Continuous Wave & Hybrid - Step-by-Step Sequence: Advanced Endodontics Dr. Cliff Ruddle скачать в хорошем качестве

Continuous Wave & Hybrid - Step-by-Step Sequence: Advanced Endodontics Dr. Cliff Ruddle

https://www.endoruddle.com/ All content has been transcribed from original audio recordings. As a result, transcribed text may contain certain grammatical, spelling, or other language artifacts which don’t reflect the original audio recording. Please refer to the audio for the most accurate information and messaging. Any reproduction of the video content, audio, or transcribed text is strictly forbidden. Slight variations in the Schilder method of obturation have been embraced by some colleagues. These variations include the Continuous Wave and Hybrid Techniques. The major difference between these techniques and classic Schilder is not removing bites of gutta percha during the downpack. * in recent years the international community has really refocused on the complexity of root canal systems which are ubiquitous to virtually all teeth well shaped canals hold a critical volume of reagent that can potentially penetrate circulate and clean into all aspects of the root canal system well shaped canals become well filled canals and become an opening for filling canals in three dimensions there are many popular techniques to fill root canal systems that you can choose for among in this show we're going to focus on iterations or variations of the classic vertical condensation technique let's take a look as with any of the warm gutta-percha techniques it all starts by fitting a non standardized master cone the cone is fit in a wet canal to the full working length the cone is adjusted according to paper point drawing techniques the cone is then seared off coronal ii the nonuseful part is removed and the advantage is there is a five millimeter heat wave through the coronal one-third of the gutta-percha cone and this cone can be condensed into the root canal space at this level this would be the start for either discussing the continuous wave technique or the hybrid technique in the continuous wave press on a material that is cooling to offset shrinkage and of course while we're pressing on a thermal Safa matter were able to mold this material and drive sealer under enormous hydraulics into all aspects of the root canal space after the ten seconds has expired will activate the instrument get a separation burst and rock the instrument a little bit buccal lingual or facial lingual to amputate and separate the coronal two thirds of gutta-percha from the more apical extent after removing the coronal two thirds of gutta-percha is why is to come back with a pre fit plugger andrey condense the coronal most aspect of the previously down packed material in the hybrid technique it's a little different from the shoulder technique which is vertical condensation and a continuous wave and that in this method we fit a cone as usual to the full working length as described the nonuseful but into the cone is seared off with the heat transfer device and the coronal most portion of the gutta-percha is condensed into the coronal one-third of the root canal space this would be a starting point to talk about hybrid operation in the hybrid technique we come in with our heat transfer unit we activate and we plunge importantly we deactivate stay inside the root and press for 10 seconds to mold and adapt the gutta-percha into the intaglio of the root following that 10 second press we reactivate and plunge a little bit deeper again we deactivate and press on the cooling material to mold it and adapt it and offset shrinkage and we continue this until we reach the 5 millimeter level it's not necessary to continue heating and pressing apical to the 5 millimeter level or we may overcome our resistance form and inadvertently displaced got aperture through the foramen it is important in this technique to activate the instrument Rock the instrument a little buccal lingual facial lingual and that will usually disassociate the coronal 2/3 of the gutta-percha from the apical 1/3 and ideally when you pull out the instrument you'll see all that mass have got a purcha on your electric heat plugger again you can take a small pre-fit plugger and mold and condense the gutta-percha that was previously established in the apical 1/3 well the backpack technique simply means back filling the canal that is devoid of gutta-percha and we can use a device such as the calamus flow delivery system to squirt uniform thermal soft and Alec watts they've got to perch it into the root canal space smaller squirts are effective because it eliminates the potential for voids additionally to eliminate voids you can use a pre fit plugger and you can very methodically step the plugger around the circumference of the canal and once the gutta-percha is leveled off a sustained press during the cooling cycle will prevent the gutta-percha from shrinking and through a series of heating's and squirting and condensing we can work our way out of a canal the backpack technique can stop at any level in the root to facilitate restorative dentistry but typically if restorative