Endo Procedure
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| Step 1 | Seat patient, review health history, and explain procedure.
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| Step 2 | Pass Dentist mouth mirror and explorer.
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| Step 3 | Apply topical anesthetic, wait 3 to 5 minutes.
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| Step 4 | Pass dentist anesthetic syringe.
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| Step 5 | Rinse area with air/water syringe and aspirate excess water with HVE.
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| Step 6 | Place dental dam.
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| Step 7 | Dentist creates opening with highspeed handpiece and a 557 or 556 bur, while assistant uses HVE to keep area clear of debris.
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| Step 8 | Dentist uses slowspeed handpiece with a round bur sizes 2,4,or 6 to remove caries, while assistant uses HVE to keep area clear of debris.
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| Step 9 | Pass endo spoon to dentist to remove debris.
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| Step 10 | Pass endo explorer to dentist to locate pulp horns.
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| Step 11 | Dentist enlarges canal opening with gates glidden bur on the slowspeed handpiece.
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| Step 12 | Pass broaches to until dentist has removed the pulpal tissues.
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| Step 13 | Dentist puts a file in the root canal and assistant exposes a radiograph so that the dentist can determine the length of the canal.
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| Step 14 | Pass files and reamers with stoppers until proper length and width of the canal is achieved.
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| Step 15 | Pass irrigating syringe. Dentist irrigates canal while assistant aspirates with the surgical HVE tip.
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| Step 16 | Continually pass paper points until canal is completely dry.
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| Step 17 | Pass cotton pellet containing medication (formocresol)to place in canal.
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| Step 18 | Dentist will remove cotton pellet and assistant passes a dry pellet to leave in the preparation.
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| Step 19 | Pass small ball of temporary filling material (Cavit)on the end of a woodson.
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| Step 20 | Pass a damp cotton tip applicator to dentist who uses it to smooth the temporary restoration. (End 1st visit)
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| Step 21 | Pass dentist endo spoon to remove temporary filling and cotton pellet.
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| Step 22 | Select master gutta percha point according to the size of the last file used.
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| Step 23 | Mix endo sealer (Sealapex) and pass to dentist. Dentist uses lentulo spiral on the slowspeed handpiece to place sealer deep into the canal.
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| Step 24 | Coat master gutta percha point with sealer and pass to dentist.
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| Step 25 | Assistant continues to pass gutta percha and endo spreader until canal is full and without any voids.
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| Step 26 | Pass endo condenser (Glick #1) and prepare heat source.
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| Step 27 | Hold some 2x2 gauze to wipe condenser of melted gutta percha, while using the HVE to aspirate smoke form the melted gutta percha.
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| Step 28 | Pass temporary filling material (Cavit)on woodson to dentist, along with damp cotton tip applicator.
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| Step 29 | Use air/water and HVE to clear rubber dam of debris, remove dam, and rinse mouth.
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| Step 30 | Pass articulating forceps to check occlusion, dentist will adjust the occlusion with woodson, cotton tip applicator, or round bur in slowspeed if needed.
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| Step 31 | Assistant exposes final radiograph and gives post-op insructions to patient.
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| Step 32 | Schedule appointment for final restoration.
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