Endodontics the meeting of art with science
Endodontic treatment, when well conducted, allows lasting maintenance of tooth in the oral cavity, favouring the return of its form and function, with consequent collaboration in health of Periapical tissues and systemic.
until you reach the current success rate above 90% when performed by experienced professionals, Endodontics went through moments less peaceful. The theory of focal infection at the beginning of last century, empiricism, the lack of standard in the instruments, the absence of repeatable techniques put channel staging in check the validity of
endodôntica therapy.
thanks to the commitment and passion of not a few clinicians and researchers who dedicated their lives to the study, training and teaching this discipline, we have today a dental specialty recognized, respected and established as a safe procedure performed by general practitioners and specialists
.
the great scientific and technological developments of Endodontics broadened considerably the chances of long-term success and has positioned this specialty as a conservative and even prophylactic therapy in dentistry. The very definition of Endodontics is understood today as the prevention or treatment of apical periodontites. A seemingly simple, but that definition encompasses a universe of different philosophical lines or approaches in teaching and clinical application. These different philosophical lines, which can sometimes generate a disagreement here or there, are, in fact, beneficial to the development of ideas, arguments and
new approaches.
the long years of continuous rapprochement between researchers, clinicians, and manufacturers result in equipment, instruments and techniques more elaborate, more predictable results and facilitated playback for a growing number of clinicians in different procedures following the technical endodôntica.
might be unnecessary, but it must be pointed out that despite all the technology and facilities, the clinician can never avoid to comply with a sequence of procedures with attention, good sense and the nines, associated with the training and manual, as well as the General knowledge involved in their activity. Technology without knowledge can be frustrating, and very dangerous
.
With small variations, following a technical endodôntica could be presented like this: diagnosis; preliminary measures; absolute isolation coronary; opening; exploration of channel; cervical preparation; odontometria; preparation of topical medication channels; intracanal; shutter channels and proservação.
there are technological devices developed to assist every step of endodontic treatment. It is important that the clinician to establish goals and select which purchase equipment and, when making this decision. Dialogue with colleagues, the training courses and the numerous possibilities to experience such equipment through worshop or hands-on offered by companies are excellent opportunities to define the most appropriate choice.
among the equipment or technological developments that stand out include the use of modern image techniques – digital radiography, computed tomography Cone Beam – used in clinical diagnosis or other purposes. The magnification associated targeted lighting provided by optical microscope is odd, and has its use quite diverse in steps of endodontic treatment and surgical approaches also conservative. The mechanized instrumentation, represented by oscillatory movements and mainly by the use of nickel-titanium instruments in continuous rotation, allows the anatomical diameter enlargement phase of the channel, stressful time for many clinical trials, do it faster, secure and efficient
.
the use of apical Locators to determine the length of work and ultrasound devices with different purposes are some more examples of extremely useful in the arsenal of equipment endodontista. Chemical and hydrodynamic methods of irrigation and the use of new resin cements and cones appear as an option to traditional products that keep your application efficient and widespread
.
in the rows in this column, we will have the opportunity to expound on these equipment and products, as well as on clinical approaches in Endodontics, openly for discussions and suggestions
.Greetings
! endodônticas
Kleber Carvalho k. t. /> graduated in dentistry. Specialist in Endodontics. Master in Endodontics. Co-author of the book “Endodôntica Technical Manual” – Editora Santos, 2008. />
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