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Navigating the digital frontier: transforming endodontic diagnosis through digitization. Part 1 Janina Loren D'Souza Kundabala Mala Srishti Grover Ankita Singh Dental Update 2024 51:10, 707-709.
Authors
Janina LorenD'Souza
BDS, MDS, Senior Lecturer
Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences Mangalore, Affiliated to Manipal Academy of Higher Education, Karnataka, Manipal, India
Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences Mangalore, Affiliated to Manipal Academy of Higher Education, Karnataka, Manipal, India
Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences Mangalore, Affiliated to Manipal Academy of Higher Education, Karnataka, Manipal, India
Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences Mangalore, Affiliated to Manipal Academy of Higher Education, Karnataka, Manipal, India
The current advances and innovations in material technology and armamentaria help to negate the difficulties faced by clinicians in diagnosing and treating patients. Oral healthcare contributes much to the wellbeing of a person. However, the oral cavity is a small and difficult area in which to work since it is filled with vascularized mobile tissues and various shaped teeth, and connected to sinuses, nerve canals, lungs and the gastrointestinal tract via the trachea and pharynx. Moreover, each tooth has a complex root canal system that must be explored if it is infected or inflamed. Root canal treatment can be compared to entering a blind tunnel and treating something unseen. Endodontics is a field in dentistry where a clinician must use their tactile sense and correlate it with clinical knowledge, as well as skill, to treat dental infections. Digital evolution has simplified diagnosis, treatment planning, documentation and communication with patients, rendering more predictable outcomes and providing evidence for the healing or non-healing of disease. The evolution of digital radiography has offered us the best technology available. The present review discusses various helpful digital tools that are currently available, and future technologies that may guide clinicians in better diagnosis.
CPD/Clinical Relevance:
Advances in diagnostic tools have improved accuracy in identifying and treating dental pathologies, thereby achieving more predictable outcomes and enhancing patient care.
Article
In the past few decades, there have been steady advances in digital technology in dentistry that have improved the diagnosis of oral diseases and conditions, and have also helped to achieve favourable treatment options, thus improving the wellbeing of patients. In endodontics, advances in dental technology have helped in improving documentation, easing use and facilitating faster communication with people through the use of the written word, audio and video. Software programs have been developed to ease the process. These digital tools help in assessing the pulpal and peri-radicular status, understanding tooth anatomy and therapeutics, especially in complex cases. Thus, digital technology helps in various stages of endodontic therapy with greater predictability to manage complex cases.
From the early 1900s, visual examination, percussion, palpation, transillumination, and thermal vitality tests were used for diagnosis. Radiographs have been considered the gold standard for diagnosis for several decades, but they introduce subjectivity into the diagnosis, which can lead to incorrect treatment planning. There was no correlation between clinical signs and symptoms, radiographic reports, or more invasive histopathological reports, leading to patient/doctor bias because of diagnostic subjectivity.1 However, newer digital technologies are less invasive, more objective and predictable, and more accurate for better diagnosis.
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