![]() ![]() Select the electric heat plugger (EHP) that will loosely fit through the straightaway portion of the canal and optimally to within 5 mm from the full working length. These animations demonstrate the master cone fit to length and the master cone apically cut back based on the paper point drying technique.įigure 6. Although the author has previously described the vertical condensation technique, 11,12 this article represents the most recent advances in how to perform the warm gutta-percha with vertical condensation technique.įigure 5. 6-10 The content of these scientific articles provides insight, understanding, and reference for the clinical and technical description that follows. The physical and thermomolecular properties of gutta-percha are well understood and have been clearly described in a series of groundbreaking articles published decades ago. VERTICAL CONDENSATION TECHNIQUE The objective of the vertical condensation technique is to continuously and progressively carry a wave of warm gutta-percha along the length of the master cone, starting coronally and ending in apical corkage (Figure 4). ![]() The clinician is encouraged to read, visualize, and learn more about how to perform each and every procedural step that directly serves to influence filling root canal systems this includes how to perform the other hybrid warm gutta-percha techniques using the Calamus technology. This article will describe the Calamus Dual 3-D Obturation System (DENTSPLY Tulsa) (Figure 3) and how to use this technology to perform the vertical condensation technique. 4 Over time, a few different, yet similar, warm gutta-percha techniques have evolved. 2,3 Schilder described the classic vertical condensation technique more than 40 years ago. Improvement in obturation potential is largely attributable to the extraordinary technological advancements in shaping canals and cleaning and filling root canal systems. Importantly, shaping also facilitates 3-D obturation by allowing prefit pluggers to work deep and unrestricted by dentinal walls and move thermosoftened obturation materials into all aspects of the root canal system. Well-shaped canals result in a tapered preparation that serves to control and limit the movement of warm gutta-percha during obturation procedures. Shaping facilitates 3-dimensional (3-D) cleaning by removing restrictive dentin, allowing a more effective volume of irrigant to penetrate, circulate, and potentially clean into all aspects of the root canal system (Figure 2). Note the abrupt apical curvature of the palatal system, recurvature of the DB system, and the filled furcal canal. A post-op film of a maxillary second molar. The Calamus Dual 3-D Obturation System (DENTSPLY Tulsa) combines a “Pack” handpiece for downpacking with the “Flow” handpiece for backpacking.įigure 4. This animation supports the scientific evidence that shaped canals enhance the active exchange of irrigant into all aspects of the root canal system.įigure 3. A post-treatment film of a mandibular first molar demonstrates the importance of shaping canals and cleaning and filling root canal systems.įigure 2. To maximize obturation potential, clinicians would be wise to direct treatment efforts toward shaping canals and cleaning root canal systems. Moving heat-softened obturation materials into all aspects of the anatomy is dependent on eliminating pulpal tissue, the smear layer and related debris, and bacteria and their byproducts, when present. Although the excitement associated with the so-called “thrill-of-the-fill” is understandable, scientific evidence should support this enthusiasm. Filling root canal systems represents the culmination and successful fulfillment of a series of procedural steps that comprise start-to-finish endodontics (Figure 1). ![]() Virtually all dentists are intrigued when endodontic post-treatment radiographs exhibit filled accessory canals. ![]()
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