MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW
Introduction. Endodontic iatrogenia, such as iatrogenic perforation, formation of ledges, blockage of canals, instrument breakage, unaddressed anatomical complexities, can have a substantial impact on the long-term outcome of endodontic treatment. The most frequent complications during endodontic tr...
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| Format: | Article |
| Language: | English |
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Romanian Society of Oral Rehabilitation
2023-12-01
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| Series: | Romanian Journal of Oral Rehabilitation |
| Subjects: | |
| Online Access: | https://rjor.ro/management-of-endodontic-iatrogenia-a-review/ |
| _version_ | 1797366187085004800 |
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| author | Sãlceanu Mihaela Ţãnculescu Oana Hamburda Tudor Giuroiu Cristi Conchita Corina Antohi Cristina Topoliceanu Claudiu Melian Anca |
| author_facet | Sãlceanu Mihaela Ţãnculescu Oana Hamburda Tudor Giuroiu Cristi Conchita Corina Antohi Cristina Topoliceanu Claudiu Melian Anca |
| author_sort | Sãlceanu Mihaela |
| collection | DOAJ |
| description | Introduction. Endodontic iatrogenia, such as iatrogenic perforation, formation of ledges, blockage of canals, instrument breakage, unaddressed anatomical complexities, can have a substantial impact on the long-term outcome of endodontic treatment. The most frequent complications during endodontic treatments are root canal perforations, ledges, and instrument fractures. Prevention and management. Endodontic iatrogenia can be prevented by the use of AAE’s assessment tool (low, moderate, high difficulty cases), operator microscope, static/dynamic guided endodontics systems. Steps in management of endodontic iatrogenia consists of: assessment and diagnosis, communication with patient, immediate management, referral to specialist for non-surgical or surgical approach if necessary, monitorisation of healing process. Conclusions. Clinicians must possess a comprehensive understanding of the causes, prevention strategies, and reliable corrective measures for specific endodontic iatrogenia. Endodontic iatrogenia must be managed by individualised therapeutic approach using effective instrumentarium and biomaterials for positive long-term outcomes. Interdisciplinary collaboration of general dentist with specialists (endodontic specialist, oral surgeon) can be required in complex cases. |
| first_indexed | 2024-03-08T17:01:39Z |
| format | Article |
| id | doaj.art-284f3787d9c44e72a504785b57418b1f |
| institution | Directory Open Access Journal |
| issn | 2066-7000 2601-4661 |
| language | English |
| last_indexed | 2024-03-08T17:01:39Z |
| publishDate | 2023-12-01 |
| publisher | Romanian Society of Oral Rehabilitation |
| record_format | Article |
| series | Romanian Journal of Oral Rehabilitation |
| spelling | doaj.art-284f3787d9c44e72a504785b57418b1f2024-01-04T10:35:51ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612023-12-01154331340MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEWSãlceanu Mihaela0Ţãnculescu Oana1Hamburda Tudor2Giuroiu Cristi3Conchita Corina4Antohi Cristina5Topoliceanu Claudiu6Melian Anca7“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorations“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Odontology-Periodontology, Fixed restorationsIntroduction. Endodontic iatrogenia, such as iatrogenic perforation, formation of ledges, blockage of canals, instrument breakage, unaddressed anatomical complexities, can have a substantial impact on the long-term outcome of endodontic treatment. The most frequent complications during endodontic treatments are root canal perforations, ledges, and instrument fractures. Prevention and management. Endodontic iatrogenia can be prevented by the use of AAE’s assessment tool (low, moderate, high difficulty cases), operator microscope, static/dynamic guided endodontics systems. Steps in management of endodontic iatrogenia consists of: assessment and diagnosis, communication with patient, immediate management, referral to specialist for non-surgical or surgical approach if necessary, monitorisation of healing process. Conclusions. Clinicians must possess a comprehensive understanding of the causes, prevention strategies, and reliable corrective measures for specific endodontic iatrogenia. Endodontic iatrogenia must be managed by individualised therapeutic approach using effective instrumentarium and biomaterials for positive long-term outcomes. Interdisciplinary collaboration of general dentist with specialists (endodontic specialist, oral surgeon) can be required in complex cases.https://rjor.ro/management-of-endodontic-iatrogenia-a-review/endodontic iatrogeniapreventionmanagementnon-surgicalsurgical |
| spellingShingle | Sãlceanu Mihaela Ţãnculescu Oana Hamburda Tudor Giuroiu Cristi Conchita Corina Antohi Cristina Topoliceanu Claudiu Melian Anca MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW Romanian Journal of Oral Rehabilitation endodontic iatrogenia prevention management non-surgical surgical |
| title | MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW |
| title_full | MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW |
| title_fullStr | MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW |
| title_full_unstemmed | MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW |
| title_short | MANAGEMENT OF ENDODONTIC IATROGENIA: A REVIEW |
| title_sort | management of endodontic iatrogenia a review |
| topic | endodontic iatrogenia prevention management non-surgical surgical |
| url | https://rjor.ro/management-of-endodontic-iatrogenia-a-review/ |
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