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Locating Calcified Canals

Fast and safe removal of blockages.

One of the challenges in endodontics is the removal of calcifications that block the access to the root canals. The best treatment for this condition is the combination of magnification and ultrasonics. The improved visualization and the conservative wear of the ultrasonic insert result in fewer iatrogenic errors.

E3D

E3D – Ball Diamond

The E3D – Ball Diamond provides fine cutting control when troughing yet it is less aggressive than the E6D – Pear Diamond. It is designed to remove coronal obstructions, find canals, restorative materials, calcifications, etc. The E3D creates a smooth, flat, clean troughing groove that eases canal location. It can also be used to refine prep margins and box preps, and to remove caries.

  Ideal 40% Max 50%

E6D

E6D – Pear Diamond

The E6D – Pear Diamond has excellent durability. It is used to locate canals, remove coronal obstructions, calcifications, restorative materials, cements (permanent and temporary), etc. The tip creates a smooth, flat, clean troughing groove that eases canal location. It can also be used to refine prep margins and box preps, and to remove caries.

  Ideal 30% Max 40%

E7D

E7D – Access Diamond

The E7D – Access Diamond has excellent durability. It’s end-cutting action is highly recommended for canal location, removal of obstructions, calcifications, caries, and prep margins refinement.

  Ideal 30% Max 40%

Knowing where to access is only the first step.

1st Law of canal location

The root canal access is always located in the floor-wall junction (FWJ).

2nd law of canal location

The root canal access is always located in a vertex.

Step-by-Step Calcified Canal Location

1. After achieving access to the pulp chamber using a high speed turbine, place the ultrasonic tip in direct contact with the calcification.

2. Initiate the removal through straight and continuous movements over the calcification (do not use water during this step).

3. Ultrasonic inserts are meant to be used for short periods of time, to avoid overheating. To rinse and remove dentin and pulp remains, use a syringe containing sodium hypochlorite, followed by suction and drying of the pulp chamber.

Repeat steps 2 and 3 until all obstructions are eliminated

 

<img src="Illustrations-Locating-Calcified-Canals-1.png" alt="Step 1 Locating Calcified Canls">1. Pulp chamber with calcifications obstructing the access to the canals.

 

 

<img src="Illustrations-Locating-Calcified-Canals-2.png" alt="Step 2 Locating Calcified Canls">

2. Ultrasonic tip in contact with calcification and activated to remove obstructions.

 

 

<img src= "Illustrations-Locating-Calcified-Canals-3.png" alt="Step 3 in Locating Calcified Canals">

3. Accessible canals after instrumentation with ultrasonic insert.

 

Pulp chamber with calcifications obstructing the access to the canals.

E6D ultrasonic tip activated in contact with calcifications.

Accessible canals after instrumentation with ultrasonic insert.

Check the color difference between the pulp chamber walls and floor. The correct identification of the floor-wall junction (FWJ) is a very important detail during the access phase!

Dr Kanter Quote

I have been impressed with the responsiveness and quality of the Helse ultrasonic tips.  They are my go to tips for custom bent apical surgery tips.  I routinely use them for non-surgical endodontic therapy and have been impressed with their durability and quality. .”

Dr. Keith Kanter, DDS

Journal Articles & Research

Starter Packs to get you going.

Starter Packs to get you going.

We’ve assembled three separate starter packs packaged with a procedure field guide to get you started supercharging ultrasonics in your practice. These endodontic starter kits are available now, while Surgery and Periodontic starter packs will be coming later in 2017.

Endo Starter Pack

The Endo Starter Pack includes 6 Ultrasonics Tips to get you started with Pulp Chamber, Middle Third and Activation procedures.

Endo Master Pack

The Endo Master Pack includes 12 Ultrasonics Tips for Pulp Chamber, Middle Third, Activation, Post Removal and Retreatment procedures.

Endo Guru Pack

The Endo Guru Pack includes 18 Ultrasonics Tips for maximum flexibility with Pulp Chamber, Middle Third, Activation,Post Removal, Apical Surgery and Retreatment procedures.

Build-Your-Own

When purchasing tips we offer savings for every 6 tips you add to your cart. No discount codes just add to your cart and start saving.