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Igor Tsesis - One of the best experts on this subject based on the ideXlab platform.
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The preservation of teeth with root-originated fractures
Evidence-Based Endodontics, 2018Co-Authors: Eyal Rosen, Ilan Beitlitum, Igor TsesisAbstract:Traditionally, when a root-originated fracture (ROF) was diagnosed in an endodontically treated tooth, the tooth was scheduled for extraction. However, modern Endodontics offers new treatment options to manage and maintain certain ROF teeth. The decision of whether to extract a ROF tooth and substitute it with a dental implant, or to implement a more conservative management approach by attempting an additional endodontic treatment aimed to preserve the natural tooth, is complicated and multifactorial. The management alternatives of ROF teeth range from a traditional root amputation in multi-rooted teeth to modern endodontic surgical modalities that may enable the preservation of a fractured tooth. This required decision-making process includes prosthetic, periodontal, esthetic, endodontic, and patient value concerns.
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Evidence-Based Decision Making in Dentistry: The Endodontic Perspective
Evidence-Based Decision Making in Dentistry, 2017Co-Authors: Eyal Rosen, Russell Paul, Igor TsesisAbstract:Contemporary dentistry advocates that every reasonable effort should be made in order to preserve natural teeth. Implementation of principles of evidence-based dentistry in Endodontics enables the practitioner to provide the patient with the best available treatment in each clinical scenario. Modern techniques and devices in contemporary endodontic practice allow for prevention and early identification and management of complications such as vertical root fractures, perforations, and root resorption. With a proper case selection, teeth that were traditionally planned for extraction can be successfully treated either nonsurgically or by endodontic surgery with a high success rate.This chapter is aimed to present the endodontic perspective in the clinical decision-making process regarding the management and preservation of natural teeth. Endodontic case selection, treatment planning and long-term prognosis, contemporary endodontic technologies and treatment modalities, and decision-making considerations regarding the diagnosis and management of endodontic complications will be discussed.
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the diagnostic efficacy of cone beam computed tomography in Endodontics a systematic review and analysis by a hierarchical model of efficacy
Journal of Endodontics, 2015Co-Authors: Eyal Rosen, Silvio Taschieri, Ilan Beitlitum, Massimo Del Fabbro, Igor TsesisAbstract:Abstract Introduction The aim of this study was to evaluate the diagnostic efficacy of cone-beam computed tomographic (CBCT) imaging in Endodontics based on a systematic search and analysis of the literature using an efficacy model. Methods A systematic search of the literature was performed to identify studies evaluating the use of CBCT imaging in Endodontics. The identified studies were subjected to strict inclusion criteria followed by an analysis using a hierarchical model of efficacy (model) designed for appraisal of the literature on the levels of efficacy of a diagnostic imaging modality. Results Initially, 485 possible relevant articles were identified. After title and abstract screening and a full-text evaluation, 58 articles (12%) that met the inclusion criteria were analyzed and allocated to levels of efficacy. Most eligible articles ( n = 52, 90%) evaluated technical characteristics or the accuracy of CBCT imaging, which was defined in this model as low levels of efficacy. Only 6 articles (10%) proclaimed to evaluate the efficacy of CBCT imaging to support the practitioner's decision making; treatment planning; and, ultimately, the treatment outcome, which was defined as higher levels of efficacy. Conclusions The expected ultimate benefit of CBCT imaging to the endodontic patient as evaluated by its level of diagnostic efficacy is unclear and is mainly limited to its technical and diagnostic accuracy efficacies. Even for these low levels of efficacy, current knowledge is limited. Therefore, a cautious and rational approach is advised when considering CBCT imaging for endodontic purposes.
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Magnification in modern endodontic practice.
