Remove tip from irrigating syringe and place in sharps container. Throw syringe in garbage. All used files should be put in the sharps container. ALWAYS try to have your trays turned in to the window 30 minutes before clinic ends. Be sure to mind your time and finish on time.
Always use safe practices when injecting and recapping.
Temporizing Between Appointments
By the time you graduate you will hopefully be able to do all of this in one appointment, but more than likely you will be temporizing the tooth for additional appointments. You should begin temporizing the tooth about 30 minutes before the end of the clinic session. This allows enough time to get the tray back to sterilization on time.
irrigate the canals and dry them using paper points. Place Pulpdent Calcium Hydroxide (Ca(OH)2) into each canal. (Pulpdent is available from the sterilization windows). A lentulo file is best at placing Ca(OH)2. Do this for all canals.
Use a wet cotton pellet or a microbrush to wipe off any Ca(OH)2. Place a correctly sized foam pellet or cotton pellet into the access cavity. If the cavity is small (1-surface) fill the access cavity using CAVIT. Pull the cap off and use the back of it to puncture the foil seal and squeeze some out. You can use Click Stick to place some Cavit and smooth with a wet cotton pellet. The moisture will help the Cavit start to set.
Using Digital X-rays
Use the mobile x-ray units to take x-rays, check out a sensor for the dispensary and connect to your unit computer. Login into axiUm and click on MiPacs, to confirm you have the right patient look at top of screen. Now hit the button on the toolbar that looks like a radioactive symbol. Set the timer for the correct tooth. Place the sensor using the Endo holder and take the radiograph. If you need to re-take the radiograph, view the previous radiograph and adjust the holder and/or X-ray tube. Click save, name picture and exit program. You will be able to view the x-ray by clicking on the green icon on the patient screen.
It is a good idea to expect at least one appointment for each canal. So if you are doing an endo on a molar with four canals, you can expect it will take about four appointments to finish the treatment but maybe more. NEVER promise your patient that you will definitely finish in a certain number of appointments. You will be amazed at how often you will think that you are going to finish in the next appointment and you DO NOT.
If you are assigned to assist one of your classmates, be nice enough to do so and not blow them off. Endo is one of those procedures that an assistant can be invaluable. Remember, you have to do two endo assists in order to be considered competent. If you assist a resident in their clinic for two procedures, you will get credit for one root canal.
Page Updated: April 17, 2019