Endodontic prognosis assessment.

The Alpha omegan Pub Date : 2011-01-01
Louis H Berman
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Abstract

There are several variables which must be considered before initiating endodontic treatment, including assessing the feasibility of endodontic treatment, addressing past, present and future periodontal concerns, determining the restorability of the tooth, and detecting root fractures. If these parameters are not carefully evaluated, then short- or long-term endodontic success may be questionable. Endodontic prognosis assessment is often subjective, based on objective finding, but ultimately determined by the experience of the operator. Although dentists must rely upon evidence-based research to determine the best modality of treatment, good clinical judgment and experience may override the most objective findings. This article discusses the objective and subjective criteria which must be evaluated for determining the potential prognosis of endodontic treatment.

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牙髓治疗预后评估。
在开始根管治疗之前,有几个变量必须考虑,包括评估根管治疗的可行性,解决过去、现在和未来的牙周问题,确定牙齿的可恢复性,以及检测根骨折。如果不仔细评估这些参数,那么短期或长期的根管治疗成功可能会受到质疑。根管预后评估通常是主观的,基于客观发现,但最终由操作者的经验决定。尽管牙医必须依靠基于证据的研究来确定最佳的治疗方式,但良好的临床判断和经验可能会压倒最客观的发现。本文讨论了确定牙髓治疗潜在预后时必须评估的客观和主观标准。
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