وصف
There are many misconceptions surrounding root canal (endodontic) treatment and whether patients experience root canal pain. The American Association of Endodontics wants you to have accurate information. As always, when considering any medical procedure, you should get as much information as you can about all of your options. Your dentist or endodontist can answer many of your questions, and if you still have concerns, it is often wise to seek a second opinion.
Myth #1—Root canal treatment is painful.
Myth #2—Root canal treatment causes illness.
Myth #3—A good alternative to root canal treatment is extraction (pulling the tooth).
ملخص
- Dr. Jorge Chavastava, a special tenant of Dante's from King's College London, member of Eladontics at the Royal College of Surgeons of Elenbro, and a speaker from Sep 2Dont for Byerooch, discussed misconceptions in Eladontics, prioritizing basic fundamentals over advanced topics. He highlighted the importance of mastering core principles before tackling complex re-treatments.
- He presented a list of common misconceptions he encounters, including the use of rubber dams, diagnosing cysts radiographically, post removals and vertical ruptures, antibiotics in Eladontics, link crowns, J-shaped lesions and vertical ruptures, calcium hydroxide sealers, working lens and radiographic apex, CBCTs and vertical load fractures, lateral fills and sealer puffs, working on the apical preparation, patency filing, coronal seal, Dycal as a pulp cap material, post-synmolars, single-cone obturation, pain corresponding to the size of the lesion, and endodontics as a bottomless pit.
- Dr. Chavastava focused on rubber dam usage, emphasizing it as a core ethical and scientific principle, not merely a tool. He addressed common excuses for not using rubber dams, such as time constraints and patient discomfort, arguing that practice improves efficiency and patient discomfort is rare. He highlighted the increased risk of medical-legal issues and patient safety without a rubber dam.
- He presented a "rubber dam rationale," exploring the scientific reasoning behind its use. The rationale addresses the bacterial cause of pulpal and periapical diseases, the potential for contamination without a rubber dam, the reduced chances of successful outcomes with a positive bacterial culture, and the aerosol and contamination reduction achieved with its use.
- Dr. Chavastava also addressed the misconception of over-prescribing antibiotics in Eladontics. He questioned the efficacy of antibiotics for flare-ups, swelling, and apical periodontitis when the bacteria reside within the canal, which lacks blood supply in necrotic teeth. He emphasized that systemic antibiotics should only be used in specific situations, such as epithelial abscesses in medically compromised patients.
- He presented guidelines for antibiotic use in endodontics, stressing that antibiotics should primarily be reserved for patients with medical compromises or immunodeficiencies, rather than routine cases of pulpitis or apical periodontitis. He urged practitioners to correlate antibiotic prescriptions with basic science principles.
- Dr. Chavastava concluded that using a rubber dam is non-negotiable for ethical endodontic treatment. He emphasized that a successful endodontic outcome hinges on proper diagnosis and a good understanding of treatment standards. He promotes the need for clinicians to review their patients' outcomes regularly to identify successes and failures and adjust their techniques accordingly.
- Dr. Chavastava promoted a three-day course in India focused on Rendo, covering rubber dam usage, magnification, equipment recommendations, and guidelines from leading endodontic societies. He invited attendees to connect with him and his team on Instagram, WhatsApp, and their website for more information and educational resources.
نموذج شهادة
حول المتحدثين
Dr. Shaurya Srivastava M.
Endo RCSEd Specialist Endodontist King's College London Royal College of Surgeons, Edinburgh
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