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[The significance of endodontic therapy before an endodontic surgery].

Conventional Endodontic therapy is the treatment of choice for pulp disease and periapical lesions due to pulp necrosis. Although the percentage of success of endodontic therapy is fairly high, in several cases endodontic therapy cannot perform accurately, or it is impossible to undertaken so as to avoid extraction of tooth. Before an endodontic surgery is performed a conventional endodontic therapy must be attempted because this increases prognosis and reduces the possibilities of failure. The possible presence of lateral canals, communication between periodontal ligament and infected canals through dentinal tubules and the potential hermetic reverse filling, are ones of the main factors which support the necessity of endodontic therapy. Apart from these, many cases have been reported where the basic factor of endodontic surgery failure was not the awkward operations, but the absence of the root canal filling. In this paper authors describe the basic steps and techniques which must be followed so as to avoid the failure of endodontic surgery.

Apicoectomy

[Teaching of endodontics in the 11-member nations of the European Endodontic Society].

This study was commissioned in 1984 by the Council of the European Society of Endodontology (E.S.E.) in order to discover the extent of endodontic teaching in undergraduate curricula, the methods used in the teaching of the subject and the clinical technique favoured by each school. The survey was conducted with the co-operation of the Country Representatives in eleven out of the fourteen member countries. Each representative was sent a questionnaire and asked to translate it, if necessary, into the appropriate language/languages. These translated questionnaires were sent to the Head of the department responsible for endodontic teaching in each school of that country. The questionnaire inquired into the following subjects: 1) Type of school and teaching arrangements; 2) Teaching concepts; 3) Operative procedures. This study confirmed that endodontic teaching in the schools of the eleven countries that contributed to the survey was fundamentally similar and conformed to what is generally accepted as the conventional approach to the endodontic treatment.

Education, Dental

[Rational basis for resumption of treatment in endodontics. Should it be "down to the root" in order to be satisfied in endodontics?].

Any endodontic treatment showing a symptomatology should be retreated or corrected. Should we start the asymptomatic treatments over again when the x-ray does not show a filling that is complete, hermetically sealed, biological and under control? When the case arises, the decision to resume the treatment will depend on the state of the crown restoration: should it be redone for any reason? 1. When the crown filling does not need to be removed and redone, watchful waiting is recommended. 2. When the crown filling is deficient, and has to be redone, it would be advisable to resume or try to resume all the canal treatments that are not hermetically sealed, when an opening to the canal has to be worked out. Several experiences show that the rate of success of endodontic treatments that have been resumed is lower than that of endodontic treatments that have been carried out for the first time. Should radiographically inadequate but asymptomatic endodontic treatments not be resumed, it would result in problems only in a very small number of cases, as long as the state of intracanal balance is not broken.

Decision Trees

[Clinico statistical study of the dental education and dental care in the clinic of endodontics. 1. Endodontic therapy of pulpless teeth].

In this clinico statistical study we tried to evaluate the program of education and the dental care provided by the clinic of Endodontics of the Athens University Dental School. The material for this study was the data from 2726 pulpless teeth. The endodontic treatment was done by the students of the 5th year at the Department of Endodontics during the year 1983-1987. The statistical analysis of the material of all the cases was based on: the possibility of perfect obluration of the root canal and the existence of periapical lesions in relation to the teeth group, the jaw and the age of the patient. The evaluation of the results proved that the education and treatment were satisfactory in quantity and quality. It was also found that the success of the obturation depended on the teeth group and had nothing to do with age. It was also found that the biggest percentage of periapical lesions concerned the anterior teeth.

Adult

An update on endodontics: 1. Endodontic diagnosis and preparation.

In recent years manufacturers have responded to an increase in endodontic treatments by developing a number of new products. New techniques have also been introduced. In this two-part article the author critically reviews these developments. In Part 1 he looks at diagnosis of endodontic problems and outlines root canal preparation techniques. In Part 2 he will examine file designs and techniques for root canal obturation.

Dental Pulp Diseases

[Methodology for a rational approach to endodontic cavity access and canal preparation. Endodontic cavity access and pretreatment].

The purpose of this study was to develop a protocol which allows for improved access cavity preparation in all clinical circumstances. From radiographic and clinical evaluation a systematic organization of 10 burs was found to be optimal for all cases encountered. This standard arrangement makes burs available for use in situations with varying loss of coronal tooth structure and provides an orderly approach to endodontic therapy. A complete protocol accompanies the standardization of instruments making the techniques widely available. The standardization of this phase of endodontic therapy permits foreseeable and reproducible results. The use of a rational protocol in the form of systematically organized burs results in improved root canal therapy because of better patient and instrument management.

Dental Cavity Preparation