{"id":59,"date":"2023-04-26T23:05:38","date_gmt":"2023-04-27T02:05:38","guid":{"rendered":"https:\/\/smileandhealth.live\/?p=59"},"modified":"2024-02-27T17:38:29","modified_gmt":"2024-02-27T20:38:29","slug":"terapia-endodontica-mecanizada","status":"publish","type":"post","link":"https:\/\/smileandhealth.live\/en\/terapia-endodontica-mecanizada\/","title":{"rendered":"Mechanized Endodontic Therapy"},"content":{"rendered":"<p>Mechanized endodontic therapy has undergone significant advancements in the last 15 years. The introduction of materials such as nickel-titanium alloys has revolutionized the field, allowing for the manufacture of much more flexible and safe rotary instruments.<\/p>\n\n\n\n<p>There has also been a great evolution in endodontic motors. They are more precise, better calibrated, with internal apex locators that allow for interruption of movement and retraction of the file. They reduce accidents such as perforation, overshoot, or file fracture. &nbsp;<\/p>\n\n\n\n<p>These and other innovations have allowed for a substantial improvement in the precision, effectiveness, and predictability of endodontic treatments. They provide benefits for both patients and professionals in the field. My goal in this article is to encourage &quot;old school&quot; colleagues who perform traditional therapy to adopt these innovations.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"536\" height=\"725\" src=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Waks.jpg?resize=536%2C725&#038;ssl=1\" alt=\"Terapia Endod\u00f4ntica Mecanizada\" class=\"wp-image-1202\" style=\"aspect-ratio:0.7383512544802867;width:478px;height:auto\" srcset=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Waks.jpg?w=536&amp;ssl=1 536w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Waks.jpg?resize=222%2C300&amp;ssl=1 222w\" sizes=\"(max-width: 536px) 100vw, 536px\" \/><figcaption class=\"wp-element-caption\">Source: Wak&#039;s dental products<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy<\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Nickel-Titanium Mechanized Files<\/h3>\n\n\n\n<p>Nickel-titanium alloys have unique properties that make them ideal for use in endodontic instruments. Their high flexibility and shape memory allow for the creation of instruments that are more resistant to cyclic fatigue, a common problem encountered in root canal treatments. These flexible instruments can better follow the shape of the root canal, reaching hard-to-access areas and sharp curves. This results in a more complete and efficient preparation of the root canal system, more effectively removing infected or necrotic pulp.<\/p>\n\n\n\n<p>In this sense, nickel-titanium materials also allow the manufacture of instruments with non-circular cross-sections, such as rectangular or triangular ones. In short, these alternative geometries help minimize the accumulation of debris and provide better irrigation control during treatment. This reduces the risk of bacterial contamination and improves disinfection of the root canal system.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy<\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Digital Technology Offers Precision<\/h3>\n\n\n\n<p>Advances in endodontic motors have also contributed to the evolution of endodontic therapy. Current motors have more precise torque and speed control systems, allowing for safer and more efficient work. The controlled rotation of nickel-titanium instruments in conjunction with these motors provides a more uniform and less traumatic preparation of the root canals.<\/p>\n\n\n\n<p>Some motors have technology that allows for interruption and reversal of the file&#039;s movement if there is a threat of exceeding the working length. Torque control prevents the instrument from jamming during the preparation of the internal canal carving. This prevents accidental breakage of the rotary files.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"1024\" height=\"683\" data-src=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/endopen.jpeg?resize=1024%2C683&#038;ssl=1\" alt=\"Endodontia Mecanizada - motor para endodntia\" class=\"wp-image-949 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/683;aspect-ratio:1.5;width:704px;height:auto\" data-srcset=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/endopen.jpeg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/endopen.jpeg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/endopen.jpeg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/endopen.jpeg?w=1110&amp;ssl=1 1110w\" data-sizes=\"(max-width: 1000px) 100vw, 1000px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><figcaption class=\"wp-element-caption\">Source: Schuster dental equipment<\/figcaption><\/figure>\n\n\n\n<p>Simultaneously, digital technology has played an important role in advancing endodontic therapy. High-resolution images, such as cone-beam computed tomography (CBCT), provide a detailed three-dimensional visualization of root anatomy. They allow for more precise diagnosis and appropriate treatment planning. The use of electronic apex locator systems (aforaminal locators) has also become routine, assisting in determining the working length of instruments and improving the accuracy of procedures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy<\/h3>\n\n\n\n<p>These technological innovations have positively impacted the clinical outcomes of endodontic treatments. The success rate in maintaining treated teeth has increased, reducing the need for extractions. Furthermore, the use of nickel-titanium rotary instruments has allowed for faster and more efficient preparation of root canals, reducing the total treatment time and improving patient comfort.