SlideShare une entreprise Scribd logo
1  sur  21
 Definition : Endodontics is the branch of
dentistry dealing with diseases of the
dental pulp.
 The number of canals in a tooth
correlates to the number of roots in a
tooth.
 The space inside the root canals is filled
with a highly vascularized and highly
innervated loose connective tissue,
called the dental pulp.
 The pulp tissue is in communication
with the periodontium and the rest of
the body through the apical foramen.
 Central region contains nerves and
blood vessels.
 Innermost layer, - contains fibroblasts
and undifferentiated mesenchymal cells.
 Zone of Weil – This is a cell free zone,
rich in capillaries and nerve fibres.
 Odontoblastic layer – outermost layer,
contains odontoblasts and is next to the
predetin and mature dentin.
 Primary Function is to form Dentin
 Nutritive – provides nutrients to the
organic surroundings
 Sensory – sensitive to temperature,
pressure or trauma
 Protective – forms secondary dentin,
when under attack from bacteria.
 Accessory canals are branches of the main
canal that form a communication between the
pulp and periodontum.
 They also contain vessels and nerves, and can
be located anywhere between the level of
furcation to the apex.
 30% of lower incisors have lingual and labial
canals.
 85% of mesiobuccal roots contain two canals
(MB1 and MB2), in upper molar teeth.
The shape of the preparation is dictated
by :
 The shape of the pulp chamber
 The morphology of the canals.
It is important that straight line access to
the apical foramen is created.
 The access cavity is initiated in the
middle of the palatal side of the tooth.
 Initial preparation should be at 90° to
the palatal aspect of the tooth.
 Once dentine has been reached the
angulation of the bur is changed to
follow a long axis of the tooth using a
slow handpiece.
 Initial preparation is made in the
middle of the fissure. The cavity is then
extended buccally and palatally.
 NB : Marginal ridges must not be
involved in this presentation, as this
would compromise the integrity of the
tooth.
 Initial Preparation is done in the mesial
pit.
 The cavity is then extended in the mesial
half of the tooth to include all canals.
 The mesial marginal ridge must not be
damaged in upper molars as the cavity
should lay mesially to it.
 However lower molar teeth, have a distal
canal, which is located just past the middle
of the tooth.
Irrigation in Endodontic treatment
serves the following purposes: 
 Lubricate canal
 Dissolve the pulp remnants
 Washing out debris created by canal
instrumentation
 Kill/remove the bacteria/micro-
organisms in root canal
 Clean the smear layer
 Sodium Hypochlorite :Dissolves necrotic
tissue and kills bacteria quite effectively.
 Kills bacteria quite effectively. 
 Chelators: Such as EDTA, remove the
smear layer.
 Hydrogen Peroxide: Used to be used a lot,
however studies have shown it to be
ineffective.
 Chlorhexidine: Has been shown to remove
significant number of bacteria.
 ENDOVAC TECHNOLOGY – the use of
apical negative pressure irrigation,
significantly improves cleaning and
disinfection more closely to the apex.
 ENDOACTIVATOR – Sonically driven
system, enables the irrigant to travel
deep into the pulpal system, enabling
better cleaning.
 Tooth Anatomy – Revision
 Root canal anatomy
 Accessory canals
 Access cavities
 Irrigants
 Recent Developments in Endodontics.
 http://www.dentistrytoday.com/endodon
tics/1043
 http://www.youtube.com/watch?
v=QrUgCNQs038
 Endodontics Lecture from Blackboard.
By Dr Qualtrough.
 http://www.dentistrytoday.info/content/i
rrigation-endo
 http://www.jendodon.com/article/S0099-
2399(07)00095-7/abstract
Root canal anatomy and access cavities

Contenu connexe

Tendances

Bicuspidization of Mandibular Molar;A Clinical Review;Case Report
Bicuspidization of Mandibular Molar;A Clinical Review;Case ReportBicuspidization of Mandibular Molar;A Clinical Review;Case Report
Bicuspidization of Mandibular Molar;A Clinical Review;Case Report
Abu-Hussein Muhamad
 
