CONTENTS

DEFINITION

INSTRUMENTS

STEPS IN CAVITY PREPARATION ACCESS CAVITY PREPARATION FOR PREMOLARS ACCESS CAVITY PREPARATION FOR MOLARS

DEFINITION
Access Cavity preparation is defined as endodontic coronal preparation which enables unobstructed access to the canal orifices , a straight line access to apical foramen, complete control over instrumentation and to accommodate obturation technique.

Depends on main three factors Cleaning and shaping Disinfection

Three dimensional obturation of the root canal system

An ideal access preparation should have following qualities An unobstructed view into the canal A file should pass into the canal without touching any part of the access cavity No remaining caries should be present in access cavity Obturating instruments should pass into the canal without touching any portion of the access cavity

INSTRUMENTS Access opening burs (No. 4 round bur) Access refining burs( flame shaped , tapered round and diamonds) Endodontic explorer Excavator Gates glidden drill

STEPS IN CAVITY PREPARATION Gain entry to pulp chamber with round bur

Access preparation using tapered fissure burs.

Access preparation. Access refining.

 Final access preparation. ACCESS CAVITY PREPARATION FOR PREMOLARS The basic step of access cavity preparation is removal of the caries and any other permanent restoration if present. The site of access opening is in the center of occlusal surface between the buccal and lingual cusp tips. Slight variations exist between mandibular and maxillary premolars because of the lingual tilt of mandibular premolars.

ACCESS CAVITY PREPERATION FOR MAXILLARY MOLARS Remove all carious portion or any restoration if present. Determine the shape and size of access opening by measuring the boundaries of pulp chamber mesially distally and coronally on radiograph. The starting point of bur penetration is on the central groove mid way between mesial and distal boundaries.

ACCESS CAVITY PREPERATION FOR MANDIBULAR MOLARS Enamel is penetrated with no-4 round bur on central fossa midway between the mesial and distal boundaries. When the drop is felt in the pulp chamber remove whole of the roof of the pulp chamber. Locate the canal orifices. Finish and smoothend the cavity with slight divergence towards the occlusal surface.

GAIN ENTRY TO PULP CHAMBER WITH ROUND BUR

ACCESS PREPERATION WITH TAPERED FISSURE BUR

ACCESS PREPERATION

ACCESS PREPERATION CONTINUES

ACCESS REFINING

FINAL ACCESS PREPERATION