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"550\" height=\"550\" data-src=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/localiz-foram.jpeg?resize=550%2C550&#038;ssl=1\" alt=\"Terapia Endod\u00f4ntica Mecanizada. Localizador Foraminal\" class=\"wp-image-951 lazyload\" style=\"--smush-placeholder-width: 550px; --smush-placeholder-aspect-ratio: 550\/550;aspect-ratio:1;width:522px;height:auto\" data-srcset=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/localiz-foram.jpeg?w=550&amp;ssl=1 550w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/localiz-foram.jpeg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/07\/localiz-foram.jpeg?resize=150%2C150&amp;ssl=1 150w\" data-sizes=\"(max-width: 550px) 100vw, 550px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><figcaption class=\"wp-element-caption\">Source: Schuster dental equipment<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Ultrasound devices in endodontic therapy<\/h2>\n\n\n\n<p>One of the advances in endodontic therapy is the use of dental ultrasound devices, which have emerged as a valuable tool and have played a crucial role in improving pulp chamber preparation for accessing canals in mechanized endodontic therapy.<\/p>\n\n\n\n<p>Dental ultrasound devices work by emitting high-frequency sound waves that are transmitted to the tip of the instrument. When applied to the target area, such as the pulp chamber, ultrasound is capable of performing a number of beneficial functions. One of them is the efficient removal of mineralized tissue, carious dentin, and debris present at the entrance of the canals, which contributes to a more precise and meticulous preparation. In addition, ultrasound can assist in locating the entrance of atretic root canals that are difficult to identify with manual instruments alone.<\/p>\n\n\n\n<p>Similarly, diamond burs developed for dental ultrasound devices represent a remarkable advancement in dental technology, especially when it comes to preparing the pulp chamber during endodontic therapy. These burs are specifically designed to work effectively and precisely in removing infected pulp tissue, debris, and other obstructions from the root canal entrances.<\/p>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy<\/h3>\n\n\n\n<p>Diamond burs are made of synthetic diamond, which is known for its durability and ability to cut with precision. The use of diamonds in the manufacture of these burs gives them the ability to wear down tissue in a controlled and efficient manner, minimizing the risk of damage to the surrounding tooth structure.<\/p>\n\n\n\n<p>Furthermore, diamond tips for dental ultrasound are often designed to function in different modes, such as cutting, scraping, and grinding, allowing the dentist to adapt the approach according to the specific clinical situation.<\/p>\n\n\n\n<p>Similarly, there are tips developed to use ultrasound-generated vibration to aid in the disintegration of bacterial biofilm and debris, contributing to a more complete disinfection of the root canals. Effective cleaning is essential to prevent reinfections and promote proper healing of the periapical tissues.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Portable X-ray machines<\/h2>\n\n\n\n<p>Today, there are X-ray machines on the market weighing less than 5 kilos, with minimal radiation emission levels that allow for great comfort, speed, accessibility, and versatility when taking X-rays.<\/p>\n\n\n\n<p>If this is combined with the digital radiographic imaging systems offered by some software developers and the digital sensors that replace traditional radiographic films, it becomes a powerful tool for endodontic diagnosis and therapy planning.<\/p>\n\n\n\n<p>The reduction in the need for physical radiographic documentation storage, which will be replaced by digital documents, and the ease of storing and retrieving them, even if the client returns years later, prevents loss and deterioration over time, and guarantees legal security. All of this equipment is available on the dental market. A certain investment will be necessary, but the return is certain.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Optical devices and microscopes<\/h2>\n\n\n\n<p>Several optical equipment options allow for reduced working time in the investigation of atretic root canals in calcified chambers. And if the professional can invest even more, modern endodontic microscopes will represent great comfort for the professional and safety for the patient.<\/p>\n\n\n\n<p>All of this can mean status with clients, respect from colleagues, and professional fulfillment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Knowledge + Experience + Technology<\/h2>\n\n\n\n<p>However, it is important to emphasize that, despite advancements, the clinical experience and skill of the dental professional remain fundamental to the success of endodontic therapy. This is because the use of advanced materials and technologies is only part of the process. Understanding root anatomy, identifying accessory canals, and performing proper preparation still require refined clinical skills and in-depth knowledge of the specialty.<\/p>\n\n\n\n<p>Furthermore, each case is unique, and it is essential that the professional conducts a complete patient assessment, including medical history, radiographic examinations, and sensitivity tests, before initiating endodontic treatment. Personalizing the treatment based on the patient&#039;s individual characteristics is crucial for achieving satisfactory results.