Can endodontic teeth survive without a final restoration and for how long?5 answersEndodontically treated teeth (ETT) can survive without a final restoration, but the longevity and success rate are significantly impacted. Research indicates that the survival rate of ETT with crowns is notably higher than those with resin composites or no restorations, with crowns showing a 92.2% survival rate compared to 77.4% for resin composites. Additionally, the timely placement of the final coronal restoration plays a crucial role in the long-term survival of ETT, with teeth that received crowns being 2.05 times more likely to need extraction than those with composite buildups. The study also highlights that the median survival time of ETT significantly increases when a crown is placed following root canal treatment, with a median survival time of 20.1 years compared to 11.4 years for teeth with only a crown and 6.5 years for teeth with no filling or crown.
Why is cbct used in endodontics?5 answersCone beam computed tomography (CBCT) is utilized in endodontics for various reasons. It provides a three-dimensional image, overcoming the limitations of conventional radiographic techniques like superimposition and distortion. CBCT aids in diagnosing conditions such as chronic periapical periodontitis, root fractures, and missed canals after treatment failure, with a positive diagnosis rate of 35% for root fractures. Additionally, CBCT is valuable in determining the accurate working length of teeth, showing high accuracy compared to traditional radiography. Endodontists in Australia and New Zealand widely accept and use CBCT as a diagnostic tool, with factors like on-site CBCT units and years of CBCT usage influencing its prescription frequency. In summary, CBCT enhances diagnostic accuracy, aids in treatment planning, and improves prognosis evaluation in endodontic practice.
What recent advancements have been made in the field of endodontics?5 answersRecent advancements in endodontics include a shift towards a more biological approach to treatment, driven by improved understanding of peri-radicular diseases and the central role of microorganisms. Additionally, there is a growing popularity of "minimally invasive" advances in endodontics. Nano-based technologies are showing rapid progress in the identification and treatment of dental infections, with nanoparticles demonstrating promising results and potential applications in endodontics. A new endodontic textbook covers contemporary topics such as root and canal morphology, dental imaging updates, bioactive properties of dentine, molecular advances in pulp regeneration, use of calcium silicate cements, and advancements in equipment and techniques like surgical endodontics and trauma management. These advancements collectively contribute to enhancing clinical outcomes and refining endodontic practices.
How does the preparation design for endodontically treated teeth vary depending on the type of substance used?4 answersThe preparation design for endodontically treated teeth varies depending on the type of substance used. Lithium disilicate crowns can be used to restore these teeth, and both planar and flat occlusal designs have shown successful clinical performance. Another option is the use of Endocrowns, which are adhesive restorations with minimally invasive preparation. The preparation design should provide retention, stability, and structural durability to the restoration. Nonvital teeth can be restored using a ferrule effect, which involves encircling the tooth with cast metal to improve its integrity and minimize fracture. Endocrowns, on the other hand, are one-piece restorations that can be used in cases with decreased crown height. The preparation includes a "sidewalk" cervical margin and a preparation into the pulp chamber, and it relies on adhesive procedures for stability and retention. The type of substance used also affects the type of restorations that can be placed, such as direct-bonded resin-composite restorations for intact posterior teeth.
What are the benefits of prefabricated construction in terms of construction waste?4 answersPrefabricated construction offers several benefits in terms of construction waste reduction. Studies have shown that prefabrication can significantly decrease the generation of construction waste. The use of prefabricated components instead of cast-in-situ elements has been found to reduce waste generation rates by up to 36.04% for timber formwork and 25.53% for masonry work. Additionally, prefabrication has been shown to result in an average waste reduction of 15.38% compared to conventional construction methods. The specific prefabricated components of precast windows and walls have been identified as particularly effective in minimizing construction waste. However, it is important to ensure proper supervision and quality control of prefabricated products to achieve waste minimization targets. Overall, prefabricated construction offers a promising solution for reducing construction waste and its negative impacts on the environment and society.
How can 3D printing be used to improve the efficiency of endodontic procedures?5 answers3D printing can improve the efficiency of endodontic procedures in several ways. Firstly, it allows for the creation of accurate and reproducible treatment procedures and inventory, leading to more precise and personalized dental care. Additionally, 3D printing can be used to create educational root canal models, which can aid in training and improving clinical skills. It also has applications in guided endodontic procedures and surgeries, providing clinicians with a visual guide for precise treatment. Furthermore, 3D printing enables the development of experimental approaches in dental pulp biology and future regenerative therapies. The use of 3D printing in endodontics can enhance current trends in the field, leading to improved treatment outcomes and patient satisfaction.