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A Journal on Dentistry and Maxillofacial Surgery
GIORNATE AQUILANE DI ODONTOSTOMATOLOGIA - L'Aquila, May 3, 2002
Minerva Stomatologica 2003 January-February;52(1-2):57-64
Today's trends in endodontics
Malagnino V. A., Gatto R.
Some new means and innovative operative techniques in the field of endodontics are presented that have been developed and perfected over time. Instruments such as the operative microscope, ultrasonography, miniaturised tools for surgery, new materials such as mineral trioxide aggregate (MTA) should become part of the daily routine of the endodontist. For example, the operative microscope plays a role in diagnosing pulp damage after removal of deep caries; in orthograde endodontics in diagnosing perforations; alongside ultrasonography in the search for calcified canals, removal of pins (screw-type, fibre, etc.) and also in positioning MTA. In all these cases, the operative microscope is used discontinuously, alternating working and observation phases. In endodontic surgery, the operative microscope is on the contrary used continuously, enabling the surgeon to observe details of anatomy of the root apex at high magnification, and above all enabling positioning of canal obturation with perfect seal. It is clear that the operative microscope used in all surgical phases will enable complete management of the operation and facilitate the endodontist in observing the operative field, otherwise very difficult to control.