What are the steps for a root canal procedure?
The Root Canal Procedure
- Step 1: Local Anesthesia.
- Step 2: Dental Dam.
- Step 3: Drilling.
- Step 4: Remove Tissue & Nerves.
- Step 5: Disinfecting.
- Step 6: Insert Flexible Root Canal Tools.
- Step 7: Apply Filling.
- Step 8: If Needed, Post May Be Inserted.
How is apicoectomy performed?
What is an apicoectomy? In this procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed.
What is Orthograde root canal treatment?
A root end surgery, also known as apicoectomy (apico- + -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth’s root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
What is Orthograde and retrograde?
Orthograde is the use of this material through the coronal access point vs. retrograde which is the use of the material from the apex of the tooth as in the example of apicoectomy. In our office we will tend to place orthograde MTA more often for younger patients on anterior teeth with large or “open” apices.
What is the purpose of retrograde filling?
When root canal therapy fails, a retreatment called retrograde filling is a good alternative to save the tooth. During retrograde filling the dentist cuts a flap in the gum and creates a hole in the bone to get access to the bottom tip of the root of the tooth.
What is Orthograde retreatment?
Key learning points: Orthograde retreatment is a treatment option to manage refractory lesions in teeth that have previously received endodontic treatment, retreatment and apicectomy. Orthograde retreatment using long-term intracanal calcium hydroxide can help promote root-end closure of a resected apex.
When are retrograde root fillings placed?
When root canal therapy fails, a retreatment called retrograde filling is a good alternative to save the tooth. During retrograde filling the dentist cuts a flap in the gum and creates a hole in the bone to get access to the bottom tip of the root.
What is retrograde root canal filling?