The InTernaTIonal Journal o MIcrodenTIsTry
THE GENERAL DENTIST AND TIMELY REFERRALTO THE ENDODONTIST
Andrei Berdichewsky, DDS
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Ater an accurate diagnosis indicat-ing endodontic treatment, the rootcanal system must be cleaned,shaped, and sealed. It is crucial tocarry out both the mechanical andbiologic objectives o endodontictreatment to achieve repair o theapical region.
The biologic objectiveconsists o eliminating bacterial con-tamination and irritation, thus leav-ing the tooth ree o organic contentin the canals. The mechanical objec-tive consists o giving the root ca-nals a constant, uniorm, and conicalshape so they can be appropriatelyobturated.
Although the root canalsystem ollows certain anatomicalpatterns, the position and shape othe canals vary rom case to case,posing one o the main diculties oendodontic therapy.
According to the American Den-tal Association Principles o Ethicsand Code o Proessional Con-duct,
dental proessionals—bothgeneral dentists and specialists—must respect clinical standards ocare, dened as cautious and com-petent. To properly saeguard thepatient’s welare, reerrals becomeimportant when a specialist’s skillsand experience are needed.Failing to honor these principlesnot only shatters the trust bestowedon the dental proession, but alsoincreases the risk o lawsuits. Apatient who experiences dentalproblems as a result o not hav-ing been reerred in time may losehis or her trust in the dentist. Thismay happen even i the dentisthad the best intentions and it wasthe patient who insisted on havingthe endodontic procedure carriedout. In addition, it is harder or thespecialist to treat a patient ater acomplication. With a timely reer-ral, on the other hand, the patient isprotected, and the endodontist cancarry out a procedure or which heor she has the experience, training,and knowledge, including the useo new materials and techniques.Endodontics has made signi-cant advances in recent years,allowing clinicians to providehighly reliable clinical outcomesand excellent prognoses basedon new scientic developments.New techniques and materialsavailable or both simple andcomplex cases have raised thestandards o treatment higherthan ever beore. One such de-velopment is the regular use omagnication, which has beenshown to be an excellent ally toachieve superior outcomes.
Visiting Proessor, EndodonticPostgraduate Program, University oChile, Santiago, Chile.
Dr Andrei BerdichewskyAv. Estoril 100 o. 308CP 7591047 Las CondesSantiago, ChileEmail: firstname.lastname@example.org
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