By Nadia Chugal, Louis M Lin
This publication serves as a scientific consultant to assist the practitioner increase endodontic therapy results. It specializes in a few of the elements affecting the analysis of endodontic remedies and on their impression on momentary and long term results.
The textual content comprises up to date wisdom, thoughts and therapy protocols. every one bankruptcy has been conscientiously selected to handle both foundational wisdom or a pick out element of endodontic therapy. The authors study the information accrued from a number of consequence experiences and supply the reader with a serious appraisal indicating the strengths and weaknesses of these stories. this knowledge is then used to make tips on how one can are expecting the result of the meant remedy. The authors emphasize that the endodontic diagnosis is a multifactorial phenomenon, underscoring how different factors, singularly and together, effect the remedy end result. Readers are supplied with instruments to effectively determine the diagnosis of the proposed remedy on the outset and to execute the deliberate remedy keen on optimum outcome.
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Additional resources for Endodontic Prognosis: Clinical Guide for Optimal Treatment Outcome
Whether these bacteria should be removed is a matter of academic discussion, and a clear consensus has not been reached at present. It is also possible that persistent bacteria are located on the apical root surface and in root resoptions/lacunae. These bacteria cannot be reached with the antibacterial efforts made through the root canal. They are complicated to sample, and this condition is difficult to diagnose clinically. Apical surgery may be an option to eliminate these bacteria. 2 How Bacteria Survive Root Canal Treatment Persistent biofilm bacterial infections with dormant or/and bacteria in low metabolic activity are implicated in the failure of root canal treatments.
For all pulp tests, it is recommended to use the teeth without caries and/or restoration on the contralateral side as controls. The pulp tests should be performed several times to confirm the reproducibility. Thermal Tests Interpretation It is believed that if the sensibility of the suspected tooth is felt but disappears in few seconds after removal of cold or heat stimulus, the pulp is healthy. However, if the sensibility of the suspected tooth continues to persist for several minutes or intensifies after removal of cold or heat stimulus, the pulp is considered to be inflamed.
The radiographic appearance of osteolytic periapical lesion is related to its relationship to the thickness of cortical and cancellous bone . Most anterior and premolar teeth are located close to the junction of cancellous and cortical bone as compared to molars. Therefore, the osteolytic periapical lesions associated with anterior and premolar teeth are easier to detect than those of molars. It is important not to exclude the possibility of apical periodontitis even though there is no radiographic evidence of periapical bone destruction, especially in molar teeth.