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Пособие для ЗУБОТЕХНИКОВ (ЗТО) (СОМК).doc
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The process of root canal treatment

1. Read and translate the text.

As the process of root canal treatment is often a painful experience your dentist will numb up your tooth to make you feel more at ease and relaxed. After numbing your tooth but before beginning the actual process of performing the root canal treatment, your dentist will stretch a sheet of rubber or a rubber dam around your tooth. It is held in place by a small clamp which grasps onto your tooth. A rubber dam allows the dentist to keep your tooth dry so it doesn't get contaminated with bacteria living in saliva while your root canal treatment is being performed. Now your dentist must gain access to that area inside the tooth which needs to be cleaned. This is accomplished by using a dental drill and making an access hole which leads to the pulp chamber of the tooth. On back teeth this hole is made on the chewing surface of the tooth. On front teeth the access hole is made on the tooth's backside.

The next step of the root canal treatment is for your dentist to clean out the interior of your tooth. The bulk of the cleaning process is accomplished by way of your dentist using "root canal files". Your dentist will work a series of root canal files, each of increasing diameter, up and down in your tooth while simultaneously using a twisting motion. This action will scrape and scrub the sides of the tooth's root canals thus cleaning them out. Additionally. as part of the cleaning process your dentist will wash your tooth out periodically so to help flush away any debris which is present.

The goal is for your dentist to clean the entire length of the tooth's root canal, but not beyond. So to determine the length of a root canal your dentist may place a root canal file in your tooth and then take an x-ray, so to see if it extends the full length of the tooth or not.

Once the tooth has been thoroughly cleaned your dentist can fill in and seal up its interior by way of placing root canal filling material. Sometimes a dentist will want to place the filling material the same day that they have cleaned the tooth out. Other times a dentist might feel that it is best to wait about a week before completing the root canal process. In the latter case your dentist will place a temporary filling in your tooth so to keep contaminates out during the time period between your appointments.

The most common root canal filling material being used by dentist nowadays is a rubbery compound called gutta percha. It comes in preformed cones which are similar in size and shape to the files which have been used to clean out the inside of a tooth. Cones of gutta percha are coated with a root canal sealer (a paste) and then positioned into the tooth's root canals.

As an alternative to the use of preformed cones, sometimes a dentist will place the gutta percha via the use of gutta percha "gun". This apparatus is