Refu'at ha-peh veha-shinayim (1993), 2010Co-Authors: Silvio Taschieri, Eyal Rosen, M. Del Fabbro, T. Weinstein, Igor TsesisAbstract:The use of magnification devices in Endodontics is becoming more and more common, with the aim of improving the quality of treatment. The common magnification systems used in modern Endodontics are the surgical operation microscope, fiber-optic endoscope, and surgical loupes. The benefits of using magnification devices for conventional endodontic treatment include the increased visualization of the treatment field, enhanced possibilities in locating canals, aid in the removal of separated instruments, diagnosis of root and tooth fractures, perforation repair, and case documentation. In endodontic surgery, the use of magnification improves the ability to locate, clean, and fill the root canal system, thus achieving a predictable outcome. Further evidence-based research might better clarify the advantages and limitations of using magnification in endodontic practice.
Mohammad Yazdizadeh - One of the best experts on this subject based on the ideXlab platform.
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Antimicrobial activity of calcium hydroxide in Endodontics: a review.
Chonnam Medical Journal, 2012Co-Authors: Zahed Mohammadi, Sousan Shalavi, Mohammad YazdizadehAbstract:The purpose of endodontic therapy is to preserve the patient's natural teeth without compromising the patient's local or systemic health. Calcium hydroxide has been included in several materials and antimicrobial formulations that are used in several treatment modalities in Endodontics, such as inter-appointment intracanal medicaments. The purpose of this article was to review the antimicrobial properties of calcium hydroxide in Endodontics. Calcium hydroxide has a high pH (approximately 12.5-12.8) and is classified chemically as a strong base. The lethal effects of calcium hydroxide on bacterial cells are probably due to protein denaturation and damage to DNA and cytoplasmic membranes. Calcium hydroxide has a wide range of antimicrobial activity against common endodontic pathogens but is less effective against Enterococcus faecalis and Candida albicans. Calcium hydroxide is also a valuable anti-endotoxin agent. However, its effect on microbial biofilms is controversial.
Eyal Rosen - One of the best experts on this subject based on the ideXlab platform.
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The preservation of teeth with root-originated fractures
Evidence-Based Endodontics, 2018Co-Authors: Eyal Rosen, Ilan Beitlitum, Igor TsesisAbstract:Traditionally, when a root-originated fracture (ROF) was diagnosed in an endodontically treated tooth, the tooth was scheduled for extraction. However, modern Endodontics offers new treatment options to manage and maintain certain ROF teeth. The decision of whether to extract a ROF tooth and substitute it with a dental implant, or to implement a more conservative management approach by attempting an additional endodontic treatment aimed to preserve the natural tooth, is complicated and multifactorial. The management alternatives of ROF teeth range from a traditional root amputation in multi-rooted teeth to modern endodontic surgical modalities that may enable the preservation of a fractured tooth. This required decision-making process includes prosthetic, periodontal, esthetic, endodontic, and patient value concerns.
-
Evidence-Based Decision Making in Dentistry: The Endodontic Perspective
Evidence-Based Decision Making in Dentistry, 2017Co-Authors: Eyal Rosen, Russell Paul, Igor TsesisAbstract:Contemporary dentistry advocates that every reasonable effort should be made in order to preserve natural teeth. Implementation of principles of evidence-based dentistry in Endodontics enables the practitioner to provide the patient with the best available treatment in each clinical scenario. Modern techniques and devices in contemporary endodontic practice allow for prevention and early identification and management of complications such as vertical root fractures, perforations, and root resorption. With a proper case selection, teeth that were traditionally planned for extraction can be successfully treated either nonsurgically or by endodontic surgery with a high success rate.This chapter is aimed to present the endodontic perspective in the clinical decision-making process regarding the management and preservation of natural teeth. Endodontic case selection, treatment planning and long-term prognosis, contemporary endodontic technologies and treatment modalities, and decision-making considerations regarding the diagnosis and management of endodontic complications will be discussed.
