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ENDODONTICS Inst/Mat/Tech ENDODONTICS Inst/Mat/Tech

Which tooth is IMPROPERLY matched with the reason Which tooth is IMPROPERLY matched with the reason
for difficulty of its access preparation? for difficulty of its access preparation?

Maxillary first premolar - mesial concavity Maxillary first premolar - mesial concavity

Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Mandibular molar - mesio-lingual tilt of tooth Mandibular molar - mesio-lingual tilt of tooth

Mandibular incisor - small buccal-lingual dimension Mandibular incisor - small buccal-lingual dimension

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Copyright 2011-2012 - Dental Decks Copyright 2011-2012 - Dental Decks

ENDODONTICS Inst/Mat/Tech ENDODONTICS Inst/Mat/Tech

Which tooth is IMPROPERLY matched with the reason Which tooth is IMPROPERLY matched with the reason
for difficulty of its access preparation? for difficulty of its access preparation?

Maxillary first premolar - mesial concavity Maxillary first premolar - mesial concavity

Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Mandibular molar - mesio-lingual tilt of tooth Mandibular molar - mesio-lingual tilt of tooth

Mandibular incisor - small buccal-lingual dimension Mandibular incisor - small buccal-lingual dimension

30 30
Copyright 2011-2012 - Dental Decks Copyright 2011-2012 - Dental Decks

ENDODONTICS Inst/Mat/Tech ENDODONTICS Inst/Mat/Tech

Which tooth is IMPROPERLY matched with the reason Which tooth is IMPROPERLY matched with the reason
for difficulty of its access preparation? for difficulty of its access preparation?

Maxillary first premolar - mesial concavity Maxillary first premolar - mesial concavity

Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Mandibular molar - mesio-lingual tilt of tooth Mandibular molar - mesio-lingual tilt of tooth

Mandibular incisor - small buccal-lingual dimension Mandibular incisor - small buccal-lingual dimension

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Copyright 2011-2012 - Dental Decks Copyright 2011-2012 - Dental Decks
Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Major objectives of the access preparation: Major objectives of the access preparation:
1. Straight-line access 1. Straight-line access
2. Conservation of tooth structure 2. Conservation of tooth structure
3. Unroofing of the chamber and to remove pulp horns 3. Unroofing of the chamber and to remove pulp horns

Access to the root canal is the initial step in canal preparation. It is necessary to estab- Access to the root canal is the initial step in canal preparation. It is necessary to estab-
lish straight-line access to the apical foramen to ensure free movement of the instrument lish straight-line access to the apical foramen to ensure free movement of the instrument
during debridement and preparation of the canal. All the treatment that follows hinges on during debridement and preparation of the canal. All the treatment that follows hinges on
the correctness of the access preparation. All access cavities are made through the lingual the correctness of the access preparation. All access cavities are made through the lingual
on anterior teeth and through the occlusal on posterior teeth. on anterior teeth and through the occlusal on posterior teeth.

Note: A facial approach is recommended for an access opening on maxillary primary Note: A facial approach is recommended for an access opening on maxillary primary
incisors. incisors.

Remember: Mandibular incisors and maxillary first premolars require the most care Remember: Mandibular incisors and maxillary first premolars require the most care
to avoid perforation during preparation of the access opening. This is due to the narrow to avoid perforation during preparation of the access opening. This is due to the narrow
mesio-distal dimension of the mandibular incisors and the mesial concavity of the max- mesio-distal dimension of the mandibular incisors and the mesial concavity of the max-
illary first premolars. illary first premolars.

Important: During access preparation on mandibular molars, the following two re- Important: During access preparation on mandibular molars, the following two re-
gions tend to be overcut which results in the undesirable over preparation of the tooth: gions tend to be overcut which results in the undesirable over preparation of the tooth:
The mesial aspect under the marginal ridge The mesial aspect under the marginal ridge
The lingual surface under the lingual cusps The lingual surface under the lingual cusps
*** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior *** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior
it may cause unnecessary loss of tooth structure from the these areas. it may cause unnecessary loss of tooth structure from the these areas.

Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Major objectives of the access preparation: Major objectives of the access preparation:
1. Straight-line access 1. Straight-line access
2. Conservation of tooth structure 2. Conservation of tooth structure
3. Unroofing of the chamber and to remove pulp horns 3. Unroofing of the chamber and to remove pulp horns

Access to the root canal is the initial step in canal preparation. It is necessary to estab- Access to the root canal is the initial step in canal preparation. It is necessary to estab-
lish straight-line access to the apical foramen to ensure free movement of the instrument lish straight-line access to the apical foramen to ensure free movement of the instrument
during debridement and preparation of the canal. All the treatment that follows hinges on during debridement and preparation of the canal. All the treatment that follows hinges on
the correctness of the access preparation. All access cavities are made through the lingual the correctness of the access preparation. All access cavities are made through the lingual
on anterior teeth and through the occlusal on posterior teeth. on anterior teeth and through the occlusal on posterior teeth.

Note: A facial approach is recommended for an access opening on maxillary primary Note: A facial approach is recommended for an access opening on maxillary primary
incisors. incisors.

Remember: Mandibular incisors and maxillary first premolars require the most care Remember: Mandibular incisors and maxillary first premolars require the most care
to avoid perforation during preparation of the access opening. This is due to the narrow to avoid perforation during preparation of the access opening. This is due to the narrow
mesio-distal dimension of the mandibular incisors and the mesial concavity of the max- mesio-distal dimension of the mandibular incisors and the mesial concavity of the max-
illary first premolars. illary first premolars.

Important: During access preparation on mandibular molars, the following two re- Important: During access preparation on mandibular molars, the following two re-
gions tend to be overcut which results in the undesirable over preparation of the tooth: gions tend to be overcut which results in the undesirable over preparation of the tooth:
The mesial aspect under the marginal ridge The mesial aspect under the marginal ridge
The lingual surface under the lingual cusps The lingual surface under the lingual cusps
*** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior *** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior
it may cause unnecessary loss of tooth structure from the these areas. it may cause unnecessary loss of tooth structure from the these areas.

Maxillary molar - proximity of canals to mesio-buccal line angle Maxillary molar - proximity of canals to mesio-buccal line angle

Major objectives of the access preparation: Major objectives of the access preparation:
1. Straight-line access 1. Straight-line access
2. Conservation of tooth structure 2. Conservation of tooth structure
3. Unroofing of the chamber and to remove pulp horns 3. Unroofing of the chamber and to remove pulp horns

Access to the root canal is the initial step in canal preparation. It is necessary to estab- Access to the root canal is the initial step in canal preparation. It is necessary to estab-
lish straight-line access to the apical foramen to ensure free movement of the instrument lish straight-line access to the apical foramen to ensure free movement of the instrument
during debridement and preparation of the canal. All the treatment that follows hinges on during debridement and preparation of the canal. All the treatment that follows hinges on
the correctness of the access preparation. All access cavities are made through the lingual the correctness of the access preparation. All access cavities are made through the lingual
on anterior teeth and through the occlusal on posterior teeth. on anterior teeth and through the occlusal on posterior teeth.

Note: A facial approach is recommended for an access opening on maxillary primary Note: A facial approach is recommended for an access opening on maxillary primary
incisors. incisors.

Remember: Mandibular incisors and maxillary first premolars require the most care Remember: Mandibular incisors and maxillary first premolars require the most care
to avoid perforation during preparation of the access opening. This is due to the narrow to avoid perforation during preparation of the access opening. This is due to the narrow
mesio-distal dimension of the mandibular incisors and the mesial concavity of the max- mesio-distal dimension of the mandibular incisors and the mesial concavity of the max-
illary first premolars. illary first premolars.

Important: During access preparation on mandibular molars, the following two re- Important: During access preparation on mandibular molars, the following two re-
gions tend to be overcut which results in the undesirable over preparation of the tooth: gions tend to be overcut which results in the undesirable over preparation of the tooth:
The mesial aspect under the marginal ridge The mesial aspect under the marginal ridge
The lingual surface under the lingual cusps The lingual surface under the lingual cusps
*** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior *** Mandibular molars tip mesially and lingually. If a bur is directed straight inferior
it may cause unnecessary loss of tooth structure from the these areas. it may cause unnecessary loss of tooth structure from the these areas.

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