Dentaltown November 2017 - 84

The amount of sealer introduced into
the canal should be controlled so that only
a modest amount is expressed and expression
of surplus is not introduced in the periapical
region. The syringe delivery system should not
be positioned greater than the interface of the
coronal and middle third of the root canal.
The bioceramic sealer flows easier than AH
Plus and other sealers due to its particle size
(< 2ยต) and this mandates a degree of practice.
A nano-coated gutta-percha cone with
a laser-verified tip for accuracy is mated to

the canal preparation. Its purpose, unlike
traditional compaction techniques, where
the volume of gutta-percha needs to optimal
to minimize the volume of sealer, is used to
deliver the bioceramic sealer to the apical
seat without heat or pressure; the bioceramic
being bioactive and adherent to the interfacial
dentin creates a true impervious apical seal.
Depending on the shape of the apical
region (circular or ovoid) and the intimacy
of fit of the master nano-coated gutta-percha
cone, the master file used to apically gauge

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Fig. 6e

84

NOVEMBER 2017 // dentaltown.com

Fig. 6a

Fig. 6b

Fig. 6c

Fig. 6d
Fig 6a. After irrigation, the canal is dried and a suitably
tapered gutta-percha cone is fit to the apical terminus.
Fig 6b. An aliquot of EndoSequence BC sealer is injected
into the coronal and middle third of the root canal space
using the tips designed for the sealer cartridge.
Fig 6c. The SensiPast lentulo spiral used 2-3mm short
of the apical terminus to bring the bioceramic sealer
along the length of the root canal space.
Fig 6d. Insertion of the prefit gutta-percha cone coated
with nano-ceramic bioceramic particles will hydraulically
push the sealer to the apical terminus.
Fig 6e. The gutta-percha and sealer are removed to
create footings for the subfloor used in the inlay/onlay
rehabilitation or to create a post channel where required.


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Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
Dentaltown November 2017 - 5
Dentaltown November 2017 - 6
Dentaltown November 2017 - 7
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Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
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