-
the diagnostic efficacy of cone beam computed tomography in Endodontics a systematic review and analysis by a hierarchical model of efficacy
Journal of Endodontics, 2015Co-Authors: Eyal Rosen, Silvio Taschieri, Ilan Beitlitum, Massimo Del Fabbro, Igor TsesisAbstract:Abstract Introduction The aim of this study was to evaluate the diagnostic efficacy of cone-beam computed tomographic (CBCT) imaging in Endodontics based on a systematic search and analysis of the literature using an efficacy model. Methods A systematic search of the literature was performed to identify studies evaluating the use of CBCT imaging in Endodontics. The identified studies were subjected to strict inclusion criteria followed by an analysis using a hierarchical model of efficacy (model) designed for appraisal of the literature on the levels of efficacy of a diagnostic imaging modality. Results Initially, 485 possible relevant articles were identified. After title and abstract screening and a full-text evaluation, 58 articles (12%) that met the inclusion criteria were analyzed and allocated to levels of efficacy. Most eligible articles ( n = 52, 90%) evaluated technical characteristics or the accuracy of CBCT imaging, which was defined in this model as low levels of efficacy. Only 6 articles (10%) proclaimed to evaluate the efficacy of CBCT imaging to support the practitioner's decision making; treatment planning; and, ultimately, the treatment outcome, which was defined as higher levels of efficacy. Conclusions The expected ultimate benefit of CBCT imaging to the endodontic patient as evaluated by its level of diagnostic efficacy is unclear and is mainly limited to its technical and diagnostic accuracy efficacies. Even for these low levels of efficacy, current knowledge is limited. Therefore, a cautious and rational approach is advised when considering CBCT imaging for endodontic purposes.
-
Magnification in modern endodontic practice.
Refu'at ha-peh veha-shinayim (1993), 2010Co-Authors: Silvio Taschieri, Eyal Rosen, M. Del Fabbro, T. Weinstein, Igor TsesisAbstract:The use of magnification devices in Endodontics is becoming more and more common, with the aim of improving the quality of treatment. The common magnification systems used in modern Endodontics are the surgical operation microscope, fiber-optic endoscope, and surgical loupes. The benefits of using magnification devices for conventional endodontic treatment include the increased visualization of the treatment field, enhanced possibilities in locating canals, aid in the removal of separated instruments, diagnosis of root and tooth fractures, perforation repair, and case documentation. In endodontic surgery, the use of magnification improves the ability to locate, clean, and fill the root canal system, thus achieving a predictable outcome. Further evidence-based research might better clarify the advantages and limitations of using magnification in endodontic practice.
K A Koch - One of the best experts on this subject based on the ideXlab platform.
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21st-century Endodontics.
Journal of the American Dental Association (1939), 2000Co-Authors: G N Glickman, K A KochAbstract:Endodontics as a discipline has offered patients the opportunity to maintain their natural teeth. As the population expands and ages, the demand for endodontic therapy can be expected to increase as patients seek dental options to keep their teeth for a lifetime. New materials, techniques and instruments are entering the market-place to assist dentists in providing patients with more predictable and reliable endodontic treatment. In addition, these new systems make the delivery of endodontic services more efficient. This article describes these advances in endodontic treatment for dentists interested in incorporating these advances into their clinical practice.
Zahed Mohammadi - One of the best experts on this subject based on the ideXlab platform.
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Antimicrobial activity of calcium hydroxide in Endodontics: a review.
Chonnam Medical Journal, 2012Co-Authors: Zahed Mohammadi, Sousan Shalavi, Mohammad YazdizadehAbstract:The purpose of endodontic therapy is to preserve the patient's natural teeth without compromising the patient's local or systemic health. Calcium hydroxide has been included in several materials and antimicrobial formulations that are used in several treatment modalities in Endodontics, such as inter-appointment intracanal medicaments. The purpose of this article was to review the antimicrobial properties of calcium hydroxide in Endodontics. Calcium hydroxide has a high pH (approximately 12.5-12.8) and is classified chemically as a strong base. The lethal effects of calcium hydroxide on bacterial cells are probably due to protein denaturation and damage to DNA and cytoplasmic membranes. Calcium hydroxide has a wide range of antimicrobial activity against common endodontic pathogens but is less effective against Enterococcus faecalis and Candida albicans. Calcium hydroxide is also a valuable anti-endotoxin agent. However, its effect on microbial biofilms is controversial.