Modern Endodontics for Saving Teeth

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  • Sawada Norihiro
    Sawada Dental Office. Part-time Lecturer, Faculty of Dentistry, Tokyo Medical and Dental University (Pulp Biology and Endodontics, Graduate School of Medical and Dental Sciences)

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  • 最先端歯内療法

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Endodontics has been changing drastically in the last decade. Modern endodontics using microscope, Ni-Ti files, ultrasonic tips, microinstruments and cone beam CT has enabled predictable outcomes. In this article, the benefits of modern endodontics, successful techniques of conventional endodontics and surgical endodontics, are introduced.<br>Survival rate of endodontically treated teeth is >90%. Many studies have indicated that there is no difference of long-term prognosis between endodontically treated teeth and single-tooth implants. Clinical decision should not be determined by the survival rate of endodontically treated teeth and single-tooth implants.<br>Modern endodontic surgery is performed under illumination and magnification using special microinstruments. Success rate of modern endodontic surgery is higher than that of traditional endodontic surgery. No scar and little recession on the gingival margin are observed after modern endodontic surgery because of use of thin blade and fine suture.<br>Coronal leakage may occur due to unsatisfactory coronal restorations. Outcomes of endodontically treated teeth were influenced by the quality of restorations.<br>Perforation repair was done successfully using internal matrix technique and mineral trioxide aggregate. Many teeth that had been extracted were saved by this repair technique.<br>Endodontists can save teeth using the technique of modern endodontics. Dentists should save significantly more teeth by these modern techniques.

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