6.restoration of the endodontically treated tooth
6.restoration of the endodontically treated tooth6.restoration of the endodontically treated tooth
6.restoration of the endodontically treated tooth
Ganesamurthi rathinam
 

Tendances (20)

Access cavity preparation posteriors
Access cavity preparation posteriorsAccess cavity preparation posteriors
Access cavity preparation posteriors
 
Components of a complete denture
Components of a complete dentureComponents of a complete denture
Components of a complete denture
 
Endodontic mishaps during RCT
Endodontic mishaps during RCTEndodontic mishaps during RCT
Endodontic mishaps during RCT
 
Working length determination
Working length determinationWorking length determination
Working length determination
 
Endodontic Mishaps
Endodontic MishapsEndodontic Mishaps
Endodontic Mishaps
 
Removal of broken endodontic instruments
Removal of broken endodontic instrumentsRemoval of broken endodontic instruments
Removal of broken endodontic instruments
 
Access cavity preparation
Access cavity preparationAccess cavity preparation
Access cavity preparation
 
Endodontic Mishaps
Endodontic MishapsEndodontic Mishaps
Endodontic Mishaps
 
Bicuspidization of Mandibular Molar;A Clinical Review;Case Report
Bicuspidization of Mandibular Molar;A Clinical Review;Case ReportBicuspidization of Mandibular Molar;A Clinical Review;Case Report
Bicuspidization of Mandibular Molar;A Clinical Review;Case Report
 
Obturation of Root Canal - Brief Presentation
Obturation of Root Canal - Brief PresentationObturation of Root Canal - Brief Presentation
Obturation of Root Canal - Brief Presentation
 
Root canal anatomy
Root canal anatomyRoot canal anatomy
Root canal anatomy
 
1. Intracanal medicaments
1. Intracanal medicaments 1. Intracanal medicaments
1. Intracanal medicaments
 
Irrigation in endodontics
Irrigation in endodonticsIrrigation in endodontics
Irrigation in endodontics
 
Root Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic TreatmentRoot Canal Irrigation During Endodontic Treatment
Root Canal Irrigation During Endodontic Treatment
 
6.restoration of the endodontically treated tooth
6.restoration of the endodontically treated tooth6.restoration of the endodontically treated tooth
6.restoration of the endodontically treated tooth
 
Endodontic Access Cavity Preparation
Endodontic Access Cavity PreparationEndodontic Access Cavity Preparation
Endodontic Access Cavity Preparation
 
Ultrasonics in endodontics
Ultrasonics in endodonticsUltrasonics in endodontics
Ultrasonics in endodontics
 
Access cavity preparation
Access cavity preparationAccess cavity preparation
Access cavity preparation
 
Restoration of the endodontically treated tooth
Restoration of the endodontically treated tooth Restoration of the endodontically treated tooth
Restoration of the endodontically treated tooth
 
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
Management of Blunderbuss canals in endodontics  /certified fixed orthodontic...Management of Blunderbuss canals in endodontics  /certified fixed orthodontic...
Management of Blunderbuss canals in endodontics /certified fixed orthodontic...
 

Similaire à Root canal anatomy and access cavities

1 тема Стоматология Лечебное дело на англ.pptx
1 тема Стоматология Лечебное дело на англ.pptx1 тема Стоматология Лечебное дело на англ.pptx
1 тема Стоматология Лечебное дело на англ.pptx
komalsaharan2001
 
introduction to endodontics
introduction to endodonticsintroduction to endodontics
introduction to endodontics
Fatooma Adham
 
Root canal treatment slides
Root canal treatment slidesRoot canal treatment slides
Root canal treatment slides
Ratra Dental
 

Similaire à Root canal anatomy and access cavities (20)

Dentin
DentinDentin
Dentin
 
Dentistry 2023.pptx
Dentistry 2023.pptxDentistry 2023.pptx
Dentistry 2023.pptx
 
Dentin pulp complex
Dentin pulp complexDentin pulp complex
Dentin pulp complex
 
Maxillary and mandbular anatomical landmarks
Maxillary and mandbular anatomical landmarksMaxillary and mandbular anatomical landmarks
Maxillary and mandbular anatomical landmarks
 
