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296 Chapter 31

The third method for application of heat is after insertion of the gutta percha into the canal using a hot instrument. Historically this was achieved with a steel plugger warmed in a flame, but contemporary practice involves the use of an induction heating mechanism with a custom instrument. Heat is applied with care to the gutta percha which is then condensed vertically and/or laterally using a plugger or spreader.

All thermal techniques have the potential disadvantage that the gutta percha will undergo dimensional change as it cools which can impair the quality of the seal that can be achieved. For this

reason the forces that are used to press the softened material into the canal must be applied for the duration of the cooling period to overcome thermal shrinkage.

31.8 Suggested further reading

Grossman, JJ. et al. (1988) Endodontics, 11th edn., pp. 242–270. Lea and Febiger: Philadelphia, PA.

Walton, R.E. & Toribinejad, M. (2002) Principles and Practice of Endodontics, pp. 219. Saunders: Philadelphia, PA.

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