Pre-endodontic build up

Pre-endodontic buildup: Enhancing control and longevity in root canal treatment

Overview

This video explores the pre-endodontic buildup as a critical step to enhance control and improve the success of endodontic treatment. It focuses on a clinical case, walking through the process of removing the existing restorations and caries, re-walling, and the advantages of bonding to untreated dentine.

Key topics covered

• How to re-wall to get the 'four-walls up' to make endodontic treatment safer and easier
• The rationale and methods for blocking out root canal spaces during buildup
• Benefits of using sectional matrices, wedges (especially active wedges), and flowable bulk-fill composites for re-walling
• Discussing the advantages of bonding composite before the use of irrigants such as sodium hypochlorite (NaOCl) and EDTA
• Trade-offs regarding access in building up proximal walls and when not to re-wall

Clinical relevance

The video stresses the clinical significance of the pre-endodontic buildup in creating a controlled environment, protecting against Hypochlorite leakage, enhancing the fracture resistance of teeth, and improving bond strengths for restorations. Highlighting considerations such as restorability, access, and the timing of restorative steps, this video aids dentists in making well-informed clinical decisions.

Learning outcomes

After viewing this video, dentists will be able to:

• Make a better decision of the value of a pre-endodontic buildup for improved control and bonding
• Assess the risks when building up walls such as limited access
• Understand the clinical importance of an active wedge for contact point management
• Discuss the possible benefits of bonding to dentine before the use of endodontic irrigants
• Development Outcome C - Maintenance and development of knowledge and skill within your field of practice