Endo Tribune United Kingdom Edition

15Endo TribuneJune 2014United Kingdom Edition SIRONA.COM/INTEGO T h e D e n t a l C o m p a n y INTEGO is quite simply the best treatment centre in its class. Its ergonomic design perfectly combines appearance and functionality, while its outstanding “Made in Germany” quality doesn’t just satisfy – it impresses. The two designs, INTEGO and INTEGO pro, can be flexibly configured for your requirements. Whether you select the whip arm or the hanging hoses design, every option delivers optimal performance at a fair price – offering great value in every respect. Enjoy every day. With Sirona. Blueprint Dental Equipment Ltd 0845 0036274 sales@blueprintdental.co.uk INTEGO. PERFORMANCE YOU CAN RELY ON. Henry Schein Dental Ltd. 08700 10 20 43 sales@henryschein.co.uk Sident Ltd. 01932 582900 sales@sident.co.uk Sirotech LLP 0800 6899992 info@sirotech.co.uk About the author Dr Sorin Sirbu graduat- ed from the Carol Davi- la University of Medi- cine and Pharmacy in Bucharest in Romania. At present, he works in a private dental prac- tice in Bucharest. composite filling. After removing the old composite filling, I noticed secondary decay that reached up to the pulp chamber (Fig. 5) and I subsequently decided to pursue endodontic treatment. The treatment was performed in one session. Four canals were identified (MB, MB2, DB and P; Fig. 6). The main problem was in the MB2 canal, which had a 90o curvature. The treatment was performed with TF 25.06 in the MB2 canal and with TF 25.08 in the other canals (Fig. 7). As a fi- nal irrigant, I used SmearClear (SybronEndo). After obturating the canals with warm vertical condensation using the Elements Obturation Unit (SybronEndo; Fig. 8), the canals were sealed with a coloured composite (RxFlow, Dental Life Sciences - Fig. 9). Fi- nally, the tooth was restored with a composite filling (Fig. 10) and the control X-ray was taken (Fig. 11). Case 2 The patient was referred to our clinic by another doctor who had come across difficulties when identifying and working in the ca- nals of tooth 37. The presence of a temporary filling done during previous treatment was observed during the clinical examination (Fig. 12). An initial X-ray was taken to identify any possible as- sociated pathology, the presence of canals, etc. (Fig. 13). After removing the temporary filling, three root canals were identified, shaped and cleaned (Fig. 14). The treatment was per- formed with TF 25.10 up to 40.04. The MB and ML canals merged, as shown by the file impression from the MB canal on the gutta percha cone (Fig. 15). The final irrigation was done with Smear- Clear. The tooth was obturated with warm vertical condensation using the Elements Obturation Unit (Fig. 16), and finally restored with composite material and a fi- breglass post (Fig. 17). The control X-ray showed that the root canal and numerous ac- cessory canals (Fig. 18) had been properly cleaned and obturated due to working with TF rotary files and negative irrigation with EndoVac (SybronEndo). DT Fig. 12_Tooth 37 at the initial clinic examination. Fig. 13_The initial radiographic exami- nation of tooth 37. Fig. 14_Shaped and cleaned canals. Fig. 15_The impression left by the file on the gutta-percha cone attested to the merging of the MB and ML canals. Fig. 16_Final endodontic obturation by means of the warm vertical condensation technique. Fig. 17_Tooth 37 restored using composite material and a fibreglass post. Fig. 18_The final X-ray. 08450036274 08700102043 01932582900 08006899992

Endo Tribune United Kingdom Edition

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