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Get smart – technological innovations in endodontics. Part 1: 3D imaging, 3D treatment planning and guided endodontics Pratik Kamalkant Shah Qianni Zhang Bun San Chong Dental Update 2024 48:6, 707-709.
Authors
Pratik KamalkantShah
BDS, MJDF RCS Eng, MSc, MEndo RCS Edin, FHEA
Clinical Lecturer in Endodontics, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London.
Professor of Restorative Dentistry/Honorary Consultant, Academic Endodontic Lead, Institute of Dentistry, Barts and The London School of Medicine and Dentistry.
Endodontic treatment can be technically challenging, requiring a high level of clinical precision and skill to avoid mishaps, to achieve a quality result and to ensure a favourable outcome. Understandably, dentists vary in competency and ability to manage challenging endodontic cases. Coupled with patients' desire to retain their natural dentition, the demand for endodontic treatment exceeds service provision. Secondary and tertiary care providers are inundated with referrals. Access to privately funded services may also be restricted due to availability and locality. The scientific and technological revolution in healthcare has benefited many medical and dental disciplines, including endodontics: solutions may be found within these technological innovations to improve and facilitate the delivery of endodontic care.
CPD/Clinical Relevance: Technological innovations can contribute and facilitate the assessment, management and treatment of challenging endodontic cases in everyday clinical practice.
Article
Endodontics has long been considered the ‘Cinderella’ of dentistry.1 To many, including the dental profession, endodontics is a difficult discipline to master, and not held in as high regard or as appreciated as other restorative specialties and, hence, often relegated in terms of importance. In the 2009 report published after the independent review into UK's National Health Service (NHS) dentistry led by the late Professor Jimmy Steele is the following very apt description: ‘The technical challenges of, for example, providing root treatment in a molar tooth involve preparation to tenths of millimetres of accuracy in a root canal narrower than a pin and in a place the dentist cannot see’.2
As life expectancy increases, the need for endodontic services also increases. The demand for endodontic services remains unabated and is actually rising;3,4 it is also driven by individuals' desire to retain their natural teeth. In addition, endodontic treatments to salvage natural teeth are often less expensive, take less overall time, and enjoy a high survival rate.5,6,7,8,9
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