Authors:
S.K. Thoden van Velzen
Source:
NTvT november 2005; 112: 411 - 415
Section:
Summary:
The correlation of root canal treatment quality and the probability of healing of apical periodontitis are discussed. Noted is the often large discrepancy between treatment outcomes observed in prospective studies and those obtained in cross-sectional studies of general populations. Looking for improvement of the latter, those treatment shortcomings are discussed which have a known or suspected negative impact on the probability of healing or preventing periapical pathology.
Authors:
M.K. Wu, P.R. Wesselink
Source:
NTvT november 2005; 112: 416 - 419
Section:
Summary:
In root infections, bacteria are present not only in planktonic cells but also in biofilms, which are more resistant to host defence mechanisms and disinfectans. Apical periodontitis, which may be radiographically undetectable, may develop or persist as a host defence mechanism to prevent the systemic spread of bacteria and their by-products to other sites of the body. The risk of spreading microorganisms and septic emboli is present especially in compromised hosts; furthermore, longstanding inflammation may have systemic effects and affect general health. Effective procedures should be developed to minimize the burden of root infection.
Authors:
L.W.M. van der Sluis
Source:
NTvT november 2005; 112: 420 - 426
Section:
Summary:
In this article endodontic diagnosis is discussed following the clinical diagnostic process. A description is given about pain from endodontic origin and a comprehensive overview of the clinical diagnostic tests is discussed. In the chapter clinical classification of pulpal and periapical disorders all the possible endodontic diagnoses are extensively discussed.
Authors:
M.H. Ree
Source:
NTvT november 2005; 112: 427 - 435
Section:
Summary:
Recently two endodontic case assessment forms have been introduced in the Netherlands. The aim of these forms, the Dutch Endodontic Treatment Index (DETI) and the Endodontic Treatment Classification (ETC), is to differentiate between complicated and uncomplicated endodontic cases. Preceding the treatment procedure, these forms may help general practitioners to assess the difficulty and risks of an endodontic treatment and to decide whether to treat the case or to refer it to a specialist. In which way complications may be prevented by using these risk assessment forms is illustrated with two case presentations. Finally, the frequently asked question is addressed whether
the treatment of complicated endodontic cases should be exclusively reserved to specialists.
Authors:
L.B. Peters, P.R. Wesselink
Source:
NTvT november 2005; 112: 436 - 440
Section:
Summary:
Primary shaping is of paramount importance for a succesfull root canal treatment. In this article the basis principles of apical terminus location, shape, size and diameter are discussed. The use of NiTi instruments and crown-down preparation techniques are explained.
Authors:
R.J.M. Gruythuysen
Source:
NTvT november 2005; 112: 441 - 446
Section:
Summary:
With management of the deep caries in primary teeth we have to take account into the coping strategies of the patient and the state of the development of the dentition. Thats why in most cases a root canal treatment of primary incisors or even a pulpotomy is not indicated. Often Intellectual Decision Not To Restore is a good alternative for treatment of deep caries in primary incisors. In deep
caries lesions of primary canines and molars preferably minimal invasive techniques as indirect pulp capping are performed. In case of a exposure, the dentist can choose between several types of treatment. Improved techniques have lead to clinical satisfying results of the calcium hydroxide pulpotomy. A partial pulpotomy is if possible the treatment of choice. A resin modified glass ionomer cement is used to cover the pulp wound because it has good sealing properties and it is easy to handle. To limit the burden in young children a root canal treatment in primary teeth is seldom indicated. Overfilling with calcium hydroxide in root canal treatment of primary teeth never causes problems.
Authors:
S.L. Liem
Source:
NTvT november 2005; 112: 447 - 448
Section:
Summary:
This contribution firstly presents an overview of the website of the Dutch Society of Endodontology. The website provides information about the organization and the practice of endodontics in The Netherlands. Secondly, it describes the website called Better Light and Sight. This website is promoting the use of a microscope which has found its way in modern endodontology.
