Prepare the Workspace:
Ensure proper lighting and access to the patient’s mouth.
Gather all necessary instruments and equipment.
Patient Preparation:
Administer local anesthesia to ensure patient comfort.
Isolation and Sterilization:
Maintain aseptic conditions throughout the procedure.
Sterilize Mani H-Files and other instruments before use.
Access Opening:
Create an access cavity to reach the pulp chamber and root canals.
Initial Exploration:
Use appropriate diagnostic tools (e.g., radiographs) to determine canal length and curvature.
Select the correct size Mani H-File based on the canal’s dimensions.
Cleaning and Shaping:
Insert the Mani H-File into the canal gently.
Rotate the file in a slow, clockwise motion while applying gentle pressure.
Avoid forcing the file; let it advance naturally.
Continue until you reach the desired working length.
Irrigation and Debridement:
Use irrigation solutions (e.g., sodium hypochlorite) to flush debris and disinfect the canal.
Use the Mani H-File to help distribute the irrigation solution evenly.
Obturation (if necessary):
If performing a single-visit procedure, fill the canal with a suitable obturation material.
Final Cleaning and Shaping:
Use the Mani H-File as needed to ensure the canal is properly shaped and cleaned.
Final Inspection:
Confirm the canal’s cleanliness and shape using radiographs and tactile feedback.
Restoration:
Seal the access cavity with an appropriate restorative material.
Postoperative Care:
Provide postoperative instructions and any necessary prescriptions for pain management or antibiotics.
Dispose and Clean:
Properly dispose of single-use files and clean and sterilize reusable instruments.
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