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4 Tips for More Successful Dental Procedures

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With a recorded high rate of failure for the GPs, endodontic procedures are still becoming increasingly popular due to their impressive success rate overall. An obvious explanation for this disparity in success rate can be pinned on the fact that endodontists are highly proficient in the techniques and requisite materials that are used to perform an endodontic procedure.

The probability of failure could be reduced if you are knowledgeable in the dental industry, which can be achieved through RDA continuing education and other similar courses. To achieve an even higher success rate with endodontic procedures, there a number of things that any GP should do.

1. Thoroughly Clean the Canal

The goal of thoroughly cleaning the canal is to produce a fully obturated canal shape. It is recommended that this process should as much as possible maintain the tooth structure to ensure that the tooth is strong enough to withstand the endodontic procedure.

Endodontic shaping involves rotary and reciprocation systems. Rotary systems could lead to binding and broken instruments since they feature a continuous 360-degree rotation. On the other hand, reciprocating endodontics is highly popular due to iatrogenic incidences. The market has recently witnessed a surge in the demand for reciprocation systems, which move in a back-and-forth, watch-winding motion and minimizes instrument breakage. This results in more successful root canal procedures.

2. Disinfecting with an Irrigant

On its own, an endodontic instrumentation does not remove all debris and bacteria from the canal. This failure to debride and leave the canal clean has led to the use of irrigants such as sodium hypochlorite (NaOCl) to complete the job. Among the advantage of using this irrigant is its ability to effectively kill bacteria and dissolve the necrotic tissue. It is, however, less effective in eliminating Enterococcus faecalis. These stubborn bacteria can be found in a biofilm in the tubules and in the canal. They are usually resistant to NaOCl and calcium hydroxide. Enterococcus faecalis is highly prominent in people who have had unsuccessful root canal treatment and have undergone an endodontic procedure.

The endodontic protocol has undergone improvements over time. Besides using NaOCl, one can today add 2% chlorhexidine to fight E faecalis. EDTA can also be applied to the smear layer and to open the dentinal tubules. Recently, a new irrigation product called Irritrol (Essential Dental Systems), which combines EDTA and chlorhexidine (CHX), has gained popularity for its ability to shorten the procedure duration. Its highly effective disinfection rate has led to its rapid adoption by many practitioners. For even better endodontic results a Passive Ultrasonic Irrigation (PUI) Piezo Tip allows the ultrasonic activation of irrigants. They are, therefore, highly effective in removing the smear layer and biologic debris within the canal.

3. Avoid Underfilling

After cleaning and shaping the root canal, the next challenge is to perform a thorough obturation. Among the many obturation systems to choose from include thermoplastic (heated gutta-percha), single-point, and lateral condensation fills. Since lateral condensation exerts undue stress to the root, and heated gutta-percha shrinks after cooling, a single point is preferred since it has a tighter sealing ability. To laterally whip the cement in the canals and produce a 360-degree fill by applying a bidirectional spiral, an Essential Dental System (EZ-Fill), a non-shrinking resin-based sealer, is recommended. This technique is affordable and quick to complete.

4. Take a Continuing Education Course on Endodontic Procedures

Everything comes down to training and practice. The more endodontic procedures you perform, the better at it you become. It is, therefore, advisable to take as many endodontic courses as possible in order to become an expert in the field.

In spite of the fact that over ninety percent of endodontic treatment is done by GPs, there is still a 20% failure rate in root canal procedures. Nonetheless, the success rate of endodontic procedures is quite impressive; and it can only get better with continuous training and practice.

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