Prepare the Workspace:
- Ensure proper lighting and access to the patient's mouth.
- Gather all necessary instruments and equipment.
Patient Preparation:
- Administer local anesthesia to ensure patient comfort.
Isolation and Sterilization:
- Maintain aseptic conditions throughout the procedure.
- Sterilize Mani H-Files and other instruments before use.
Access Opening:
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Create an access cavity to reach the pulp chamber and root canals.
Initial Exploration:
- Use appropriate diagnostic tools (e.g., radiographs) to determine canal length and curvature.
- Select the correct size Mani H-File based on the canal's dimensions.
Cleaning and Shaping:
- Insert the Mani H-File into the canal gently.
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Rotate the file in a slow, clockwise motion while applying gentle pressure.
- Avoid forcing the file; let it advance naturally.
- Continue until you reach the desired working length.
Irrigation and Debridement:
- Use irrigation solutions (e.g., sodium hypochlorite) to flush debris and disinfect the canal.
- Use the Mani H-File to help distribute the irrigation solution evenly.
Obturation (if necessary):
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If performing a single-visit procedure, fill the canal with a suitable obturation material.
Final Cleaning and Shaping:
- Use the Mani H-File as needed to ensure the canal is properly shaped and cleaned.
Final Inspection:
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Confirm the canal's cleanliness and shape using radiographs and tactile feedback.
Restoration:
- Seal the access cavity with an appropriate restorative material.
Postoperative Care:
- Provide postoperative instructions and any necessary prescriptions for pain management or antibiotics.
Dispose and Clean:
- Properly dispose of single-use files and clean and sterilize reusable instruments.