Preparation:
Ensure patient comfort with local anesthesia.
Isolate the tooth with a rubber dam for a dry and sterile field.
Access Opening:
Create an access cavity in the tooth’s crown to reach the pulp chamber.
Working Length Determination:
Use radiographs and electronic apex locators to determine the working length of the root canal.
Initial Exploration:
Begin with smaller-diameter Mani Reamers to locate and explore the root canals.
Use a gentle up-and-down motion while rotating the reamer.
Cleaning and Shaping:
Start with the smallest-diameter Mani Reamer that matches the canal size.
Gently insert the reamer into the canal, rotating clockwise.
Progressively increase the reamer size to clean and shape the canal.
Avoid excessive pressure to prevent canal perforation.
Recapitulate with smaller reamers to ensure complete cleaning and shaping.
Irrigation:
Periodically irrigate with sodium hypochlorite or another suitable solution to remove debris and disinfect.
Use disposable syringes and needles for irrigation.
Final Rinse:
Rinse the canal thoroughly with sterile saline to remove residual irrigants.
Patency Check:
Verify canal patency by passing a small reamer through the full length of the canal.
Obturation:
Fill the cleaned and shaped root canal with gutta-percha or other obturation material using a suitable technique (e.g., warm vertical compaction or lateral condensation).
Restoration:
Seal the access cavity with a restorative material such as dental composite.
Post-Operative Care:
Provide post-operative instructions to the patient, including pain management and oral hygiene guidelines.
Radiographic Confirmation:
Take radiographs to confirm proper cleaning, shaping, and obturation of the root canal.
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