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Endo Tribune Middle East & Africa Edition No. 1, 2018

Dental Tribune Middle East & Africa Edition | 1/2018 ENDO TRIBUNE A3 ◊Page A2 Fig.4: EDDY in action a exceed 25mm. My treatment plan was as follows: root ca- nal therapy with two apical plugs with calcium silicate-based bio- active cement. The patient provided his consent for the treatment of the affected tooth and asked to have the other treated in a subsequent visit. After isolating with a rubber dam, I removed the tem- porary filling, and then entire pulp chamber roof the Fig. 5: Intraoperative radiograph of apical plug of tooth #11 (after 6 months from the first treatment). Fig. 6: Post-operative radiograph Fig. 7: Four months follow-up radiograph with a low-speed round drill. The working length was immediately evaluated using an electronic apex locator and a 31 mm K-type file. The working length was determined to be 28 mm. As can be seen in the photographs, the canal was actually quite wide, so I decided to only use an irrigat- ing solution and not a shaping in- strument. Root canals are usually shaped so that there will be enough space for proper irrigation and a proper shape for obturation. This usu- ally means giving these canals a tapered shape to ensure good con- trol when obturating. With open apices, a conical shape is not need- ed, and often there is enough space for placing the irrigating solution deep and close to the apex. I decided to use only some syringes containing 5 per cent sodium hy- pochlorite and EDDY, a sonic tip produced by VDW, for delivery of the cleaning solution and to pro- mote turbulence in the endodon- tic space and shear stress on the canal walls in order to remove the necrotic tissue faster and more ef- fectively. After a rinse with sodium hypochlorite, the sonic tip was moved to and from the working length of the canal for 30 seconds. This procedure was repeated until the sodium hypochlorite seemed to become ineffective, was clear and had no bubbles. I did not use EDTA, as no debris or smear layer was produced. I suctioned the sodium hypochlo- rite, checked the working length with a paper point and then ob- turated the canal with a of 3mm in thickness plug of bioactive ce- ment. I then took a radiograph be- fore obturating the rest of the ca- nal with warm gutta-percha. I used a compomer as a temporary filling material. The symptoms resolved, so I con- ducted the second treatment only after some months, when the tooth #11 became tender. Tooth #21 had healed. I performed the same procedure and obtained the same outcome (the four-month follow-up radio- graph showed healing). Editorial note: The article was origi- nally published in International Mag- azine for Endodontics 4/2017. Dr Vittorio Franco He is an endodontist who runs an endo- dontic referral practice in London and in Rome. An active member of the European Society of Endodontology, Franco is also the President-elect of the Italian Society of Endodontics. THE SAME EFFICIENCY WITH BETTER PLASTICITY Endodontics MTA Repair HP Bioceramic high-plasticity reparative cement New product • New formula: After hydration, it allows for easy manipulation and insertion in the dental cavity • New radiopacifier Calcium Tungstate (CaWO4 ): Does not cause staining of the root or dental crown • Initial setting time of 15 minutes: Allows for completion of treatment in a single session • Low solubility: More prolonged action and quicker tissue recovery • Setting expansion: High marginal sealing capacity which prevents the migration of microorganisms and fluids into the root canal • Stimulation of regeneration: Excellent biological sealing of root perforation (channel and furcation) to induce formation of periradicular cement • Stimulation of pulp regeneration: Induces the formation of a dentin barrier when used on pulp exposures • Hydrophilic: Allows for use in humid conditions without change of its properties LEBANON - HACHEM DENTAL CARE: +961 (1) 695 411, info@hachemdentalcare.com IRAQ - AL-MADINA AL-TABYA SCIENTIFIC BUREAU DENTAL & MEDICAL SUPPLIERS: 009641 885 20 26, medical.city2015@yahoo.com IRAN - DIBA TEB PARS CO.: +9821-66566007, dibateb.samin@gmail.com UNITED ARAB EMIRATES - AL RA'AYA DRUGSTORE DENTAL DEPARTMENT, 00971552024007 SAUDI ARABIA - RIKAZ AL JANOUB EST. FOR TRADING: +966 505412238 EGYPT - ICARE-MEDICAL CO.: +2 048 2315 444, info@icare-co.com GET - GENERAL EGYPTIAN FOR TRADE, +20 2 35694804 JORDAN - MATEST COMPANY: +962 6 5690807, matest1@orange.jo ISRAEL - M&DENT GROUP: +972 8665 1517, m-dent@zahav.net.il www.angelus.ind.br

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