(TC68) Endo Ice: For More Than Just Sensibility Testing

Abstract: Difficulties in endodontics are encountered frequently and can be a cause of great frustration for both the clinician and patient. These challenges can occur at any step during endodontic treatment, from instrumentation to obturation, including instrumentation on a patient with limited opening, management of a hyperemic radicular pulp, and seating of gutta-percha cones without crimping or deformation. Many endodontists have created innovative strategies to navigate these hindrances to their otherwise efficient workflow. This table clinic demonstrates the use of 1,1,1,2-Tetrafluoroethane (e.g., Endo Ice), a diagnostic mainstay found in endodontic offices, to overcome some of these common challenges encountered by clinicians. We propose three clinical tips to aid in frequently encountered clinical scenarios: 1) In hard-to-access canals, spray a NiTi rotary file with Endo Ice, then precurve it using cotton pliers or a hard surface, and place it in the canal. 2) In hyperemic radicular pulp or cases of apical bleeding, spray a paper point with Endo Ice and place it at the area of interest with light pressure. Lastly, 3) In lateral condensation cases or other cases which need to be obturated with fine gutta-percha cones and the cone is unable to reach the desired length without deformation, spray the gutta-percha cone with Endo Ice prior to seating. These tips may lead to decreased intraoperative time and frustration, and increased clinical efficiency.