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Llamado, Jiah Lucas, Feliz

Lozano, Remy Ann Miguelle Maranan,

Aira

ATRAUMATIC HANDLINGOF SOFT TISSUES

Soft tissues should be handled gently, delicately, as by a surgeon when operating. All

trauma should be avoided. Instruments should not be passed beyond the apical

foramen. Ripened judgment may help to prevent complication, but instruments

stops are more certain for beginners. To prevent the instruments from being passed

through the foramen, a mechanical stop or disc of rubber or plastic may be slipped

over the instrument and adjusted short of the tooth length from apex to incisal or

occlusal surface. In every instance, the radiograph should be carefully studied and

the operator should visualize the shape, length and outline of the canal before

passing through the tooth. When the endodontist has inserted the instrument into

the canal to the level assumed to be correct by measurement on the preoperativeradiograph, a radiograph is taken to determine whether it is correct, any adjustment

in the length of the root canal instrument to compensate for the difference between

the assumed and the actual lenth is now made, a subsequent instrumentation of the

canal is carried out in conformity with the revised length. In this way, periapical

trauma is minimized.

Other examples:

There should be a routine evaluation of the intraoral soft tissues. The gingiva and

mucosa should be dried, either with an air syringe of a 2x2-in. gauze. By retractingthe tongue and cheek, all of the soft tissue should be examined for any abnormalities

in color or texture. Any raised lesions or ulcerations should be documented and,

when necessary, evaluated with a biopsy or referral.

Intraoral swellings should be visualized and palpated to determine if they are

diffused or localized and if they are firm or fluctuant. These swellings may be

present in the attached gingivae, alveolar mucosa, mucobuccal fold, palate, or

sublingual. Other testing methods are required to determine if the etiology is

endodontic, periodontic or a combinations of these two or is of non-odontogenic

origin.

Proper Fulcrum. A fulcrum is a finger rest used to stabilize the clinicians hand

during periodontal instrumentation. The benefits or functions of these are: serves as

support beam for the hand during instrumentation. It enables the hand and

instrumentation to move as a unit as strokes are made against the tooth. It also

allows precise control of stroke pressure and length during periodontal

instrumentation.

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Gentle hands. Gentle hands are one of the basic qualities a dentist should have. Not

just talking generally. But mostly zooming in on the proper care and respect for the

periodontium. Endodontics is a lengthy and very precise branch of dentistry, that

we might subconsciously neglect the proper care and handling of the soft tissues.

We must perform our task in a manner that still acts conservatively towards the

surrounding structures.

Source:Endodontic Practice 11thedition by