In its daily practice, the dental surgeon very often uses, to carry out his therapeutics, materials destined not to last in time, ensuring a transition towards the correct execution of treatments. In endodontics, several biomaterials are likely to be used in the treatment of pulpo peri apical diseases. The diversity of proposed biomaterials obliges the practitioner to an analysis of all criteria of selection before laying out the indication of the biomaterial to use. This study aims to analyze the endodontic medication in clinical practice in oral structures in Dakar.
Method:
The study was descriptive and cross-sectional and covered all dental surgeons practicing in Dakar (private, public and parapublic).
Results
A little less than ¾ of dental
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BACKGROUND
Dentistry is a science where the range of materials and tools (equipment) available is sometimes complex and varied. Every day, manufacturers offer a new way to treat patients or reduce working time. The materials used in endodontic practice do not escape this reality [1].
The discipline of dentistry, which deals with the prevention, the diagnosis and the treatment of pulpal pathologies and their periapical complications, is endodontics. The aim of any treatment, in particular in endodontics, is to maintain a tooth in a biological context close to the physiology and thus preventing any development of inflammatory bone disease [2].
To achieve this goal, endodontics is based on two main principles in order to eliminate a dental infection:
- complete cleaning of all necrotic pulp tissue, organic and inorganic debris and any dental tissue infected in the pulp chamber, the pulp canal as well as the immediate adjacent dentine by mechanical chemo-therapy?
- fill-in the residual space as tightly as possible, for a successful treatment, using a wide variety of materials
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Such materials as the Calcium Hydroxide, the Mineral Trioxyde Aggregate MTA®, the EDTA®, the Arsenious Anhydride, the Sodium Hypochlorite, the Pulperyl and Rokle's, the Calcium Hydroxide which is very effective in the healing of peri-apical injuries. The Sodium hypochlorite, the Rockle's and the EDTA are very effective antiseptics in endodontic treatments. The Pulperyl is also a very good sedative. Biomaterials used for these purposes are called provisionary, transitory or temporary. If these three terms refer to the same objectives, that of temporary, by its etymology (of the Latin temporarius), state the notion of limited duration but adapted to therapeutic
Chronic periodontitis Chronic Periodontitis is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms, leading to progressive destruction of the attachment apparatus of the teeth including periodontal ligament, cementum and alveolar bone with periodontal pocket formation, and recession of the gingival tissue(1) . The clinical feature that characterizes periodontitis from gingivitis is the presence of clinically apparent attachment loss. This loss mainly is associated with changes in the density and height of subjacent alveolar bone (1). Severe generalized periodontitis affects 5–15% of any population worldwide and is a major cause of teeth loss after dental caries (2). Chronic Periodontitis also known as adult periodontitis or chronic adult
Evidence based dental hygiene is the practice of giving your patients the best care possible with a combination of adequate techniques and patient values. When evaluating a patient, it is important to understand their values as well as what that they need clinically to improve their oral health. In today’s society, due to the internet and social media, people are presented with the latest fads in dental hygiene on a daily basis. When presented with a question in regard to this, we must research rather than just shut the idea down entirely. As a dental hygienist, it is our responsibility to research these fads and see if there is substance (scientific evidence, patient preferences, clinical/patient circumstances and clinicians experience and
Didactic knowledge used to treat diseases of the mouth is the technical phase of dental education. During this study, students are able to obtain fillings, cast-gold crowns and inlays, fixed and removable dentures, porcelain crowns and other restorations on mannequins, plastic models, or extracted teeth. Prior to working with
According to biological dentists and those researchers before them, a root canal cannot be fully sterilized and therefore always remains infected.14 For starters, the gutta percha used as a sealant shrinks as it dries. Bacteria can then escape from the tooth. The periodontal ligament, the shock absorber between the tooth and jawbone, becomes a breeding ground for these harmful bacteria. When pressure in the form of biting, chewing or grinding is applied to the tooth, bacteria and their toxins can squirt out into the lymph system and bloodstream and travel to other parts of the body and create or exacerbate disease and illness.15 Over 150 different types of bacteria have been discovered which can make root canaled teeth their
After reading Million Dollar Dentistry by Gray Kadi, I learned that the traditional way of dentistry practice is stressful and you are leaving so much money on the table if you continue to practice dentistry the old fashion way. Also I learned that if you use Mr. Kadi suggestion you will be living a happier and stress-free life. One of the biggest take-away I got after reading this book is “when everyone is responsible for everything, no one is truly responsible for anything.” I really like this concept, it gives everyone in their roles accountability and incentives to bring in new/returning patients. For example, the treatment coordinator he/she is responsible for closing the case after the patient comes out of hygiene.
