INTERNATIONAL STANDARD 3D ROOT CANAL TREATMENT

NEXT-GENERATION CBCT GUIDED LASER RCT WITH 3D CANAL CLEANING, 3D CANAL SHAPING & 3D CANAL SEALING

International Standard 3D RCT Performed by the Best Endodontist of Gurgaon (MDS-RCT Specialist)

Dr. Rajiv Yadav has been Awarded Best Dentist of Gurgaon by Time Cybermedia in Association with IBN7

How Do We Perform International Standard 3D Root Canal Treatment

There are 6 Steps carried out your Root Canal Treatment in 3 Dimensional Way
1

3D Root Canal Planning

Patient’s CBCT is taken : Excellent Root Canal Treatment starts with Excellent 3D Treatment Planning
CBCT: Creating Benchmark & Setting Highest Standards for Root Canal Evaluation & Treatment

ENDO CBCT MODULE: CBCT Scan taken with In-House CBCT Machine, Ray scan alpha plus (A Samsung Subsidiary). The Endo Module takes CBCT of one tooth only with highest resolution of 68 microns for perfect 3D RCT Planning.
We Know your Tooth 3 Dimensionally before even starting RCT. All thanks to CBCT (Dental CT Scans) which is the integral part of International Standard 3D Root Canal Treatment.

CBCT Scan tells us complete 3 Dimensional Anatomy of your Tooth. We can section the tooth as we like to know
  • Exact number of canals
  • Shape of the canals at different cross sections
  • Length of the canals
  • Any accessory or extra canals
  • Any irregularity in the canals
  • Any calcification with in the canals.
  • Extent of pathology
  • Any resorption within the canal

CBCT Root Canal Evaluation

Endo CBCT of patient’s tooth is 3 Dimensionally studied in all the aspects and sections by our specialized Team of best dentist in Gurgaon and a perfect 3 Dimensional Root Canal Planning is done for International Standard 3D Root Canal Treatment in Gurgaon.

Different Sections providing all the 3 dimensional information about the tooth anatomy
2

3D Root Canal Opening & Length Verification

(A) Opening the Canal using Start X Ultrasonic Tips
An access hole is prepared in the tooth towards the Canal exposing the infected or inflamed nerve. The perfect access is very important for better cleaning and shaping of canals.
As the best dental clinic in Gurgaon, we use ultrasonic tips and diamond burs for better access hole preparation. The ultrasonic has an upper edge in doing so, as it eliminates all the superficial obstruction encountered during approaching towards the canal leaving a perfect canal opening for better treatment success.

(B) Measuring the Length of the Root Canal using J-Morita Apex Locater
We use world’s best (j morita-japan) electronic apex locater to calculate the length of the canal electronically, which is 99.99 % Accurate in determining the length accurately. It is extremely helpful in cases where xrays are not indicated such as pregnancy etc.

(C) Verifying the Length of the Root Canal using Radiographic Method (X-Ray)
We make sure that the apex locater length calculation is accurate and cross check the working length by Radiograph (X-Ray).

3

3D Shaping the Canals

Using nickel titanium rotary files

We use dentsply protaper gold files and dentsply wave one gold reciprocating files used with j morita endomotor for shaping the root canals in international standard root canal treatment in Gurgaon.
Dentsply protaper gold & wavenone gold are special files which are highly flexible and more tapered for better cleaning and shaping the canals. Since it is more flexible it follows the curvature of the canal, providing efficient cleaning, resulting greater clinical success of your RCT.

The best part is that the J Morita endomotor and J Morita apex locater can be connected to each other, which during the canal shaping calculate and reads the root apex in real time, resulting in best canal shaping till the root apex with no over or under preparation of the root canal.
4

3D Canal Cleaning & Disinfecting

We use Four step protocol for 3D Canal cleaning & Disinfection
A) TRIO OF ROOT CANAL IRRIGANTS
We Strictly follow International Guideline Regimen for use of 3 Root Canal Irrigants, which prides us as the best dental clinic in Gurgaon.
All these three irrigants are widely studied and have shown excellent efficacy in cleaning and disinfecting the canal.

