Chemical Processes in Endodontic Failure Due to Incidents and Accidents

Abstract

The fundamental principle that must guide the activity of each dentist is the conservative, hence the task of preserving, as much as possible, the teeth in the arches, knowing what important injury brings extractions to the individual. An essential concern of endodontic therapy is the thorny problem of infected canals. At present, it is essential for any practitioner to recognize the relationship between microbial oral and pulpal and periapical tissue, the notions of endodontic microbiology being the key to understanding the basic methods of debriding, modeling and obstructing canals. Among the pathological conditions that overrun the clinical picture of pulp sickness, not only at the local and general level, the simple or complicated pulp gangrene has a well-established role. The endodontic treatment has three basic stages: diagnosis, preparation of the channel that follows the debridement, its modeling and sterilization, and the root filling. The rationale behind the treatment of this disease is that the devital pulp does not have defense mechanisms, the endocannicular microbial flora finding under these conditions a favorable environment of development. Regardless of the degree of expertize, the accumulated experience, the responsibility and the correctness of medical care, certainly no dental practitioner has been circumvented by failures in endodontic therapy. The relatively high percentage of failures has led to countless attempts to improve the tools and materials made available to the dentist. Currently, he faces a new problem, that of choosing the most correct method of endodontic treatment. Material and Method: The structure of the study material was 240 cases taken into account, from 2012-2017. Results and Discussion:Because endodontic therapy requires very precise working techniques, it implies rigorous records, both in terms of the sequence of treatment phases, but also in relation to some technical aspects - such as - data on root canals, the chronology of the radiological examinations, the instruments and the substances used - the neglect of the correct records resulting in unnecessary time losses and traumatisations of the periodontal-apical area.Conclusions: Starting from the assumption that the radiological examination is the only objective way of initial assessment of dental morphology, the certification of the existing pathology and the establishment of a diagnosis, the orientation of the treatment plan and the verification of the correctness of the therapeutic variant chosen through a monitoring of the results over time, we sought to clarify the actual role and the actual value of the radiological examination in endodontic therapy.