Criteria for obturation: Criteria for master cone selection:

1. Asymptomatic tooth 1. Same size with MAF***

2. Intact seal Check tooth 2. Possess tugback in the apical 3rd of
3. Dryable canal the tooth
4. No sinus tract, if previously present 3. Should be crimped
5. No foul odor 4. Should reach working length
6. Properly flared/shaped canal
Master Cone Selection 5. Has a dead stop when pushed
7. Intact temporary seal apically

X tugback ✓ tugback

RG verification

Tugback at middle 3rd Tugback at apical 3rd

Check if ledge is present and correct error ***

Crimp GP that is one size bigger to WL

X tugback and reaches WL ✓ Tugback but short of WL ✓ Tugback and reaches WL

Cut 1 mm of GP and crimp to WL. Check if there is
tugback, if none repeat procedure to the same GP
until tugback is attained and GP could still be
crimped. If GP could no longer be crimped proceed
to next size. Repeat procedure until a GP is
selected for Master Cone and verified in RG
WL
Go back to GP that is same size with MAF
and cut 1 mm, then crimp to WL. Check
for tugback. If none repeat procedure to
the same GP until tugback is attained and
GP could still be crimped

1. choose a spreader that If still no tugback is attained on the apical 3rd,

reaches 1 to 2 mm short of WL and is check canal for any irregularities in the shape
not loose e.g. ledge and repeat canal prep ***. Then
2. minimum size # 3 continue with MC selection
3. the bigger the size, the better
Spreader Selection
1. Accessory cone is 1 size smaller than
1. 5 – 10 ml of 17% EDTA (aqueous) – 1 spreader and at the same WL with
minute Accessory Cone Selection spreader
2. Wash with NSS/distilled water 2. Prior to final irrigation, prepare AC and
3. 1% sodium hypochlorite – 10 seconds spreaders in sequence
If resin sealer is to be used for Final Irrigation 3. Soak crimped AC in pure sodium
obturation or resin cement will be hypochlorite for 1 minute
used for post cementation, end with v 4. Spreaders must be placed in a glass
EDTA
Drying of Canal bead sterilizer for 10 seconds
5. Remove sterile AC and place it in a
- e v sterile gauze
1. Coat master cone with sealer Sealer Preparation
p
2. Insert master cone slowly to allow air
a
and excess cement to escape v Zinc Oxide sealer types should be mixed
r
3. Before insertion and removal of Lateral Condensation carefully to a thick consistency.
e
spreader, an accessory cone is picked Perform string out test – string
a
up with locking cotton pliers at the v approximately 2 to 3 inches.
c
measured length ready to be inserted Gp vBed - p
c
4. Insert spreader, rotate it back and r
e Cut GP using a heated amalgam plugger or
forth v e
s spoon excavator.
5. Replace spreader with accessory cone Base
v p
s Instrument must be red hot to efficiently
coated with sealer a
o cut GP.
- one size smaller than spreader r
r GP bed must be 1 – 2 mm below CEJ or
at same WL e
y receeded gingiva.
6. Procedure is repeated until a
c Verify in RG.
spreader does not reach WL c
o - s
7. Proceed to next size of spreader c
n Mix GIC and place in the o
which is one size smaller from the e
e canal as base a
previous spreader s
s - S k
8. Repeat procedure until smallest s
a p c
accessory cone (#20) is at CEJ o
n r r
9. r
d e i
y