Sodium Hypochloride

(EDTA) Smear Clear

Chlorhexidine
B) USE OF SAFE END SIDE VENT NEEDLES FOR IRRIGANT DELIVERY INTO THE ROOT CANAL
So that your Root Canal Irrigants are within the Canal & doesn’t go Beyond the apex.
Since these Root Canal Irrigants have their high potency towards the Bacterial Decontamination, we want the irrigants to be constraint towards the Root Canal and in no way it should cross beyond the apex of the root Canal. So we use safe end needle for delivery of these irrigants. As the name safe end, the ends of the needles are blocked and the vent is on the side, the irrigants are not pushed downwards beyond the apex of the Root Canal.

C) USE OF ULTRASONIC - ENDOACTIVATOR
Complete 3D Canal Cleaning by Ultrasonic Activation of Root Canal Irrigants using Endoactivator
Ultrasonic 3D Cleaning – It is highly advance procedure where, after shaping, the canals are cleaned using (Dentsply Endoactivator) Ultrasonic Irrigation Tip, resulting in 3 Dimensional Cleaning of the Root Canals eradicating 99% debris & smear layer and also dissolving the nerve remnants from lateral or accessory canals where the cleaning files can’t reach.
The special polymer tips follow the curvature of the canal and it vibrates at sonic frequency to activate the Root Canal Irragants for better Cleaning & Disinfection.

D) INTRACANAL HEATING OF THE SODIUM HYPOCHLORIDE ROOT CANAL IRRIGANT
Sodium Hypochloride, main Irrigant for Root Canal Cleaning & Disinfecting have been shown to increase in potency for removing the nerve fragment form lateral canal and accessory canals when heated into the Root Canal.
We use Super Endo Alpha for Intra Canal Heating the Sodium Hypochloride, for best treatment outcome.
The special polymer tips follow the curvature of the canal and it vibrates at sonic frequency to activate the Root Canal Irragants for better Cleaning & Disinfection.

5

3D Canal Sterilization

Root Canal Sterilization using Dental Laser
After thorough Cleaning & Disinfecting the Canals, we Sterilize Root Canal with the help of Dental Lasers – Sirolaser Advance

It has been proven that Diode Laser at 970nm is very effective in Root Canal Sterilization. Sirolaser Advance - Endo Mode with its special fiber tip, when inserted in the root canal causes alteration of the cell wall of the bacteria, leading to changes in osmotic gradients up to bacterial death and eradicating the biofilm.

6

3D Canal Sealing

We do it in two ways
(A) 3D SEALING THE CANAL USING GUTTA CORE & THERMAPREP OWEN
We use a carrier based system, where the Guttapercha in the form of Guttacore is heated in a special oven which softens the Gutta core. The Gutta core when heated will remain at softened state for 8-10 seconds, which in this soft state is administered into the root canal. The melted/softened Gutta percha will flow in all the portion of the Root Canal along with Lateral and accessory Canals, and thus sealing the Root Canal 3 Dimensionally.

Gutta Core GP - Carrier Based Root Canal Sealing Material
Gutta Core Owen - To Heat up the Gutta Core GP
Heated Gutta Core GP Inserted into Root Canal for 3D Sealing
Next Generation Gutta-Core Carrier Based Root Canal Filling always ensures 3 Dimensional Sealing of Root Canal along with its Branches, so that no Empty Space is left for Bacterial Growth enabling Long Term Peace of Mind
(B) 3D SEALING THE CANAL USING DOWNPACK & BACKFILL TECHNIQUE
It is another way of 3D Root Canal Treatment in Gurgaon where Preformed Gutta percha is inserted into the Root Canal, we use Super Endo Alpha and Beta for 3D Sealing the RootCanal.

Down Pack using Super Endo Alpha
Super endo alpha has a silver tip which is electronically heated and is used to melt the preformed Gutta Percha into the apical region. The heated silver tip melts/ soften the Gutta percha which flows 3 Dimensionally into lateral and accessory canals and sealing the apical 4-5mm portion of the root canal 3 dimensionally.

Backfill using Super Endo Beta
Super endobeta is an electronic thermal device with in build oven which hold the Gutta Percha Pellets. Upon unit activation, it melts/ soften the Gutta percha at 200 degrees centigrade and releases melted/softened Gutta Percha into the remaining Root Canal which is then 3 Dimensionally packed causing 3 Dimensionally sealing of the Root canal.

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