Seven million root canal procedures are covered in the UK each year. Endodontics was the most talked about topic during the most recent UK Dentists’ conference in Birmingham. The process of saving teeth through endodontics is a crucial aspect of dentistry , and is well-anchored within the dental professionals’ minds.
In the last few years there have been numerous studies that have examined the clinical efficacy of root canal treatment. Back in 2004, Friedman et al. released a research study in which they verified that teeth without an periapical lesions had a 92 percent to 98% probability of success, whereas those with a periapical blemish were predicted to be successful with a rate of 74 percent to 86%.
In 2010, Ng et al. reported a percentage of 93% following 4 to 5 years with a success rate of 87 percent after 8 to 10 years. Gernhardt et al. published a study that showed that “complete and safe preparation and an effective treatment of infection within the canal through a reduction of the number of bacterial colonies” is the primary factor in this achievement, as are aspects like the size of the defect or tooth type and post-endodontic reconstruction.
I’ve specialized on this subject in my practice, and I celebrated my 20th anniversary in the year 2000. I am mainly dealing with patients suffering from endodontic problems. This is the reason why colleagues often refer patients to my clinic.
We are convinced that tooth preservation is the greatest chance of preserving the current physiological foundation for the preservation of the function of chewing that we all have. This is the reason why it is essential to protect every tooth and this is more important than any other options. As professionals, we examine on a regular basis what modern tools and materials will make our procedures more efficient.
Trunatomy as a novel concept to preserve dentin on canals that are curvaceous and narrow.
The majority of us dentists are steadfast in our tried and tested techniques. We’re reluctant to switch tools and materials as there’s always a bit of uncertainty about whether other options perform as well, or if they’re user-friendly.
Personally, I like sharing my experiences with colleagues and am delighted to learn from other’s experiences. However, I also is always looking to experiment with different things. After all, there’s been many recent advancements of endodontic devices. One of them is TruNatomy made by Dentsply Sirona that was showcased at IDS 2019. It is an all-encompassing treatment option starting all the way from Orifice Modifier up to the obturation which is centered around the protection of the pericervical tooth. This is essential in the durability of a tooth following the root canal procedure.
The name TruNatomy comes from the shape of the teeth, which is founded on the protection and respect for the root canal’s anatomy as well as the tooth. This concept intrigued me, so I chose to try it out in my routine. Initial impressions have been very positive. These are instruments that feel comfortable in your hands. It is easy to feel how the file moves within the canal both during both manual and machine use.
I have experience with systems that function in an very large amounts and cause removal to appear “jerky”. It’s not the case with this system. The files move through the canal in a quiet manner without the patient having to apply pressure in any specific way. The system of files is particularly beneficial in difficult situations like extremely curving, badly obliterated or even extremely long canals for root. TruNatomy file provide less intrusive access to the cavity due to their flexibility is high, making the files durable.
The most important thing for me, is its cutting capability TruNatomy offers more than the other systems I typically, and very successfully, use. This is an essential feature for canals with narrow widths – it’s hard to clear obstructions in the absence of a clear path and the possibilities to water is very limited.
To ensure that the canal is not blocked when it is being prepared The cutting capability is required to allow for the removal of obstructions at all times. Another crucial aspect, particularly for canals with curvature, is the proper concentricity of the file. This will allow us to get access to the entire Apical zone, which is where we then can irrigate.
The paper points and gutta percha points have also been adapted to this conicity, which makes this process much simpler. In addition, TruNatomy files have proven to be extremely durable. There are already a few initial tests that have examined the files for their resistance to fatigue in cyclic cycles.
Both Rhyahi and al.5 and Elnaghy and al.6 was impressed with the strength of the cyclic fatigue protection to fatigue of TruNatomy files. This allows the files to increase patient safety by the risk of less breaking compared to other systems.
TruNatomy’s files have been an integral parts of my practice’s instrument portfolio for over one year. They have provided me with an added benefit for short and narrow root canals.
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