Mounce Richard E
Dent Today. 2009 May;28(5):68, 70-3.
Each stage in the process of evaluation and subsequent treatment should be performed both slowly and progressively. In this example, first to appreciate the challenges in fragment removal, then to remove the fragment (or refer), achieve patency, shape the canals, obturate, and place a coronal restoration. Much like a cave dive that is highly planned and rehearsed and carried out in successive and progressively building steps, to the greatest extent possible so should our endodontic procedures. Ideally, there should be no surprises. Once begun, performing every step in a sequential order allows the process (whether it's cave diving or endodontics), to be at first slow, then smooth, and ultimately fast.
评估及后续治疗过程中的每一个阶段都应缓慢且循序渐进地进行。在这个例子中,首先要认识到取出碎片的挑战,然后取出碎片(或转诊),实现通畅,预备根管,充填,以及进行冠部修复。这很像一次经过精心规划、演练且按连续且逐步推进的步骤进行的洞穴潜水,我们的牙髓治疗程序也应尽可能如此。理想情况下,不应有意外情况发生。一旦开始,按顺序执行每一步骤能使整个过程(无论是洞穴潜水还是牙髓治疗)起初缓慢,接着顺畅,最终快速。