Dentaltown November 2019 - 47
his paste concoction. Unfortunately, the Sargenti technique evolved into a very quick rotary
instrumentation of canals, without any length measurement, then spin in some paste. I witnessed this in many offices. We still don't know why endo works most of the time, but certainly
removal of the canal contents is an important step. ■
9/5/2019
That's the thing. I had many overfills. Nothing like the ridiculous and completely inept
mandibular canal overfills that have been made famous, but some fairly significant puffs. None
of them resulted in anything other than the typical soreness seen with overfills of other sealers.
The puff always resorbed and always showed amazing healing. In fact, on the nastier lesions, I
went out of my way to ensure a puff of sealer into the area. ■
Fart face
Member Since: 03/25/02
Post: 25 of 135
9/5/2019
Sargenti advocated using a Rispi file in the Giromatic handpiece. The Rispi resembled a
barbed broach, was very small and very flexible. ■
almunk
Member Since: 12/17/05
Post: 32 of 135
9/5/2019
That's right, Almunk: I remember those Rispi files. I don't believe the book I have advocates
using those, but it may be a later edition. I was late to the party, so to speak-didn't start
using the Sargenti method until 1994. The technique probably evolved, as Peter indicated in a
previous post. ■
Fart face
Member Since: 03/25/02
Post: 35 of 137
9/5/2019
davidbogdan
Which files did you use and
Member Since: 12/04/13
in which manner? Irrigation
Posts: 36 and 37 of 137
with peroxide and lesions
healing even with great shaping tells something you
know the paste was working ... ■
9/5/2019
dantemac
On a tooth with necrosis/
Member Since: 03/05/13
periapical pathology, I always
Post: 42 of 137
pulpectomy to a size 25-30
and use calcium hydroxide. In the absence of severe
symptoms, can try a pulpotomy.
Supplemental anesthesia with Marcaine or
Septocaine can help. If there is trauma involved and a
possible Fx, and the symptoms aren't going away, I will
get an early CBCT. Some of my calcium hydroxide
"flare-ups" have been hidden root fractures necessitating extraction. ■
9/5/2019
flyfishdr
The original technique
Member Since: 02/26/04
used no irrigation. The sealer
Post: 44 of 137
itself was used on every file.
Actually, reamer is the correct word. They used a
reamer in a giromatic handpiece.
FREE FACTS, circle 14 on card
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Dentaltown November 2019
Table of Contents for the Digital Edition of Dentaltown November 2019
Dentaltown November 2019 - Intro
Dentaltown November 2019 - Cover1
Dentaltown November 2019 - Cover2
Dentaltown November 2019 - 1
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Dentaltown November 2019 - Cover3
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