Dental Tribune United Kingdom Edition

13Endo TribuneApril 9-15, 2012United Kingdom Edition Terms and conditions apply. Price is correct on day of going to press. MediMatch has the right to amend or terminate this promotion at any time. The promotoion is on behalf of Gypsumwaste Ltd. �rion Business �ar�, �orth�eld �venue, West �aling, London W13 �S� lab�medimatch.co.u� - www.medimatch.co.u� Comply with CQC and let MediMatch collect your models. DO NOT throw your models away! �ypsum plaster cast is prohibited from land�ll as per giving o� hydrogen sulphide gas (HTM 07 01 Safe Management of Healthcare Waste, DH 2010) and therefore, cannot be disposed of as do- mestic waste. The material must be separated into an appropriate container and sent for gypsum recycling arranged through a speci�c contractor. Let MediMatch organise collection of your gypsum waste. powered by Gypsumwaste Ltd. powered by Gypsumwaste Ltd. powered by Gypsumwaste Ltd. Order your collection bags today and let us deal with the model disposal for you 12 month contract = £200 (12 Collection Bags) or £20 per individual Collection Bag (minimum of 3 bags per order) MediMatch Dental Laboratory Your -Private- Dental Lab T: 08 444 993 888 MHRA:CA009413 - DLA member - GDC registered staff - London Based - TUV - ISO 9002 - ISO 9001:2000 MediMatch dental laboratory the roots. 3. Root end resection It is recommended to remove 3mm of the root tip. At this level 98 per cent of apical ramification and 93 per cent of lateral canals are removed (3). Following resection it is critical that the root end is inspected under high power visualisation, stained and viewed with micro-mirrors. Identification of isthmuses, cracks and lateral canals may be treated at this stage. 4. Retropreparation Micro-hand pieces and burs are no longer the ideal treatment for retro- preparation. Instead, dia- mond coated ultra-sonic tips are excellent for allowing the operator to clean along the original canal, the isthmus and minimise microcrack for- mation. The use of MTA as a root end filling material is an- other improvement. Superior to amalgam in terms of seal- ability and biocompatibility, it is more difficult to place and doesn’t give as aestheti- cally pleasing result when viewed on a radiograph post- operatively. Critically MTA results in regeneration of periodontal ligament and ce- mentum cells and appears to have inductive effects on bone and tissue cells. Super-EBA has also shown favourable results using microsurgical techniques. Endodontic microsurgery is a great option to keep in mind when planning treat- ment and has an added bonus for patients being the least expensive intervention when compared to endodontic re- treatment and crown, extrac- tion and fixed partial denture, or extraction. For more information about EndoCare please call 020 7224 0999 or visit www. endocare.co.uk DT Fig 7 Examining a resected root tip with a micro-mirror and implant (4) Fig 8 Post-operative radiograph ‘Endodontic microsurgery is a great option to keep in mind when planning treatment ’ Fig 9 Four-month review (Almost com- plete healing and asymptomatic) About the author Dr Daniel Flynn BDentSc MFDS RCSI MClinDent MRD RCSEd qualified from the Dublin Dental Hospital, Trinity College, Dublin in 2002. Daniel has recently joined the EndoCare team headed by Dr Michael Sultan. Daniel lectures and provides hands- on courses for general practitioners. He also teaches Endodontics at the Eastman Dental Institute for Oral Healthcare Sciences.