Veritas; In the realm of the philosopher kings
Predictable clinical success in endodontics is a multifactorial biologic and technologic wave equation wherein each procedural component is woven into the framework and fabric of the final result. Debridement, disinfection and root filling have been given an abundance of marketing terminology. Unfortunately, insurance codes have reduced an anastomotic arboretum of rivulets and tributaries into a codified linear array. In this author's opinion, bureaucratic categorization has diminished the wonder of the science of endodontics immeasurably. Worst of all, evidence based science has not resulted in a more mature approach to preservation of natural teeth using decades of evolutionary advances in material and technique. Rather, a "simpler is better" mentality has been fostered which may prove catastrophic in this implant driven treatment planning era. Endodontics must reassert the pre-eminence of the diagnostician rather than the technician. The discipline must look to a new generation of philosopher kings, not self-styled gurus and experts with suspect agendas, to sustain its relevancy and transcendence. There is no magic to access preparation; it is archaeologic. The clinician uncovers the pathologic and temporally altered morpho-metrics of the chamber and the root canal space using the spatial diagnostic data on hand; ideally a combination of 2 and 3 dimensional radiography where indicated. Archaeologists refer to this as stratigraphic excavation or stratification whereby the context of the removal is related to the dystrophic impact of decay, trauma, mastication, restoration et al on the pathways of the pulp and the concomitant volumetric reduction. The road map to orifices lies in our ability to think and act in three dimensions of both space and time regression. The conceptual flaw in endodontic therapy is that the root canal space is treated independent of the morphologic/functional rehabilitative phase of therapy rather than seamlessly integrating the bio- and morpho-physiology of the continuum. This discounts two crucial factors; the impact force generated by an arthrodial joint ( TMJ ) and the variability and direction of force vectors throughout the dentition resulting from the occlusal scheme, be it intact, equilibrated, debilitated or prosthetically restructured and by what means (RPDs, crowns, bridges and/or implants - all of which have different torque values). The sine qua non of restorative stability, predictability and longevity is a ferrule.Toronto Tooth Bonding - News
The Danville micro-etcher, a staple in operative dentistry, is claimed to enhance bonding strength up to 400% for adhesion-based procedures. It is this facility to clear the pulpal floor and satinize the surface that makes its use an imperative in
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Toronto Tooth Bonding - Bookshelf
University of Toronto dental journal
Bonding Agent test: A bonding agent placed over the coronal portion of the offending tooth may deviate pain by resisting the crack from splitting during ...Proceedings of the National Science Council, Republic of China, Life sciences
Correlation Between Bond Strength and Frequency of Finding Tooth Fragments on Bracket Base ... pp 485-563 (The CV Mosby Ed.), St. Louis, Toronto. Princeton. ...Encyclopedic handbook of biomaterials and bioengineering, Applications, volume 2
Further investigations on the nature of chemical bonding at the interface, ... adhesion to the components of tooth structure in an aqueous environment. ...Chemical abstracts
The purpose of this study was to examine the bonding effect of polyvalent ... resin composite filled in a cylindrical dentin cavity in an extd human tooth. ...The Spectator
The American Bonding of Baltimore has appointed Theis Brothers of Wilkesbarre, Pa., general agents ... FIA, read before the Insurance Institute of Toronto. ...Everyday Report Directory
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