Get it? “Tooth Hurty”? Ok I’ll stick to dentistry. DS Sirona has been working on an Endo suite for Galileos and I have been dying to try it out, but we are still awaiting the arrival. So for now, I had to come up with a way. Now when I first heard about Endo guide, TBH I wasn’t that excited. Root canals, for the most part, didn’t seem that hard. Where I think endo guides are heading is finding calcified canal, limiting the extent of the access through a crown, or finding the elusive MB@. In Galileos I made a “custom” 1.5mm implant and placed in each canal maybe 2mm in from the coronal aspect. Exported as a CEREC Guide 2 file. Decay into the pulp, patient in pain.
Had an Inlab friend convert these to STL and printed on the Asiga using the Veri-Guide material. Took a 2.5mm key and bought a 2.4mm outer diameter sleeve from blue sky bio. Cemented the sleeve into the handle with super glue. This key is in the Bio Horizons set and you already have a 2.0 and a 2.8, so you really don’t need it.
Initially drilled with a surgical 557 carbide through the handle to access and later switched to the Mounce endo drills. Now you can see later I got my sequence wrong. There are long and short, I stared with the long.
After getting my canal orafi with the guide I switched to using a dam. I had measured from the cusp tips about 21.5mm on the mesials and 21 on the distal. So getting working length was a breeze.
I then switched to .06 tapered Pro Files. You can see where I gouged the mesial. Living and learning. Next time I will angle my “implant” in Galileos from straight down to more of a mesial tip.
Only had an LT Emax, wish I used an HT. Loving the HDR margin view in 4.52. I’ll keep plugging at this until DS Sirona gets me the Endo suite!
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