Paradigm Shifts in Endodontics

The specialty of endodontics has been particularly impacted by distinct technological advances enabling the trained practitioner to become a better diagnostician and deliver a high level of patient care. The dental operating microscope and cone-beam computed tomography are two technologies that have significantly improved the quality and quantity of information available to the clinician. In addition, new systems employ ultrasonic laser, and, more recently, broad spectrum acoustic technology to improve successful cleaning and disinfection of the root canal anatomy. Each of these advances has contributed to a critical shift in endodontic practice.

LEARNING OBJECTIVES:

• Describe three technological advances that have advanced endodontics over the last 3 decades.  

• Discuss how each of these technological advances specifically impacts the clinical practice of endodontics. 

• Explain the complications involved in cleaning and disinfecting the root canal system.

About the Author

Dr. James A. Smith, Jr., DMD, Private Practice, Adjunct Assistant Professor, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama