MD1167Z - Endodontic retention probe - Google Patents
Endodontic retention probe Download PDFInfo
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- MD1167Z MD1167Z MDS20170003A MDS20170003A MD1167Z MD 1167 Z MD1167 Z MD 1167Z MD S20170003 A MDS20170003 A MD S20170003A MD S20170003 A MDS20170003 A MD S20170003A MD 1167 Z MD1167 Z MD 1167Z
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- length
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- arms
- handle
- endodontic
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- 239000000523 sample Substances 0.000 title claims abstract description 11
- 230000014759 maintenance of location Effects 0.000 title abstract description 3
- 210000004262 dental pulp cavity Anatomy 0.000 abstract description 33
- 210000003074 dental pulp Anatomy 0.000 abstract description 4
- 239000003814 drug Substances 0.000 abstract description 3
- 238000000034 method Methods 0.000 abstract description 2
- 210000004268 dentin Anatomy 0.000 description 4
- 238000011282 treatment Methods 0.000 description 4
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 3
- 229920000742 Cotton Polymers 0.000 description 2
- MHAJPDPJQMAIIY-UHFFFAOYSA-N Hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 description 2
- 201000004328 Pulpitis Diseases 0.000 description 2
- 206010037464 Pulpitis dental Diseases 0.000 description 2
- 230000001684 chronic effect Effects 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 210000003296 saliva Anatomy 0.000 description 2
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- GHXZTYHSJHQHIJ-UHFFFAOYSA-N Chlorhexidine Chemical compound C=1C=C(Cl)C=CC=1NC(N)=NC(N)=NCCCCCCN=C(N)N=C(N)NC1=CC=C(Cl)C=C1 GHXZTYHSJHQHIJ-UHFFFAOYSA-N 0.000 description 1
- 201000011180 Dental Pulp Calcification Diseases 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- 208000035154 Hyperesthesia Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 208000005888 Periodontal Pocket Diseases 0.000 description 1
- 208000002697 Tooth Abrasion Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000002421 anti-septic effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 229960003260 chlorhexidine Drugs 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000000249 desinfective effect Effects 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 238000005755 formation reaction Methods 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000009610 hypersensitivity Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 229940113601 irrigation solution Drugs 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002559 palpation Methods 0.000 description 1
- 201000001245 periodontitis Diseases 0.000 description 1
- 206010037844 rash Diseases 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 238000012876 topography Methods 0.000 description 1
- 206010044652 trigeminal neuralgia Diseases 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
Landscapes
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
Description
Invenţia se referă la medicină, în special la stomatologie şi tehnica stomatologică şi poate fi utilizată pentru reperarea orificiilor canalelor radiculare după înlăturarea pulpei dentare. The invention relates to medicine, in particular to dentistry and dental technology, and can be used for marking the openings of root canals after removing the dental pulp.
Cea mai apropiată soluţie este sonda endodontică, care include un mâner cu lungimea de 70 mm, capătul lucrativ al căreia este executat sub formă de tije compuse din două braţe unite sub un unghi de 90°, braţul terminal al capătului lucrativ este executat ascuţit cu lungimea de 15 mm şi diametrul de 0,15 mm [1]. The closest solution is the endodontic probe, which includes a 70 mm long handle, the working end of which is made in the form of rods composed of two arms joined at a 90° angle, the terminal arm of the working end is made sharp with a length of 15 mm and a diameter of 0.15 mm [1].
Dezavantajele acestei sonde constau în imposibilitatea de a determina zonele retentive ale plafonului camerei pulpare pentru reperarea zonelor retentive şi interferenţele dentinare ce acoperă canalele radiculare pentru a crea accesul rectiliniu la canalele radiculare. The disadvantages of this probe are the impossibility of determining the retentive areas of the pulp chamber ceiling to locate the retentive areas and the dentin interferences covering the root canals to create rectilinear access to the root canals.
Problema pe care o rezolvă invenţia constă în elaborarea unei sonde endodontice, care ar permite reperarea orificiilor canalelor radiculare, determinarea zonelor retentive ale plafonului camerei pulpare şi ale interferenţelor dentinare ce acoperă canalele radiculare cu crearea accesului rectiliniu la canalele radiculare. The problem solved by the invention consists in developing an endodontic probe, which would allow the identification of the root canal orifices, the determination of the retentive areas of the pulp chamber ceiling and of the dentin interferences covering the root canals, with the creation of rectilinear access to the root canals.
Sonda endodontică retentivă, conform invenţiei, înlătură dezavantajele menţionate mai sus prin aceea că include un mâner cu lungimea de 70 mm, cu două capete lucrative executate în formă de tije compuse din două braţe fiecare, unite sub un unghi de 90°, totodată braţele ambelor capete unite cu mânerul sunt executate cu lungimea de 30 mm fiecare, braţul terminal al unui capăt este executat ascuţit cu lungimea de 15 mm şi diametrul de 0,15 mm, iar braţul terminal al capătului opus este executat cu lungimea de 10 mm şi diametrul de 0,15 mm, la capătul liber al căruia este fixată o tijă în formă de T cu lungimea de 2 mm şi diametrul de 0,15 mm. The retentive endodontic probe, according to the invention, eliminates the disadvantages mentioned above by including a handle with a length of 70 mm, with two working ends made in the form of rods composed of two arms each, joined at an angle of 90°, at the same time the arms of both ends joined to the handle are made with a length of 30 mm each, the terminal arm of one end is made sharp with a length of 15 mm and a diameter of 0.15 mm, and the terminal arm of the opposite end is made with a length of 10 mm and a diameter of 0.15 mm, at the free end of which a T-shaped rod with a length of 2 mm and a diameter of 0.15 mm is fixed.
Rezultatul tehnic al invenţiei constă în aceea că cu unul şi acelaşi dispozitiv se pot repera orificiile canalelor radiculare, se pot determina zonele retentive ale plafonului camerei pulpare şi interferenţele dentinare ce acoperă canalele radiculare cu crearea accesului rectiliniu la canalele radiculare. The technical result of the invention consists in the fact that with one and the same device, the root canal orifices can be marked, the retentive areas of the pulp chamber ceiling and the dentin interferences covering the root canals can be determined, with the creation of rectilinear access to the root canals.
Invenţia se explică prin desenul din figură, care reprezintă vederea generală a sondei endodontice retentive. The invention is explained by the drawing in the figure, which represents the general view of the retentive endodontic probe.
Sonda endodontică retentivă include un mâner 1 cu lungimea de 70 mm, cu două capete lucrative executate în formă de tije compuse din două braţe fiecare 2, 4 şi 3, 5, unite sub un unghi de 90°, totodată braţele 2 şi 3 ale ambelor capete unite cu mânerul 1 sunt executate cu lungimea de 30 mm fiecare, braţul terminal 4 al unui capăt este executat ascuţit cu lungimea de 15 mm şi diametrul de 0,15 mm, iar braţul terminal 5 al capătului opus este executat cu lungimea de 10 mm şi diametrul de 0,15 mm, la capătul liber al căruia este fixată o tijă 6 în formă de T cu lungimea de 2 mm şi diametrul de 0,15 mm. The retentive endodontic probe includes a handle 1 with a length of 70 mm, with two working ends made in the form of rods composed of two arms each 2, 4 and 3, 5, joined at an angle of 90°, at the same time the arms 2 and 3 of both ends joined to the handle 1 are made with a length of 30 mm each, the terminal arm 4 of one end is made sharp with a length of 15 mm and a diameter of 0.15 mm, and the terminal arm 5 of the opposite end is made with a length of 10 mm and a diameter of 0.15 mm, at the free end of which a T-shaped rod 6 with a length of 2 mm and a diameter of 0.15 mm is fixed.
Îndepărtarea în totalitate a pulpei dentare se efectuează în caz de: Complete removal of the dental pulp is performed in the case of:
- pulpită acută şi cronică; - acute and chronic pulpitis;
- deschideri accidentale ale camerei pulpare care nu beneficiază de tratament conservator; - accidental openings of the pulp chamber that do not benefit from conservative treatment;
- eşecuri ale coafatului direct sau indirect; - direct or indirect styling failures;
- hiperestezia şi hipersensibilitatea dentinară, care nu cedează la alte tratamente; - hyperesthesia and dentinal hypersensitivity, which does not respond to other treatments;
- destrucţie coronară masivă care împiedică realizarea unei cavităţi cu o formă de retenţie satisfăcătoare pentru materialul de obturaţie; - massive coronal destruction that prevents the creation of a cavity with a satisfactory retention shape for the filling material;
- abrazii dentare patologice; - pathological dental abrasions;
- fracturi dentare care au deschis camera pulpară; - dental fractures that have opened the pulp chamber;
- parodontite marginale cronice cu mobilitate de gradul III pentru îmbunătăţirea circulaţiei capilare; - chronic marginal periodontitis with degree III mobility to improve capillary circulation;
- în scopul realizării unor mijloace de imobilizare conjuncte cu ancoraj în camera pulpară şi canalul radicular; - for the purpose of creating joint immobilization means with anchorage in the pulp chamber and root canal;
- pentru realizarea unei coroane de substituţie; - for making a replacement crown;
- în pulpitele retrograde determinate de infectarea pulpei din pungile parodontale profunde; - in retrograde pulpitis caused by infection of the pulp in deep periodontal pockets;
- pentru realizarea paralelismului unor dinţi stâlpi care necesită şlefuiri importante ce pot determina deschiderea camerei pulpare; - to achieve parallelism of abutment teeth that require significant grinding that may cause the pulp chamber to open;
- în scopul aducerii în planul de ocluzie a dinţilor cu erupţii accelerate active, a căror şlefuire ar deschide camera pulpară; - in order to bring teeth with active accelerated eruptions into the occlusion plane, the grinding of which would open the pulp chamber;
- dinţi aflaţi în focarul de fractură; - teeth located in the fracture site;
- fracturi radiculare în prima treime sau a doua treime a rădăcinii; - root fractures in the first third or second third of the root;
- dinţi cu denticuli intrapulpari care sunt puncte de plecare ale unei nevralgii trigeminale; - teeth with intrapulpal denticles which are starting points of trigeminal neuralgia;
- dinţi aflaţi în vecinătatea unor formaţiuni patologice, a căror pachete vasculo-nervoase sunt lezate în timpul intervenţiei chirurgicale. - teeth located in the vicinity of pathological formations, whose vascular-nerve bundles are damaged during the surgical intervention.
După efectuarea anesteziei eficiente, în dependenţă de topografia dintelui, se separă dintele de mediul bucal în scopul reducerii contaminării externe (salivarea) prin izolarea dintelui cu material moale sau fir intrasulcular în asociere cu aspiratorul de salivă, dezinfectarea dintelui şi a zonelor învecinate prin badijonare cu clorhexidină 2%, alcool ozopropilic 70% sau alcool iodat. Deschiderea camerei pulpare se realizează prin trepanarea dintelui la punctul de elecţie sau prin prelungirea cavitaţii carioase către locul de elecţie al dintelui respectiv. Trepanarea dintelui se face de pe faţa ocluzală sau orală, apoi se deschide camera pulpară cu o freză sferică acţionată cu mişcări de introducere şi scoatere activă care au ca scop lărgirea orificiului de deschidere al camerei pulpare, apoi lărgirea deschiderii se realizează cu freza sferică nr.4 sau 6, sau cu freze cu vârf inactiv, care sunt acţionate de-a lungul pereţilor îndepărtând în totalitate tavanul camerei pulpare. După deschiderea corespunzătoare a camerei pulpare se îndepărtează resturile de pulpă coronară cu ajutorul lingurilor Black bine ascuţite. Urmează reperarea orificiilor canalelor radiculare prin următoarele etape: After performing effective anesthesia, depending on the topography of the tooth, the tooth is separated from the oral environment in order to reduce external contamination (saliva) by isolating the tooth with soft material or intrasulcular thread in association with the saliva aspirator, disinfecting the tooth and surrounding