Soft tissues should be handled gently, delicately, as by a surgeon when operating. Instruments should not be passed beyond the apical foramen. Radiographs should be carefully studied and the operator should visualize the shape, length and outline of the canal.
Soft tissues should be handled gently, delicately, as by a surgeon when operating. Instruments should not be passed beyond the apical foramen. Radiographs should be carefully studied and the operator should visualize the shape, length and outline of the canal.
Soft tissues should be handled gently, delicately, as by a surgeon when operating. Instruments should not be passed beyond the apical foramen. Radiographs should be carefully studied and the operator should visualize the shape, length and outline of the canal.
Soft tissues should be handled gently, delicately, as by a surgeon when operating. All trauma should be avoided. Instruments should not be passed beyond the apical foramen. Ripened judgment may help to prevent complication, but instruments stops are more certain for beginners. To prevent the instruments from being passed through the foramen, a mechanical stop or disc of rubber or plastic may be slipped over the instrument and adjusted short of the tooth length from apex to incisal or occlusal surface. In every instance, the radiograph should be carefully studied and the operator should visualize the shape, length and outline of the canal before passing through the tooth. When the endodontist has inserted the instrument into the canal to the level assumed to be correct by measurement on the preoperative radiograph, a radiograph is taken to determine whether it is correct, any adjustment in the length of the root canal instrument to compensate for the difference between the assumed and the actual lenth is now made, a subsequent instrumentation of the canal is carried out in conformity with the revised length. In this way, periapical trauma is minimized.
Other examples:
There should be a routine evaluation of the intraoral soft tissues. The gingiva and mucosa should be dried, either with an air syringe of a 2x2-in. gauze. By retracting the tongue and cheek, all of the soft tissue should be examined for any abnormalities in color or texture. Any raised lesions or ulcerations should be documented and, when necessary, evaluated with a biopsy or referral.
Intraoral swellings should be visualized and palpated to determine if they are diffused or localized and if they are firm or fluctuant. These swellings may be present in the attached gingivae, alveolar mucosa, mucobuccal fold, palate, or sublingual. Other testing methods are required to determine if the etiology is endodontic, periodontic or a combinations of these two or is of non-odontogenic origin.
Proper Fulcrum. A fulcrum is a finger rest used to stabilize the clinicians hand during periodontal instrumentation. The benefits or functions of these are: serves as support beam for the hand during instrumentation. It enables the hand and instrumentation to move as a unit as strokes are made against the tooth. It also allows precise control of stroke pressure and length during periodontal instrumentation.
Gentle hands. Gentle hands are one of the basic qualities a dentist should have. Not just talking generally. But mostly zooming in on the proper care and respect for the periodontium. Endodontics is a lengthy and very precise branch of dentistry, that we might subconsciously neglect the proper care and handling of the soft tissues. We must perform our task in a manner that still acts conservatively towards the surrounding structures.