Book Text 页码，1/1

Use of this content is subject to the Terms and Conditions of the MD Consult web site.

Cohen: Pathways of the Pulp, 9th ed., Copyright © 2006 Mosby, An Imprint of Elsevier

SUMMARY
Endodontics is a multifaceted specialty, with much emphasis on how cases are clinically treated. Clinicians
have increased their ability to more accurately perform endodontic procedures by way of an increased
visualization using DOMs, precise apical foramen detection using electronic apex locators, enhanced imaging
techniques using digital radiography, and more. Practices have incorporated more refined canal cleaning and
shaping with ultrasonics and rotary-driven nickel titanium files facilitated with computer-assisted electronic
handpieces. There have been many other recent advancements—all for the sake of achieving an optimal
result during endodontic treatment. However, these advancements are useless if an incorrect diagnosis is
made. Before the clinician ever considers performing any endodontic treatment, the following questions must
be answered:
• Is the existing problem of dental origin?
• Are the pulpal tissues within the tooth pathologically involved?
• Why is the pulpal pathosis present?
• What is the appropriate form of treatment?

Testing, questioning, and reasoning are together combined in order to achieve an accurate diagnosis and to
ultimately form an appropriate treatment plan. The art and science of making this diagnosis are the first steps
that must be taken before initiating any treatment.

Copyright © 2007 Elsevier Inc. All rights reserved. www.mdconsult.com

Bookmark URL: /das/book/view/65893028-3/1357/11.html/top

http://home.mdconsult.com.eproxy1.lib.hku.hk/das/book/body/0/1357/1... 2007-1-18