areas by swabbing with 2% chlorhexidine, 70% isopropyl alcohol or iodine alcohol. The pulp chamber is opened by trepanning the tooth at the elective point or by extending the carious cavity to the elective site of the respective tooth. The tooth is trepanned from the occlusal or oral side, then the pulp chamber is opened with a spherical bur operated with active insertion and removal movements that aim to widen the opening of the pulp chamber, then the opening is widened with spherical bur no. 4 or 6, or with burs with inactive tip, which are operated along the walls, completely removing the ceiling of the pulp chamber. After the appropriate opening of the pulp chamber, the remains of the coronal pulp are removed using well-sharpened Black spoons. The root canal openings are then marked through the following steps:
- spălarea cavităţii cu soluţie antiseptică de irigare; - washing the cavity with antiseptic irrigation solution;
- hemostaza cu tampoane de vată îmbibate în apă oxigenată; - hemostasis with cotton swabs soaked in hydrogen peroxide;
- uscarea cu tampoane de vată sterile şi jet de aer proiectat uşor; - drying with sterile cotton pads and a gently projected air jet;
- reperarea palpatorie a canalelor cu sonda endodontică menţionată, şi anume cu capătul ascuţit se efectuează reperarea orificiilor canalelor radiculare, cu aceeaşi sondă cu capătul opus se determină zonele retentive ale tavanului camerei pulpare şi interferenţele dentinare ce acoperă canalele radiculare creând accesul rectiliniu la canalele radiculare. După care se extirpează pulpa dentară, se determină lungimea canalelor radiculare prin diverse metode, se efectuează tratamentul mecanic al canalului radicular, care constă în conformarea tridimensională a canalului radicular în scopul lărgirii canalelor şi obţinerii unei obturaţii radiculare corecte, apoi se efectuează curăţirea canalelor şi tratamentul medicamentos, urmează obturarea provizorie şi apoi definitivă a canalelor radiculare. - palpation of the canals with the mentioned endodontic probe, namely with the pointed end the root canal orifices are marked, with the same probe with the opposite end the retentive areas of the pulp chamber ceiling and the dentin interferences covering the root canals are determined, creating rectilinear access to the root canals. After which the dental pulp is removed, the length of the root canals is determined by various methods, the mechanical treatment of the root canal is performed, which consists of the three-dimensional conformation of the root canal in order to widen the canals and obtain a correct root filling, then the canals are cleaned and the drug treatment is performed, followed by the provisional and then definitive filling of the root canals.
1. Micro-Openers and Debriders. Maillefer. <http://www.maillefer.com/product/micro-openers-debriders/>, 2017.01.12 1. Micro-Openers and Debriders. Maillefer. <http://www.maillefer.com/product/micro-openers-debriders/>, 2017.01.12
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20170003A MD1167Z (en) | 2017-01-19 | 2017-01-19 | Endodontic retention probe |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MDS20170003A MD1167Z (en) | 2017-01-19 | 2017-01-19 | Endodontic retention probe |
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| Publication Number | Publication Date |
|---|---|
| MD1167Y MD1167Y (en) | 2017-07-31 |
| MD1167Z true MD1167Z (en) | 2018-02-28 |
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| MDS20170003A MD1167Z (en) | 2017-01-19 | 2017-01-19 | Endodontic retention probe |
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| MD (1) | MD1167Z (en) |
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2017
- 2017-01-19 MD MDS20170003A patent/MD1167Z/en not_active IP Right Cessation
Non-Patent Citations (2)
| Title |
|---|
| Micro-Openers and Debriders. Maillefer. <http://www.maillefer.com/product/micro-openers-debriders/>, 2017.01.12 * |
| Эндодонтические стоматологические зонды. http://www.medicalexpo.ru/proizvoditel-medicinskoj-produkcii/ endodonticeskij-stomatologiceskij-zond-31673.html, 2012.04.27 * |
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| Publication number | Publication date |
|---|---|
| MD1167Y (en) | 2017-07-31 |
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| KA4Y | Short-term patent lapsed due to non-payment of fees (with right of restoration) | ||
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