Kim Syngcuk
Department of Endodontics, School of Dental Medicine, University of Pennsylvania, 240 South 40th Street, Philadelphia, PA 19104-6030, USA.
Dent Clin North Am. 2004 Jan;48(1):1-9. doi: 10.1016/j.cden.2003.12.002.
Like many other dental and medical specialties, endodontics has evolved and changed over the years. The changes that have occurred in the past 10 years, however, have been of great magnitude and profundity. The microscope, ultrasonic units with specially configured tips, superbly accurate microchip computerized apex locators, flexible nickel-titanium files in rotary engines, and greater emphasis on microscopic endodontic surgery have totally changed the way endodontics and endodontic surgery are practiced. Comparing these changes with formocreoszol medication, K-file and radiographic determination of working length are truly dramatic. These changes are bringing the specialty of endodontic practice into the twenty-first century with greater precision, fewer procedural errors, less discomfort to the patient, and faster case completions. Seven key advancements in endodontics were made in the last decade. This article discusses these advancements and their applicability to everyday practice.
与许多其他牙科和医学专业一样，牙髓病学多年来一直在发展和变化。然而，过去10年发生的变化幅度巨大且意义深远。显微镜、配备特殊形状尖端的超声设备、极其精确的微芯片计算机根尖定位仪、旋转式牙钻中的柔性镍钛锉，以及对显微牙髓手术的更多重视，彻底改变了牙髓病学和牙髓手术的实施方式。将这些变化与甲醛甲酚药物、K锉以及工作长度的X线片测定相比，变化着实巨大。这些变化正将牙髓病治疗专业带入21世纪，使其更加精确、程序错误更少、患者不适感减轻且病例完成速度更快。过去十年牙髓病学取得了七项关键进展。本文将讨论这些进展及其在日常实践中的适用性。
