Pathway To The Pulp Chapter 5 11th Edition Flashcards
Illustration of root canal system
Illustration of root canal system
A. DG16 endodontic explorer
B JW -17 endodontic explorer
Identify canal opening and determine angulation
Accessory canals
Minute canals that extend in a horizontal, vertical, or lateral direction from the pulp space to the periodontium
Contain ct and vessels
do not supply pulp with enough circulation to form collateral b/s
Formed by entrapment of PD vessels in Hertwig’s epithelial root sheath during calcification
Pulp cavity is divided into 2 main portions:
Pulp chamber: located in or extending to just below the anatomic crown of the tooth
Root canals: found in the anatomic root
Describe the extend of pulp chamber in a single rooted tooth
Pulp chamber extends to the most apical portion of the cervical margin of the crown
Describe the extend of the pulp chamber in a multi rooted tooth
The pulp chamber extends to the floor of the chamber located in the coronal third of the root
Furcation canals
Accessory canal present in bifurcation or trifurcation
Apical root anatomy is based on 3 anatomic and histological landmarks
1) Apical constriction AC
2) Cementodentinal junction CDJ
3) Apical foramen AF
Apical constriction AC
Part of the root canal with the smallest diameter
reference point as apical termination
enlarge, shape, clean, disinfect, filling
Cementodentinal junction CDJ
Point where cementum meets dentin
Point where pulp tissue ends and periodontal tissues begins
Apical foramen
circumference or rounded edge, like a funnel or crater that differentiates the termination of the cemental canal from the exterior surface of the root
Objectives for access canal preparation (6)
1) removal all caries when present
2) conserve sound tooth structure
3) unroof the pulp chamber completely
4) remove all coronal pulp tissue (vital or necrotic)
5) locate all root orifices
6) achieve straight or direct-line path to apical foramen or the initial curvature of the canal
A straight line access to a canal
A straight line access to a canal
Cementoenamel junction CEJ is an important landmark for what?
CEJ is an important landmark to find the location of the pulp chamber and opening to the root canal