By Nadia Chugal, Louis M Lin
This booklet serves as a medical consultant to assist the practitioner enhance endodontic therapy results. It specializes in some of the components affecting the analysis of endodontic remedies and on their effect on non permanent and long term results.
The textual content accommodates up to date wisdom, thoughts and remedy protocols. every one bankruptcy has been conscientiously selected to handle both foundational wisdom or a pick out element of endodontic remedy. The authors examine the data amassed from a good number of consequence stories and supply the reader with a serious appraisal indicating the strengths and weaknesses of these reports. this knowledge is then used to make tips on how one can expect the end result of the meant therapy. The authors emphasize that the endodontic analysis is a multifactorial phenomenon, underscoring how different factors, singularly and together, impact the remedy consequence. Readers are supplied with instruments to effectively determine the diagnosis of the proposed remedy on the outset and to execute the deliberate remedy keen on optimum outcome.
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Extra resources for Endodontic Prognosis: Clinical Guide for Optimal Treatment Outcome
The NPV and PPV of the heat test are 89% and 100%, respectively. 3). A clinical study reported on the reliability of the combination of two commonly used diagnostic pulp tests as well as their PPV and NPV . 4). The combination of cold test and EPT has a higher reliability to detect vital pulp than if only one test is used. 4). 4). Combination diagnostic pulp tests using cold and EPT is more reliable to 3 Diagnosis of Pulpal and Periradicular Disease 35 predict if the pulp is vital, based on the probability of NPV than it is to predict if the pulp is necrotic, based on the probability of PPV .
The traumatized teeth may temporarily lose sensibility to pulp tests; however, the sensibility may return within the first 2 months [1, 2]. Therefore a long-term follow-up is necessary to determine the sensibility of the teeth after traumatic injury [1, 2]. Did the suspected tooth have operative procedures performed and what kind of procedure? When was the operative procedure performed? How did the suspected tooth respond to operative procedure? The operated tooth may be sensible to thermal stimuli or EPT immediately after operative procedures and then return to normal response gradually.
It is also possible that persistent bacteria are located on the apical root surface and in root resoptions/lacunae. These bacteria cannot be reached with the antibacterial efforts made through the root canal. They are complicated to sample, and this condition is difficult to diagnose clinically. Apical surgery may be an option to eliminate these bacteria. 2 How Bacteria Survive Root Canal Treatment Persistent biofilm bacterial infections with dormant or/and bacteria in low metabolic activity are implicated in the failure of root canal treatments.
Endodontic Prognosis: Clinical Guide for Optimal Treatment Outcome by Nadia Chugal, Louis M Lin