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Filling Root Canals in Three Dimensions

      The final objective of endodontic procedures should be the total obturation of the root canal space. Biologic necessity requires the elimination of the protein degradation products, bacteria, and bacterial toxins which emanate from necrotic and gangrenous root canals. While these irritants may be eliminated by extraction of the tooth, the health of the dentition is secured more soundly if they are eliminated by the cleaning and shaping, sterilization, and total obturation of the root canal system. In the final analysis, it is the sealing off of the complex root canal system from the periodontal ligament and bone which insures the health of the attachment apparatus against breakdown of endodontic origin.
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