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"1024\" height=\"662\" data-src=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Cones-Guta-mecaniz.jpg?resize=1024%2C662&#038;ssl=1\" alt=\"Terapia Endod\u00f4ntica Mecanizada - Cones de Guta\" class=\"wp-image-1204 lazyload\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/662;aspect-ratio:1.5468277945619335;width:993px;height:auto\" data-srcset=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Cones-Guta-mecaniz.jpg?resize=1024%2C662&amp;ssl=1 1024w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Cones-Guta-mecaniz.jpg?resize=300%2C194&amp;ssl=1 300w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Cones-Guta-mecaniz.jpg?resize=768%2C496&amp;ssl=1 768w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/08\/Cones-Guta-mecaniz.jpg?w=1068&amp;ssl=1 1068w\" data-sizes=\"(max-width: 1000px) 100vw, 1000px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<p>It is important to highlight that the evolution of endodontic therapy is not limited to the materials and technologies used. The understanding of the biological processes involved in tissue regeneration and infection control has also progressed significantly. Research in the field of endodontics continues to advance, exploring new techniques and approaches, such as the use of biomaterials and regenerative therapy, which aim not only to eliminate infection but also to promote tissue regeneration.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy \u2013 Advantages for the Dentist&#039;s Health<\/h2>\n\n\n\n<p>In addition to the benefits for the patient, there is a great advantage for the professional: it is much more pleasant to work with precision and much less tiring. Performing endodontic treatment on teeth with 3 or 4 canals can be very exhausting for both the professional and the patient. Mechanized systems allow for a reduction in the number of appointments or a decrease in working time. But even if some more difficult cases do not reduce the number of appointments, they certainly reduce the professional&#039;s fatigue. <\/p>\n\n\n\n<p>Furthermore, we know that the process of instrumentation or shaping of the canals is the most tiring step. And it is at this moment that the greatest advantages for the dentist&#039;s health appear. The work of manually instrumenting can lead to repetitive strain injuries (RSI) that include tendinitis, bursitis, and spinal problems. Above all, the performance of electronic endodontic motors brings great relief to the professional&#039;s quality of life.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"500\" height=\"207\" data-src=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/09\/16-17-antes-e-depois-1.png?resize=500%2C207&#038;ssl=1\" alt=\"Endodontia Mecanizada. Seguran\u00e7a e Precis\u00e3o.\" class=\"wp-image-1880 lazyload\" style=\"--smush-placeholder-width: 500px; --smush-placeholder-aspect-ratio: 500\/207;aspect-ratio:2.415625;width:875px;height:auto\" data-srcset=\"https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/09\/16-17-antes-e-depois-1.png?w=500&amp;ssl=1 500w, https:\/\/i0.wp.com\/smileandhealth.live\/wp-content\/uploads\/2023\/09\/16-17-antes-e-depois-1.png?resize=300%2C124&amp;ssl=1 300w\" data-sizes=\"(max-width: 500px) 100vw, 500px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-large-font-size\">Which path should we take?<\/h2>\n\n\n\n<h3 class=\"wp-block-heading has-medium-font-size\">Mechanized Endodontic Therapy<\/h3>\n\n\n\n<p>If your colleague is still using traditional manual endodontic therapy with radiographic odontometry and has not yet adopted mechanized therapy, but wishes to enter this small universe, I advise them to seek a professional. <a href=\"https:\/\/www.institutovetor.com.br\/\" target=\"_blank\" rel=\"noreferrer noopener\">improvement school<\/a> or even specialization. I don&#039;t advise simply acquiring new materials and starting to use them without specific guidance. We need to know the mechanical limitations of the instruments and the risks of incorrect use. <\/p>\n\n\n\n<p>The opportunity to combine years of clinical practice experience, a keen eye, and the ability to arrive at a correct diagnosis in numerous subjective situations that frequently challenge the endodontist. There are cases where it is not possible to perform all endodontic therapy mechanically, so here you will combine experience, patience, skill, and expertise necessary to solve more complex cases. <\/p>\n\n\n\n<p>In conclusion, it is important to emphasize that the professional&#039;s clinical expertise and the personalization of treatment remain critical factors for the success of the procedure. Similarly, research and development of new approaches continue to drive the evolution of endodontic therapy, always seeking better results and the well-being of patients and professionals.<\/p>\n\n\n\n<p>And now changing the subject, are you up to date on the precautions to take regarding <a href=\"https:\/\/smileandhealth.live\/en\/cuidados-com-pacientes-pos-covid-19\/\">Patients who have recently recovered from Covid?<\/a><\/p>\n\n\n\n<p>Author: Nivaldo Pinho Gon\u00e7alves, Periodontist, CROSC 9696.<\/p>\n\n\n\n<p>Suggestion: https:\/\/bdigital.ufp.pt\/bitstream\/10284\/1664\/2\/T_14317.pdf<\/p>","protected":false},"excerpt":{"rendered":"<p>Mechanized Endodontics: Benefits for Patients and Professionals.<\/p>","protected":false},"author":2,"featured_media":1879,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[69,23],"tags":[62,141,145,144,142],"class_list":["post-59","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endodontia","category-profissionais","tag-endodontia","tag-endodontia-mecanizada","tag-localizadores-foraminais","tag-motores-de-endodontia","tag-tratamento-endodontica-mecanizado"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Terapia Endod\u00f4ntica Mecanizada - Sorriso e Sa\u00fade . 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