Weine Endodontic Therapy Pdf 32
in the last 50 years, endodontic therapy has been a significant breakthrough in dentistry. the revolution has been a combination of improved materials and technology. the use of the material, the instrumentation technique, and the disinfection protocol have contributed to this success. endodontics is today a widely accepted treatment modality that has evolved from a solely surgical procedure to an all-in-one system that is used to preserve the tooth. from the beginning of the endodontic revolution, the philosophy was to eliminate infection and to preserve the tooth. today, the goal is to eliminate the remaining bacteria in the root canal system, to maintain the tooth in the arch, and to maintain the ability to save the tooth.5 this should be accomplished by eliminating the infection and preventing its recurrence. although still not fully understood, the pathogenesis of apical periodontitis has a bacterial etiology. the first step in eliminating the infection from the root canal system and to maintain the healing process is to provide sufficient apical and coronal bacterial elimination. once this has been accomplished, the next step is to maintain the elimination of bacteria with the use of proper instrumentation and disinfection.
the primary goal of endodontic therapy is to achieve a bacteria-free root canal system. the ideal is to eliminate the bacteria from the root canal and to preserve the tooth. this can be achieved by complete debridement of the root canal system and disinfection of the root canal space. the methods available to achieve this goal are: irrigation, mechanical debridement, chemical debridement, intracanal medication, and the use of antimicrobial agents. since the endodontic revolution, infection control has become a major focus of endodontic therapy. the endodontic instruments, materials, and techniques have improved and evolved greatly during the last 50 years. endodontics is now a widely accepted treatment modality that has become an integral part of our dental practice. the primary goal of endodontic therapy is to eliminate infection, prevent its recurrence, and maintain the tooth.
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