PubMed · 14372939
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U VAUTHIER. 1955. [Spray for root canals].. https://pubmed.ncbi.nlm.nih.gov/14372939/
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Technologic advancements in dentistry and specifically endodontics have vastly improved the quality of care rendered to patients. These advancements allow clinicians to gain insight into the retreatment of failing root canals. Due to training, practice, and patience, clinicians can expand their capabilities alongside of these technologic advancements to perform endodontic treatments with increased success.
Locating the appropriate apical position always has been a challenge in clinical endodontics. The electronic apex locator (EAL) is used for working length determination as an important adjunct to radiography. The EAL helps to reduce the treatment time and the radiation dose, which may be higher with conventional radiographic measurements. According to recent publications, the accuracy of frequency-dependent EALs appears to be much higher compared with traditional-type EALs (simple resistance type or impedance type). This article reviews the history and the working mechanism of the currently available EALs, and suggests the correct usage of the apex locator for a better canal length measurement.
Like many other dental and medical specialties, endodontics has evolved and changed over the years. The changes that have occurred in the past 10 years, however, have been of great magnitude and profundity. The microscope, ultrasonic units with specially configured tips, superbly accurate microchip computerized apex locators, flexible nickel-titanium files in rotary engines, and greater emphasis on microscopic endodontic surgery have totally changed the way endodontics and endodontic surgery are practiced. Comparing these changes with formocreoszol medication, K-file and radiographic determination of working length are truly dramatic. These changes are bringing the specialty of endodontic practice into the twenty-first century with greater precision, fewer procedural errors, less discomfort to the patient, and faster case completions. Seven key advancements in endodontics were made in the last decade. This article discusses these advancements and their applicability to everyday practice.