One of the keys to success in the field of endodontics is proper irrigation. In my opinion, it’s more important what you take out of the tooth than what you put in it. To properly remove as much of the tissue, bacteria and debris out of the tooth many medicaments are needed to flush the canal system.
Instruments shape and irrigants clean. Especially in all those tough areas files cannot reach. According to research, that could be about 35% of the canal walls, and in some cases it doesn’t take into consideration the deltas, fins, and anastomosis within the radicular part of the tooth.
Sodium Hypochlorite is an irrigant that helps dissolve tissue and kill bacteria. In my office we use full strength hypochlorite because it dissolves tissue faster than 1% or a 50/50 solution.
Patients will often say, “Hey doc, that smells a lot like bleach!” And they would be correct. The last thing you want them to do is actually taste it. To prevent that from happening, using a rubber dam is the standard of care. But if you’re looking to provide a better experience for you patient, you should try Opal Dam to create a hermetic seal in the tooth. This can be especially necessary on lower molars when the patient is swallowing and salvia is coming up the rubber dams where it meets the clamp.
After you place the barrier at the junction of the rubber dam and clamp, it can easily be light cured and ready to go instantly. This then allows me to use full strength sodium hypochlorite with no worry of the patient tasting it in their mouth.
Click here for more on Ultradent’s Opal Dam.