Methods of diagnosis and treatment in endodontics a systematic review
SBU has evaluated the methods used by dentists to diagnose, prevent and treat inflammation and infection of the dental pulp. Root canal therapy (endodontics) is conducted to ensure healthy conditions in and around teeth, which have been damaged by caries, external trauma or other causes. Despite the...
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| Format: | eBook |
| Language: | English |
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Stockholm
Swedish Council on Health Technology Assessment (SBU)
June 2012, 2012
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| Series: | SBU report
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| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | SBU has evaluated the methods used by dentists to diagnose, prevent and treat inflammation and infection of the dental pulp. Root canal therapy (endodontics) is conducted to ensure healthy conditions in and around teeth, which have been damaged by caries, external trauma or other causes. Despite the overall high standard of dental health in Sweden, root fillings are still common and are expensive items of treatment for both the individual and the society. The report forms the basis of national guidelines for dental care by The National Board of Health and Welfare. Conclusions1. Because of the lack of studies it is not possible to determine which diagnostic methods can disclose whether a vital but injured pulp can be maintained or whether it should be removed and replaced with a root filling. The available research provides limited direction as to what distinguishes a treatable from a non-treatable pulpal inflammation (pulpitis).2. The effects of different methods used for instrumentation, disinfection and root filling associated with root canal therapy are insufficiently investigated.3. An investigation of common practice among Swedish dentists shows that great variations exist in treatment strategies and choice of materials. This applies, for example, to the management of the exposed pulp or when a root filling is retreated. An exception is the use of engine driven instrumentation, which to a varying degree are used by almost two-thirds of the dentists.4. There is a need for prospective studies of root canal therapy, which show how teeth can be preserved in the long-term, without risk of recurrence of symptoms, periradicular inflammation or tooth fracture. The lack of good research in this field clearly indicates that priority should be given to well-planned and carefully conducted clinical studies of methods for diagnosis and treatment of the disease conditions of the pulp.5. There is a need for a national registry with quality indicators to be applied for follow-up evaluations of pulpal and root canal treatments |
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| Item Description: | "The Swedish report was printed in November 2010." |
| Physical Description: | 1 PDF file (491 pages)) + 2 supplements (29 pages, 82 pages |