A reciprocating endodontic hand tool in which the torque applied to an instrument such as a debriding file can be set at or below an endurance limit of the file below which failure of the instrument will not occur. In preferred embodiments the tool can switch between settings in which the torque applied to the instrument is between the endurance limit of the file and an elastic limit of the file, by setting forward and reverse angles of rotation within specified limits. This reduces or eliminates opportunities for plastic distortion, fatigue and breakage of the file during the canal debriding/cleaning/shaping process in a root canal treatment or retreatment. In some embodiments the torque may be set to at or below a durability limit of the file below which failure of the instrument will not occur through repetitive strain over the course of a particular root canal treatment or retreatment.

In a dental treatment apparatus, a control circuit controls a drive motor in accordance with a drive sequence. The drive sequence includes a plurality of drive patterns and at least one of the plurality of drive patterns is different from other drive pattern. The plurality of drive patterns include at least one drive pattern having such drive that a cutting tool is rotated in a cutting direction for cutting a treatment portion and drive for rotating the cutting tool in a non-cutting direction which is reverse to the cutting direction.

A device for irrigating a canal during a root canal treatment or retreatment provides a fluid reservoir in fluid communication with at least one pump for delivering an irrigant under pressure. A hand-held wand has a proximal end for receiving the irrigant under pressure, permitted to flow through the wand head by an actuator. An irrigant delivery needle which affixed to the working end of the wand delivers irrigant through at least one irrigant dispersion orifice at a selected delivery angle and pressure. Aspirating means and/or shielding may optionally be provided.

A device for irrigating a canal during a root canal treatment or retreatment provides a fluid reservoir in fluid communication with at least one pump for delivering an irrigant under pressure. A hand-held wand has a proximal end for receiving the irrigant under pressure, permitted to flow through the wand head by an actuator. An irrigant delivery needle which affixed to the working end of the wand delivers irrigant through at least one irrigant dispersion orifice at a selected delivery angle and pressure. Aspirating means and/or shielding may optionally be provided.

Described are compositions and methods for the removal of zinc-oxide eugenol-based temporary cements or root canal filling materials from a variety of surfaces including surfaces inside the oral cavity, such as teeth, as well as surfaces of objects located outside of the oral cavity, such as instruments and prostheses. In certain compositions, the resin-dentin bond between permanent cements and collagen-containing surfaces can be increased. The compositions are non-toxic, can be used inside the oral cavity, and do not require special disposal procedures.

Described are compositions and methods for the removal of zinc-oxide eugenol-based temporary cements or root canal filling materials from a variety of surfaces including surfaces inside the oral cavity, such as teeth, as well as surfaces of objects located outside of the oral cavity, such as instruments and prostheses. In certain compositions, the resin-dentin bond between permanent cements and collagen-containing surfaces can be increased. The compositions are non-toxic, can be used inside the oral cavity, and do not require special disposal procedures.

An intraoral optical probe is provided that includes a distal elongate optical waveguide for interrogating dental tissue. In some example embodiments, the elongate optical waveguide has dimensions suitable for the insertion of the waveguide into an exposed root canal. According to various example embodiments, the elongate optical waveguide, when inserted into an internal region of a tooth, can direct incident optical radiation from the intraoral optical probe directly onto an inner surface, such as an internal surface of a root canal, such that status of the root canal can be interrogated directly. The intraoral optical probe may be employed to provide intraoperative feedback regarding internal dental tissue, such as interoperative feedback pertaining to the interior of the root canal during an endodontic procedure, location of secondary or lateral root canals, location of the apex or tip of the root canal system and or detection of the pulp chamber roof or floor.

An apparatus for treating a tooth includes a proximal chamber and a distal chamber disposed distal the proximal chamber and in fluid communication with the proximal chamber by way of a transition opening. The distal chamber includes an access opening disposed apart from and distal to the transition opening, the access opening to provide fluid communication between a treatment region of the tooth and the distal chamber. The apparatus includes a liquid supply port disposed to direct a liquid stream into the proximal chamber and over at least a portion of the transition opening. The apparatus includes an impingement member arranged within a path of the liquid stream, the impingement member having one or more surfaces positioned to redirect at least a portion of the liquid stream across at least a portion of the transition opening.

An apparatus for treating a tooth includes a proximal chamber and a distal chamber disposed distal the proximal chamber and in fluid communication with the proximal chamber by way of a transition opening. The distal chamber includes an access opening disposed apart from and distal to the transition opening, the access opening to provide fluid communication between a treatment region of the tooth and the distal chamber. The apparatus includes a liquid supply port disposed to direct a liquid stream into the proximal chamber and over at least a portion of the transition opening. The apparatus includes an impingement member arranged within a path of the liquid stream, the impingement member having one or more surfaces positioned to redirect at least a portion of the liquid stream across at least a portion of the transition opening.

A surgical device for identification of a surgical site of interest, such as a craniofacial or dental site (root apex of an identified tooth), and a method for using the device is provided. The device includes a perimeter bar and a plurality of intermediate cross bars arranged in a grid structure. The device can be used during a surgical procedure requiring enhanced precision, such as during an endodontic surgical procedure, by positioning the device next to a patient's tooth and capturing a CBCT image, the CBCT image being used to identify a drilling location. The device can be repositioned alongside the patient's tooth, and used to identify an accurate drilling position.