1 тема Стоматология Лечебное дело на англ.pptx
1 тема Стоматология Лечебное дело на англ.pptx1 тема Стоматология Лечебное дело на англ.pptx
1 тема Стоматология Лечебное дело на англ.pptx
 
Dentin pulp complex
Dentin pulp complexDentin pulp complex
Dentin pulp complex
 
introduction to endodontics
introduction to endodonticsintroduction to endodontics
introduction to endodontics
 
Dentinal hypersensitivity /certified fixed orthodontic courses by Indian den...
Dentinal hypersensitivity  /certified fixed orthodontic courses by Indian den...Dentinal hypersensitivity  /certified fixed orthodontic courses by Indian den...
Dentinal hypersensitivity /certified fixed orthodontic courses by Indian den...
 
Dentinal hyper sensitivity 2 /certified fixed orthodontic courses by Indian d...
Dentinal hyper sensitivity 2 /certified fixed orthodontic courses by Indian d...Dentinal hyper sensitivity 2 /certified fixed orthodontic courses by Indian d...
Dentinal hyper sensitivity 2 /certified fixed orthodontic courses by Indian d...
 
pulp therapy
pulp therapypulp therapy
pulp therapy
 
Lect.1 2018 - biological consideration of the enamel and dentine structures ...
Lect.1 2018 - biological consideration of the enamel and dentine structures  ...Lect.1 2018 - biological consideration of the enamel and dentine structures  ...
Lect.1 2018 - biological consideration of the enamel and dentine structures ...
 
Root canal treatment slides
Root canal treatment slidesRoot canal treatment slides
Root canal treatment slides
 
Dentin
DentinDentin
Dentin
 
2. Dentin.pptx
2. Dentin.pptx2. Dentin.pptx
2. Dentin.pptx
 
Dentin with emphasis on applied physiology and pathology
Dentin with emphasis on applied physiology and pathology Dentin with emphasis on applied physiology and pathology
Dentin with emphasis on applied physiology and pathology
 
Lect.1 2018 - biologic considerations of enamel
Lect.1 2018 - biologic considerations of enamelLect.1 2018 - biologic considerations of enamel
Lect.1 2018 - biologic considerations of enamel
 
Histology of dentin
Histology of dentinHistology of dentin
Histology of dentin
 
null.pptx
null.pptxnull.pptx
null.pptx
 
4.pulp.pptx
4.pulp.pptx4.pulp.pptx
4.pulp.pptx
 
1. Introduction To Endodonticsss (1).pdf
1. Introduction To Endodonticsss (1).pdf1. Introduction To Endodonticsss (1).pdf
1. Introduction To Endodonticsss (1).pdf
 

Dernier

Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
AnaAcapella
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
QucHHunhnh
 
Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptx
negromaestrong
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
ZurliaSoop
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 

Dernier (20)

General Principles of Intellectual Property: Concepts of Intellectual Proper...
General Principles of Intellectual Property: Concepts of Intellectual  Proper...General Principles of Intellectual Property: Concepts of Intellectual  Proper...
General Principles of Intellectual Property: Concepts of Intellectual Proper...
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
 
psychiatric nursing HISTORY COLLECTION .docx
psychiatric  nursing HISTORY  COLLECTION  .docxpsychiatric  nursing HISTORY  COLLECTION  .docx
psychiatric nursing HISTORY COLLECTION .docx
 
Asian American Pacific Islander Month DDSD 2024.pptx
Asian American Pacific Islander Month DDSD 2024.pptxAsian American Pacific Islander Month DDSD 2024.pptx
Asian American Pacific Islander Month DDSD 2024.pptx
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
Seal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptxSeal of Good Local Governance (SGLG) 2024Final.pptx
Seal of Good Local Governance (SGLG) 2024Final.pptx
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
Jual Obat Aborsi Hongkong ( Asli No.1 ) 085657271886 Obat Penggugur Kandungan...
 
