Decisions in Dentistry - A peer-reviewed journal that offers evidence-based clinical information and continuing education for dentists. Clinical indications for digital imaging in dento-alveolar trauma. Researchers and clinicians have begun to realize the importance of respecting the preservation of tooth structure and the biological properties of the components of the tooth, namely, enamel, dentin and cementum. Endodontic providers must also demonstrate detailed knowledge of potential lesions that can mimic endodontic pathoses, and be capable of establishing an etiology for pulpal pathoses to include caries, trauma, developmental defects, coronal cracks/fractures, resorptive lesions, periodontal pathosis, and restorative procedures. Cone beam computed tomography and other imaging techniques in the determination of periapical healing. Factors affecting outcomes for single-tooth implants and endodontic restorations. Demonstrating competence in endodontic diagnosis, caseÂ planning, treatment and prognosis is key to providingÂ safe and effective care. According to The Merriam-Webster Dictionary, âPrognosisâ is defined as âthe prospect of recovery as anticipated from the usual course of disease or peculiarities of the case.â In medicine, however, the term is commonly defined by the mortality rate. Possible reasons for this include: Managing dental trauma remains a significant clinical challenge that affects all dental professionals. conscious sedation: See definition of minimal sedation under anesthesia. © 2008 - 2020 Symbyos. Recognition of these factors prior to the initiation of treatment helps patients and practitioners understand the complexities that may be involved in a given case. Outcome expectations of traumatized teeth are different than for nontraumatized teeth. You should not use the information on this Web site to determine a dental or medical diagnosis, treatment options, or to determine oral health guidelines or routines. In parallel with the first installment of this two-part series, the American Association of Endodontists (AAE) offers this overview of endodontic treatment as a guideline for practitioners who undertake endodontic care. The dental hygienist must consider prognosis as either short-term or long-term. For example, implants should never become an insurance policy for inadequate endodontic treatment. Before considering therapy, however, clinicians should understand that general dentists are bound to the same standard of care as endodontic specialists. Additionally, the clinician must have an understanding of clinical and radiographic criteria for determining success or nonhealing following endodontic treatment. Once an endodontic problem has been confirmed, the practitioner must develop a course of action that will eliminate the cause, and have a favorable prognosis and long-term outcome. Enamel is the hard, protective outer layer of your teeth. Tooth retention through endodontic microsurgery or tooth replacement using single implants: a systematic review of treatment outcomes. >Critical thinking determines whether the identified condition requires a dental diagnosis, a dental hygiene diagnosis, or a medical diagnosis ... >Facilitates the definition of expected outcomes to evaluate the efficiency of care. The practitioner, when confronted with a case beyond his or her capabilities, has the following options and ethical responsibilities: Endodontic procedures based on an established treatment plan should be of such quality that predictable and favorable results will routinely occur. Upgrade oneâs skills to meet the standard of practice, as determined by the endodontic specialty. Patient considerations that may complicate treatment include medical issues, difficulties with anesthesia, behavioral management issues, limited opening, and treatment complications. The CDAF is a practical tool that makes case selection efficient, consistent and easy to document, providing a road map for when a generalist should treat or refer to an endodontist (Figure 1 through Figure 4). Injuries in the primary dentition. The recommended guidelines of the American Association of Endodontists for the treatment of traumatic dental injuries. In addition, the clinician should be able to assess treatment outcomes through clinical and radiographic measures, and identify healing versus nonhealing of nonsurgical root canal treatment. PROGNOSIS FOR PATIENTS WITH GINGIVAL DISEASE I. American Association of Endodontists. A review of decisive criteria and guidelines for single tooth restorations and full arch reconstructions. âDr. Success rate is in excess of 95%. Refer the patient for consultation and/or treatment to an endodontist. Setzer F, Kohli M, Shah S, Karabucak B, Kim S. Outcome of endodontic surgery: a meta-analysis of the literature â Part 2: Comparison of endodontic microsurgical techniques with and without use of higher magnification. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth.
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