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Contemporary concepts in endodontics: 2003 and beyond.

Recent changes have made it possible to perform endodontic treatment more efficiently, with improved precision and greater patient acceptance. This article reviews these various concepts and highlights how endodontics now can be performed with enhanced abilities and clinical results.

Anesthesia, Dental↗

Root perforations.

Repairing root perforations in a timely manner is vital to successful treatment. Three case reports are presented in which successful root perforations were treated intracoronally using a fast-setting zinc oxide and eugenol cement.

Dental Instruments↗

[Postobturation pain associated with endodontic treatment].

Postobturation pain of different origin after endodontic treatment was studied in 100 patients after treatment of 151 teeth with filling of 264 channels. 34.4% patients complained of pain. The incidence and intensity of pain were scored. Postobturation pain clearly depended on the number of treatment sessions, number of channels filled in one tooth, and excessive filling "beyond the apex". The method of "crown down" preparation using completely rotating profile instruments and GT rotary files proved to be most effective as regards prevention of postoperative pain.

Adult↗

Endodontic treatment of reimplanted avulsed teeth.

By using an appropriate storage system such as a Save-A-Tooth and having knowledge of appropriate treatment options, an avulsed tooth can be reimplanted with the greatest chance of success. Using the different categories of avulsed teeth discussed in this article as a guide, the clinician can determine the most applicable course of treatment. If endodontic treatment is based on the clinical condition of the pulp and PDL cells, the chance of success following reimplantation is improved.

Follow-Up Studies↗

Current endodontic instruments, materials, and drugs, and new techniques for their application.

Technical improvements in endodontic instruments, materials, and drugs and the development of new techniques for their application present a problem for dental practitioners in the selection of materials and methods appropriate to their needs. Claims of "superior" products and "state-of-the-art" treatments only add to the confusion. A review of the dental literature reveals that there is seldom a consensus of opinion on any given subject. Preferences among individuals may reflect a desire for a less complicated, more rapid approach to endodontic treatment. Trends in thought among researchers may offer some direction in the choice between changing concepts and traditional methodology.

Dental Pulp Diseases↗

[Root canal therapy opportunity in replanted teeth due to injury.].

PURPOSE: To investigate the opportunity of different root canal therapies in replantation of tooth due to injury. METHODS: 49 cases with teeth luxation were randomly divided into three groups. In group A, the pulp was removed before replanted, and calcium hydroxide was filled in root canals and condensated routinely after half a year. In group B, the pulp was removed one week after being replanted. In group C, the pulp was removed until pulp disease. RESULTS: The effect of group A(81.25%) and B (94.44%) was better than group C (53.33%), P<0.05. And the effect of group A and B was similar. CONCLUSION: It's an ideal method to replant luxated tooth within 3 hours with removal of pulp tissue, root canal filling with calcium hydroxide one week after replantation of tooth and condensated routine root canal therapy after half a year.

Calcium Hydroxide↗

[Comparison of the clinical effects of three root canal treatments.].

PURPOSE: To compare the clinical effects of three root canal treatments. METHODS: The patients were randomly divided into A,B,C groups. Group A: profile preparation of the root canal, then the root canal was filled with maillefer thermafil. Group B: profile preparation of the root canal, iodoform cataplasm and gutta percha point was used to fill root canal. Group C: preparation of the root canal with stainless steel hand-operated root canal magnified instrument, iodoform cataplasm and gutta percha point was used to fill the root canal. RESULTS: Through X ray and clinical evaluation, the root canal therapy result in group A was superior to group B, group B was superior to group C. CONCLUSION: The work efficiency of preparative instrument of profile flexible nickel-titanium root canal is high. The successful rate of maillefer thermafil for results root canal therapy is superior to the other methods. Root canal preparation by profile can get satisfying effects.

Barium Sulfate↗

Low carb endodontics.

The field of endodontics has seen great technological advances and changes in thought processes over the last decade. Unfortunately, with these advances and changes has come an overload of information (too many carbs!). This article will help to reduce your intake of carbohydrate information and provide you with what you need to know about conventional endodontic treatment.

Dental Pulp Diseases↗

Endodontic synchronicity.

This article examines a new rotary technique in endodontic instrumentation and stresses the importance of adhering to basic principles. Straight line access and its clinical implication to endodontic success is reviewed. A new system of nickel titanium rotary instruments that uses a reamer design (EndoSequence) is introduced and its associated design features are thoroughly discussed. A step-by-step description of the clinical application of this new methodology is presented.

Dental Instruments↗