After you have prepared a listing of small group of dental practitioners, begin searching for comments and reviews provided by other people who have previously consulted them for a number of dental problems. A person may be compensated to create only good reviews or negative reviews. Therefore, you have to consider reading through all reviews, not only stick only one review. If you discover all reviews have similar items to convey, then these may be reliable because they are mentioning a particular problem.
DISCUSSION Almost 74% of the dental practitioners surveyed performed endodontic treatment. Amongst them, 78% of endodontists and 8% of non-endodontists used sodium hypochlorite. Sodium hypochlorite was considered the irrigant with best antimicrobial property by 90% of endodontists and 78.6% of non-endodontists due to fact that it has both pulpal dissolution and antimicrobial activity. NaOCl is a strong base with a pH >1 and behaves like an organic solvent causing amino acid degradation and hydrolysis by the production of chloramines molecules 12.
An LED curing light was used to cure each tooth for 45 seconds, and then remained on the tooth for 3.5 minutes before any remaining phosphoric acid gel was rinsed off with distilled water. For the teeth labeled “Carbamide”, the same method applied to the control group was used here. After the brackets had been applied to each tooth, 3 mm of the 36% carbamide peroxide gel was brushed onto the teeth until the enamel was fully
Just as, seemingly, every child interprets visiting the dentist as a daunting event. The section where Schwass spoke to the invasiveness of current filling methods, in terms of the drilling and destruction, triggered some anxiety as I reminisced about all the fillings I have experienced. The idea of the use of nanoparticles being used to treat dental caries in an essentially less invasive manner, intrigued me as I know I would opt for any less invasive treatment. Having a more effective treatment means less trips to the dentists, and less drilling and filling for me, which is always a
This technology allows certified dental technicians to provide restorations on a computer screen, which makes the job easier. The fabricated material can be done in a single appointment and there is no need for temporaries afterwards. Some studies have also demonstrated that CAD/CAM restorations are stronger and less likely to fracture than the milled ones from traditional techniques (Kotrzewski). This type of dental technology is available to produce crowns, veneers, and bridges, which helps to improve oral appearance. The use of the digital impressions disregards some laboratory steps, which leads to a faster and more effective product.
In periodontics this procedure is indicated in class II furcation involvement and if there is considerable bone available to one
In in vivo studies, socioeconomic and dental status of patients, and malocclusion classification and resultant mechanotherapy may affect the outcomes. Furthermore, masticatory forces varying with facial type, culturally influenced dietary habits, and sex differences may also influence the results. 4 The bond failure rate of green gloo found 5.00 % at the end of 24 months. These findings demonstrate a nonsignificant difference in bond failure rate between the groups as shown by log- rank test square test (p˂0. 05).(table 1 figure
Introduction The “swinging pendulum” of extraction versus non-extraction treatment began with the Dewey – Case Debates of 19111, and remains unresolved to this day. E. H. Angle (1905), initially provided extraction treatment for his patients, but modified his approach to non-extraction therapy based upon the philosophy that ‘a full complement of teeth’ can be maintained by modifying the environment surrounding the dentition.2 Opposed to this non-extraction mode of therapy were Tweed and Begg (1963), who have reported patients demonstrating relapse during the retention period. They have advocated that more stable results could be achieved through treatment with extraction.3 In order to reach a decision on the preferred
In broad, a bio material can be defined as any substance, other than a drug, that can be used any period as a part of a system that treats, augments or replaces any tissue, organ, or function of the body. Dental materials must meet the requirements in the definitions of the term’s biomaterials and biocompatible which are relative to all oral tissue tests for evaluation of biocompatibility. This review article gives brief knowledge about biocompatibility of different materials used in dentistry. Keyword: Biocompatible,Dental materials,Biohazard. INTRODUCTION:
According to the official guidelines of American Academy of Periodontology, the goals of periodontal therapy are to preserve natural dentition; to maintain and improve health, comfort, esthetics and function; and to provide replacements (i.e., dental implants) where indicated1.Several treatment modalities to achieve these goals are available in periodontics, and they can be broadly classified into either surgical or non surgical approaches. Non surgical approaches include plaque control, supra and sub gingival scaling, root planing and the adjunctive use of chemotherapeutic agents. Non surgical therapy aims to eliminate both living bacteria in the biofilm and calcified biofilm microorganisms from tooth surface and adjacent soft tissues. A reduction in inflammation of the periodontium due to a lesser bacterial load leads to beneficial clinical changes .In addition, non-surgical therapy aims to create an environment in which the host can more effectively prevent pathogenic microbial recolonization using personal oral hygiene