that the canals are well cleaned and shaped to allow the filling material to be placed easily and effectively. By using a methodical approach, you can ensure that the tooth is properly prepared for the final stage of the endodontic process.
Henry Schein offers a range of irrigation solutions including Sodium Hypochlorite 3% to aid disinfection, and EDTA Solution 17% to remove the smear layer and further enhance the disinfection process.
Henry Schein’s disposable Syringe Sterile Luer Locks come in two sizes (27G and 30G) and are side vented, making them a reliable choice as they reduce the chance of apical extrusion. Irrigating needles offer another great option for this step of the endodontic process.