The evolution of endodontic progress: making excellence a reflection of simplicity.
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Biomedical subjects
Publications and source records attributed to Barry L Musikant.
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The basics for the sound restoration of endodontically treated teeth have not changed despite the advent of new materials and techniques. Adequate retention for posts and crowns, resistance to cyclic shearing forces, minimal insertional stresses, and even distribution of functional stresses are prime requirements that cannot be compromised without jeopardizing the longevity of the final restoration.
PURPOSE: This study evaluated the retention of dental post heads (No. 2 Flexi-Post) embedded in 5 core materials (1 automix resin composite, 2 hand-mixed resin composites, and 2 glass ionomers). MATERIALS AND METHODS: Samples were prepared by embedding post heads in 4.5-mm-thick disks of core material. RESULTS: The resin composite materials provided significantly more retention than the glass-ionomer-based materials. The post head retention of the automix resin composite was comparable to that of the hand-mixed resin composites. CONCLUSION: Unlike the resin composite samples, all the glass-ionomer samples fractured during testing. This is an unacceptable condition for a clinically successful restoration.
Achieving access and finding canals are the key first steps in the endodontic procedure. This has always been a time-consuming, qualitative procedure that relies on the dentist's experience and feel. Recent basic research has been published that shows that the anatomic morphological measurements concerning the pulp chamber are very consistent in every tooth. This research points the way to a quantitative, predictable and quick technique for making endodontic access preparations without risk. The research and clinical technique are described in this article.