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Assisting with an Endodontic Procedures
Terms in this set (20)
The dental assistant passes mirror and explorer to the dentist and then passes a 2x2 to dry the moccobuccal fold and the topical. The dental assistant passes the anesthetic syringe.after anesthetic is placed rinse the area.
The dental assistant or dentist places the rubber dam on the affected tooth. Keep it free of debris.
The dentist creates an opening in the tooth with the high-speed handpiece and bur.
The dentist uses the slow-speed handpiece and round bur to remove caries and to access the pulp chamber.
The dentist may want to use the spoon excavator to remove caries and the endoodontic explorer to locate the pulp chamber and canal openings.
The dental assistant passes a barbed broach for the dentist to remove pupal tissues from within the root canal. The dentist may want more than one broaches, especially if the tooth has more than one root.
The dental assistant passes a #10 or #15 reamer with stoppers to measure the length of each canal. The dental assistant exposes a radiograph so the dentist can measure the length of each canal with the file(s) or reamer(s) in place. The radiograph and working length of each canal are recoreded.
The dental assistant passes additional files in progression until the proper width and length of the canal are achieved. The size and length of the final file used are recorded in the patient's chart.
The dental assistant passes the irrigating syringe with irrigating solution to the dentist. The dentist irrigates the canal(s). The dental assistant must keep HVE very close to the tooth.
The dental assistant passes paper points with locking cotton pliers to the dentist and continues to pass paper points until the canal(s) are completely dry.
The dental assistant passes a small cotton pellet containing medication to the dentist who places it in the tooth.(At this point the dentist places a temporary filling material into the tooth or continues to obturate the canal(s) and completes the root canal treatment. If a tooth is severely infected, the dentist may elect to have the patient return at a later date to complete the endodontic therapy.)
A master gutta percha point is selected that matches the width size of the last file used in each canal. The dental assistant exposes a radiograph to verify the proper length and seal.
The dental assistant mixes the endodontic sealer to a creamy consistency and passes it to the dentist, so he or she can coat the tip of the master gutta percha point. The dentist places gutta percha with cement into the canal.
The dental assistant passes the endodontic spreader and additional accessory gutta percha points to the dentist and continues to pass the spreader and an additional point until each canal is full.
The dental assistant passes the endodontic condenser and prepares the torch.The dental assistant holds some 2x2 squares and holds the HVE tip close to tooth.
The dentist heats the tip of the condenserand melts off the excess gutta percha material.
The dental assistant prepares the temporary filling material and passes the Woodson to the dentist. The dentist places the filling. The dental assistant passes a lightly dampened cotton applicator to the dentist, who uses it to smooth the temporary restoration.
The dental assistant uses the HVE and air/water syringe to ensure that the rubber dam is rinsed free of debris.Remove rubber dam and rinse the patients mouth.
The tooth is dried and they will check the bite with articulating paper.
The dental assistant exposes a final radiograph and provides postoperative instructions to the patient.
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