Description
Alzheimer's disease is a progressive neurodegenerative disorder characterized by cognitive decline, memory loss, and impaired daily functioning. It is the most common cause of dementia, affecting millions of individuals worldwide. Alzheimer's is associated with the accumulation of abnormal protein deposits in the brain, leading to the death of brain cells and the gradual loss of cognitive abilities. Early diagnosis and management are essential to provide symptomatic relief and support for affected individuals and their caregivers, although there is currently no cure for the disease. Ongoing research aims to better understand its underlying mechanisms and develop potential treatments to mitigate its devastating impact on individuals and their families.
Summary Listen
- The discussion revolves around 3D shaping of root canals using anatomical files, examining whether it's a myth or reality. While 3D shaping is desirable, the presenter cautions against solely relying on file systems promising perfect shaping. The initial approach to root canals often focuses on locating canals and achieving clean, white lines in X-rays, but current trends require a more comprehensive understanding.
- Many rotary file companies make claims about their files, but clinicians must critically evaluate these claims. Files with a core, whether rotating clockwise, counterclockwise, or reciprocating, primarily create round bores. This can lead to incomplete shaping of oval or ribbon-shaped canals, leaving untouched areas and packing debris. Enlarging files excessively to address this can compromise the remaining dentin.
- Root canal instrumentation often touches only about 44% of the canal system, relying heavily on patient immunity for success. Instrumented files take the path of least resistance, cutting only where they make contact. Consequently, significant portions of the canal surface remain untouched, creating pockets of packed debris, especially in areas such as the furcation region of multi-rooted teeth.
- Coreless files like XP-endo shapers and self-adjusting files offer alternative approaches. The former relies on high-speed rotation and irrigant pulsing, while the latter combines scraping action with continuous irrigation during shaping. The basic goal of root canal treatment should include the survivability of the tooth, functioning unity, and biological response that can be justified by the kernel and apical thirds.
- Various studies compare shaping outcomes using different systems (BioRace, Self-Adjusting File, TruShape). While Self-Adjusting Files show improved root canal wall contact and less dentin removal, TruShape can have intermediate results. There has been various research and findings, while some are great, it is essential to understand what it means. The important thing to note is these must be tailored with the dental professional's knowledge.
Sample Certificate
About the Speakers
Dr.Vishant Sharma
Emergency Medicine at Max Super Speciality Hospital Gurugram
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