Dentaltown January 2016 - (Page 50)

endodontics feature ENDODONTIC ADVANCEMENTS How leading technologies help transform endodontic treatment options by Jeffrey Krupp, DDS, MS D Dentistry continues to evolve as a health science, and numerous aspects of practice are not the same since we went to dental school. Change affects our world. Change has also applied itself to endodontic therapeutics, allowing for improvements developed by the mechanism of evidence-based research. The result has been enhanced treatment outcomes for our patients. Advancements of obturation materials, visibility, metallurgy, fi le design, and ultrasonic utilization, as well as our improved ability to scan-further visualizing diagnostic services-have all dramatically improved our armamentarium to render endodontic treatment. Technological progression in the field of endodontics can be labeled either incremental or exponential. Small steps Incremental advancements, for example, include improved NiTi fi le designs, which are annually introduced to the dental market. Endodontics saw the introduction of NiTi instruments in the early 1990s. Metallurgical advances and modifications, 50 JANUARY 2016 // dentaltown.com and recommended formatting of these various NiTi instrument series will continue to develop. Instrument taper, flute design, rotation modifications, fi le sequencing, and most recently, heat treatments, have all affected the instrument flexibility, cyclic fatigue, and manufacturer fi le progression recommendations. Endodontics continues to develop, blending the widespread integration of magnification with improved NiTi rotary instrumentation. As magnification has become more ubiquitous, an endodontic dialogue has evolved that promotes a conservative endodontic preparation, labeled by some clinicians as "minimally invasive endodontics."1 The advocates for a minimally invasive preparation have established an inquiry against a significant volume of studies. These advocates cite a need for significant canal preparation, allowing for deeper irrigation, which provides for enhanced apical canal debridement and disinfection.2, 3 Presently, there are no established protocols for the technique that constitutes a minimally invasive endodontic procedure.4 However, a number of rotary-file systems geared toward dentinal conversation http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown January 2016

On Dentaltown.com
HOWARD SPEAKS: What Do You Need in 2016? Another Operatory
PROFESSIONAL COURTESY: The Next Generation of Dentists
Continuing Education Update
Mom Wants to Sit in the Hallway So She Can Hear What We’re Doing to Her Child
Why You Should Never Let Patients Talk You Out of Periodontal Plastic Surgery Before Esthetic Treatment
Chasing Pain: Diagnosing and Treating Trigeminal Neuralgia in General Dentistry
Chasing Sheep: The Four Pillars of Treating the Sleep-Disordered Patient
Product Profi le: Family Dental Marketing
Implementing Orthodontics in Your General Practice
Endodontic Advancements: How Leading Technologies Help Transform Endodontic Treatment Options
The Power of Piezo: A Predictable and Painless Approach
Veneers: Utilizing Silicon Matrices to Optimize Ideal Preparation Design
Improve Your Patients’ Lives Through Pro-Bono Referrals
Progressive Smile Design: Changing the Shape of Cosmetic Dentistry
The Ultimate Handover in Your Dental Office
Meet the New Intraoral Sensor
Poll
Want to Compete with Big Business? Tap Into Your Relationships
Saving Her Smile: Immediate Implant Placement and Fixed Provisionalization with Extracted Tooth
TOWNIE MEETING 2016 Preview
Ad Index
The Heart of the Hygienist: Dental Hygiene’s Role in Public Health
What to Do With Patients Who Refuse SRP and Only Want a Cleaning
CONTINUING EDUCATION: Indirect Posterior Composite Restorations
Dentally Incorrect

Dentaltown January 2016