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
Magic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptxMagic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptx
 
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptxSKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
SKILL OF INTRODUCING THE LESSON MICRO SKILLS.pptx
 
Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 
Sociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning ExhibitSociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning Exhibit
 
Spatium Project Simulation student brief
Spatium Project Simulation student briefSpatium Project Simulation student brief
Spatium Project Simulation student brief
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 

Root canal anatomy and access cavities

  • 1.
  • 2.  Definition : Endodontics is the branch of dentistry dealing with diseases of the dental pulp.
  • 3.  The number of canals in a tooth correlates to the number of roots in a tooth.  The space inside the root canals is filled with a highly vascularized and highly innervated loose connective tissue, called the dental pulp.  The pulp tissue is in communication with the periodontium and the rest of the body through the apical foramen.
  • 4.  Central region contains nerves and blood vessels.  Innermost layer, - contains fibroblasts and undifferentiated mesenchymal cells.  Zone of Weil – This is a cell free zone, rich in capillaries and nerve fibres.  Odontoblastic layer – outermost layer, contains odontoblasts and is next to the predetin and mature dentin.
  • 5.  Primary Function is to form Dentin  Nutritive – provides nutrients to the organic surroundings  Sensory – sensitive to temperature, pressure or trauma  Protective – forms secondary dentin, when under attack from bacteria.
  • 6.
  • 7.  Accessory canals are branches of the main canal that form a communication between the pulp and periodontum.  They also contain vessels and nerves, and can be located anywhere between the level of furcation to the apex.  30% of lower incisors have lingual and labial canals.  85% of mesiobuccal roots contain two canals (MB1 and MB2), in upper molar teeth.
  • 8.
  • 9. The shape of the preparation is dictated by :  The shape of the pulp chamber  The morphology of the canals. It is important that straight line access to the apical foramen is created.
  • 10.  The access cavity is initiated in the middle of the palatal side of the tooth.  Initial preparation should be at 90° to the palatal aspect of the tooth.  Once dentine has been reached the angulation of the bur is changed to follow a long axis of the tooth using a slow handpiece.
  • 11.  Initial preparation is made in the middle of the fissure. The cavity is then extended buccally and palatally.  NB : Marginal ridges must not be involved in this presentation, as this would compromise the integrity of the tooth.
  • 12.  Initial Preparation is done in the mesial pit.  The cavity is then extended in the mesial half of the tooth to include all canals.  The mesial marginal ridge must not be damaged in upper molars as the cavity should lay mesially to it.  However lower molar teeth, have a distal canal, which is located just past the middle of the tooth.
  • 13.
  • 14.
  • 15.
  • 16. Irrigation in Endodontic treatment serves the following purposes:   Lubricate canal  Dissolve the pulp remnants  Washing out debris created by canal instrumentation  Kill/remove the bacteria/micro- organisms in root canal  Clean the smear layer
  • 17.  Sodium Hypochlorite :Dissolves necrotic tissue and kills bacteria quite effectively.  Kills bacteria quite effectively.   Chelators: Such as EDTA, remove the smear layer.  Hydrogen Peroxide: Used to be used a lot, however studies have shown it to be ineffective.  Chlorhexidine: Has been shown to remove significant number of bacteria.
  • 18.  ENDOVAC TECHNOLOGY – the use of apical negative pressure irrigation, significantly improves cleaning and disinfection more closely to the apex.  ENDOACTIVATOR – Sonically driven system, enables the irrigant to travel deep into the pulpal system, enabling better cleaning.
  • 19.  Tooth Anatomy – Revision  Root canal anatomy  Accessory canals  Access cavities  Irrigants  Recent Developments in Endodontics.
  • 20.  http://www.dentistrytoday.com/endodon tics/1043  http://www.youtube.com/watch? v=QrUgCNQs038  Endodontics Lecture from Blackboard. By Dr Qualtrough.  http://www.dentistrytoday.info/content/i rrigation-endo  http://www.jendodon.com/article/S0099- 2399(07)00095-7/abstract