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Endodontics - 3 Questions
Both sonic and ultrasonic instruments are used in dental procedures, particularly in endodontics and scaling. They generate vibrations that help in the removal of debris and biofilm. A key feature of these instruments is that they require the use of copious amounts of irrigating solutions to enhance their effectiveness, cool the instrument, and flush out debris. While they may also be used for flaring coronal portions of root canals and can be controlled during operation, the commonality that stands out is the need for irrigating solutions.
Elective endodontic treatment (root canal therapy) is generally safe for patients with stable angina, controlled diabetes, and controlled hypertension.
Vertical root fractures are often associated with a poor prognosis because they can lead to significant loss of tooth structure and are difficult to treat. They typically result in the need for extraction, especially if they extend into the periodontal ligament or if the fracture is not detected early.