Nearly seven million root canal procedures are covered in the UK each year. Endodontics was the most talked about topic during the most recent UK Dentists’ Conference held in Birmingham. Endodontics, which is the process of preserving teeth, plays a significant role in dental care and is deeply rooted within the dental professionals’ minds.
In the past couple of years there have been a number of studies that examine the effectiveness 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 percent to 98% probability of success, whereas teeth with a periapical blemish were expected to have a success rate of 74 86% to 74.
In 2010, Ng et al. found a success percentage of 93% following the period of four-five years with a success rate of 87 percent after 8-10 years. Gernhardt et al. have demonstrated in a review that “complete and safe preparation and effective management of the infection in the canal with a minimum reduction in the number of bacterial colonies” is the primary factor in this successful outcome, along with aspects like the size of the defect or tooth type and the post-endodontic treatment.
I’ve specialized in this area in my practice, and I celebrated my 20th birthday in the year 2000. I work mostly with patients with issues with their teeth. This is why my colleagues often refer patients to my clinic.
We believe that tooth preservation is the greatest chance of preserving the current physiological foundation to preserve the function of chewing that we all have. This is the reason why it is essential to protect every tooth and it is the most important thing over any other options. As professionals, we examine on a regular basis the latest instruments and materials that can make our treatment even more effective.
Trunatomy as a brand new idea for dentin preservation in canals that are narrow and curving
In general, we dentists stick to tried and true techniques. We’re reluctant to switch equipment and materials since there’s always a lingering doubt about whether other options are as effective or if they’re user-friendly.
I enjoy sharing my experiences with colleagues and am delighted to learn from other’s experiences. However, I also is always looking to experiment with different things. After all, there’s been several recent advancements of endodontic devices. One of these is TruNatomy by Dentsply Sirona and was showcased at IDS 2019. It’s an entire treatment system that includes everything all the way from Orifice Modifier up to the obturation with a particular focus on the protection of the pericervical tooth. This is essential in the durability of a tooth following tooth canal therapy.
The name TruNatomy comes from the shape of the dental files, which are founded on the protection and respect for the natural anatomy of the root canal as well as the tooth. It was an idea that sounded appealing to me, so I chose to give it a go in my routine. Initial impressions have been very positive. These instruments feel great in your hands. You can feel the file moves through the canal both during the manual and machine usage.
I’m familiar with systems that function in an very large amounts and cause removal to appear “jerky”. However, this isn’t the case with this system. The files move through the canal in a quiet manner without the patient having to apply pressure in any specific way. The system of files is particularly beneficial in difficult situations like severe curvature, obliterated or even extremely long canals for root. TruNatomy files provide less intrusive access to the cavity due to their flexibility is high, making the files durable.
What is even more crucial for me, is its cutting capability TruNatomy offers more than the other systems I typically, and extremely successfully, work with. This is an essential purpose for narrow canals as it’s hard to clear obstructions in the absence of a clear path and the possibilities of irrigation is very limited.
To ensure that the canal is not blocked in the process of preparation The cutting capability is required 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 zone, which is where we can then water.
TruNatomy’s paper and gutta-percha points have also been adapted to this conicity, which makes this procedure much more simple. In addition, TruNatomy files have proven to be extremely durable. There are currently some preliminary tests that have examined the files for their resistance to fatigue cyclics.
Both Rhyahi and al.5 and Elnaghy and al.6 was impressed with the resistance to fatigue cyclics that is present in the TruNatomy files. The TruNatomy file can enhance patient safety and lower risk of breaking compared to other systems.
TruNatomy’s files have become an integral to my practice’s instrument portfolio for over one year. They provide me with an added benefit for the long and narrow root canals.