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Clifford J Ruddle

Publications and source records attributed to Clifford J Ruddle.

10 recordsLinked to original sources
PubMed2005

Thermal injury through intraradicular heat transfer using ultrasonic devices: precautions and practical preventive strategies.

BACKGROUND: The use of ultrasonic energy is a highly efficient method of removing obstructions and cements within the root canal space when re-treatment or rehabilitation of that ultrasonic energy dislodges and removes cemented objects from the bonded interface of the canal wall. When using this method, there is less potential for structural loss or root damage and significantly less operator stress than when using other methods. CASE DESCRIPTIONS: There is little evidence in published research of the considerable heat transfer that occurs during use of ultrasonic devices to remove posts, pastes and separated instruments in teeth. The authors present three cases of patients who experienced serious burn injuries during application of ultrasonic energy for restorative dentistry. The authors also offer techniques and strategies for safe and effective use of ultrasonic devices. CLINICAL IMPLICATIONS: On the basis of the best available evidence, the authors recommend strategies to provide safe and effective therapy while using ultrasonic devices in intraradicular obstruction removal. The intent of the suggested protocols is to provide advanced and sophisticated therapies in a safe and regulated manner with patient safety as an overriding priority.

Adult↗
PubMed2004

Nonsurgical retreatment.

With all the potential for endodontic success, the fact remains clinicians are confronted with posttreatment endodontic disease. When the elected treatment plan is endodontic nonsurgical retreatment, then the goal is to access the pulp chamber and remove materials from the root canal space and if present, address deficiencies or repair defects that are pathologic or iatrogenic in origin. This article provides a literature review with clinical recommendations for one important group of retreatment issues: the removal of posts and broken instruments.

Dental Instruments↗
PubMed2004

Nonsurgical endodontic retreatment.

The purpose of this clinical article is to emphasize that although there is enormous potential for endodontic success, clinicians are, at times, confronted with post-treatment disease. A rationale for endodontic treatment is followed by the goals of nonsurgical retreatment. The focus of this article is to identify the various nonsurgical retreatment categories and provide an overview of the concepts, armamentarium and techniques available to disassemble roots, address deficiencies or repair defects that are pathological or iatrogenic in origin.

Humans↗
PubMed2003

Nickel-titanium rotary instruments: current concepts for preparing the root canal system.

The purpose of this paper is to provide useful information that will enable dentists to predictably shape root canals for three-dimensional obturation of the root canal system. The information is intended to help clinicians better understand when and how to safely use Nickel-Titanium (NiTi) rotary shaping instruments. This article is intended to enhance clinical performance for all dentists who perform root canal preparation procedures regardless of which instruments are chosen and the techniques employed during their utilisation. The guidelines for successful access and the concepts and strategies for canal preparation are discussed. Additionally, the advantages of negotiating and then pre-enlarging the coronal two-thirds of the canal before negotiating and finishing the apical one-third are emphasised. Although a set of endodontic instruments can shape a root canal, this article will also review the importance of irrigants and their role in cleaning the root canal system.

Dental Alloys↗