Nearly seven million root canal procedures are covered in the UK each year. And endodontics was the major topic of discussion during the most recent UK Dentists’ conference in Birmingham. Endodontics, which is the process of preserving teeth, plays a significant role in dentistry , and is well-anchored within the dental professionals’ minds.
In the past couple of 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 98% to 98 percent chance of success, whereas teeth with a periapical blemish were predicted to be successful with a rate of 74 86% to 74.
In 2010, Ng et al. reported a percentage of 93% following the period of four-five years and a rate of 87 percent after 8 to 10 years. Gernhardt et al. published a study that showed that “complete and safe preparation and effective management of infection within the canal with a minimum reduction in the number of bacterial colonies” is the primary factor in this achievement, as are factors like the size of the defect as well as the type of tooth and post-endodontic reconstruction.
I’ve specialized on this subject in my practice, and I celebrated my 20th birthday in the year 2000. I am mainly dealing with patients with endodontic problems. This is why my colleagues recommend their patients to my clinic.
We are convinced that tooth preservation provides the most effective chance of maintaining the physiological foundations for the preservation of the chewing function that is natural. This is the reason why it is essential to protect every tooth and this is more important than any other options. As experts, we regularly check the latest instruments and materials that will make our procedures even more effective.
Trunatomy as a brand new idea to preserve dentin on canals that are narrow and curving
The majority of us dentists are steadfast in our tried and tested techniques. We’re not willing to change equipment and materials since there’s always a lingering doubt regarding whether the other ones are as effective or if they’re user-friendly.
Personally, I like sharing my experiences with my colleagues and am pleased to learn from other’s experiences. However, I also is always looking to experiment with new ideas – after all, there’s been many recent advances of endodontic devices. One of them is TruNatomy made by Dentsply Sirona and was unveiled at IDS 2019. It’s an entire treatment system starting beginning with Orifice Modifier up to the obturation which is centered around the preservation of the pericervical dentin. This is crucial for the long-term stability of a tooth following tooth canal therapy.
The name TruNatomy comes from the style of teeth, which is built on care and protection of the root canal’s anatomy which is why the tooth. It was an idea that sounded appealing to me, and I decided to try it out in my routine. Initial impressions have been very positive. These instruments feel great in your hands. It is easy to feel how the file moves through the canal both during the manual and machine usage.
I have experience with systems that operate in an the most extensive manner and can make removal appear “jerky”. However, this isn’t the case with this system. The files move through the canal and without the need to apply pressure in any specific way. The system is helpful in challenging situations like severe curvature, obliterated or even extremely long canals for root. TruNatomy files provide less an invasive approach to the cavity as their flexibility is high, making the files able to withstand a variety of conditions.
The most important thing in my opinion is the ability to cut TruNatomy provides more than the other systems I normally, and very successfully, use. This is a crucial feature for canals with narrow widths – it’s difficult to get rid of debris in a sloppy environment and the potential to water is very limited.
To prevent blocking the canal in the process of preparation to prevent obstruction, the cutting capabilities should be sufficient to allow for removal in all circumstances. Another crucial aspect, particularly when dealing with canals that are curving is the correct concentricity of the file. This will allow us to reach the Apical region, from which we then can irrigate.
The paper points and gutta percha points have also been adapted to this conicity, which makes this procedure much more simple. Additionally, TruNatomy file have proven to be extremely sturdy. There are already a few initial tests that have examined the files for their resistance to fatigue cyclics.
Both Rhyahi and al.5 and Elnaghy and al.6 were impressed by the resistance to fatigue cyclics that is present in the TruNatomy files. The TruNatomy files can increase patient safety by the risk of less breakage when compared with other systems.
TruNatomy’s files have been an integral to my practice’s instrument collection for around one year. They provide me with an added benefit for short and narrow root canals.
