Treatment Outcome in Endodontics - The Toronto Study. 5761361 To achieve this objective it is recommended to record the patient’s chief complaint, ask about the symptoms and history of the complaint (subjective findings), perform objective clinical tests coupled with appropriate investigations and correlate the objective findings with the subjective information. Academic Administrative Services. The testing for percussion sensitivity should initially be carried out gently, with light occlusal pressure, applied digitally with a finger. In these situations, the pulp usually has preexisting chronic pulpitis, which decreases the ability of pulp to respond favorably to vital pulp therapy. Rev. The response of the pulp to the electric pulp testing does not reflect the histologic health or disease status of the pulp. Get directions. Originally from Toronto, he graduated with distinction from York University with a major in Mathematics. Program website: http://www.dentistry.utoronto.ca/departments/endodontics. Dr. Da Costa received his Doctor of Dental Surgery degree in 1991, from the University of Toronto. Seltzer S, Bender IB. Clinical Professor - Endodontics University of Toronto. For both hot and cold tests it is recommended to isolate the tooth with a rubber dam. This excitement grew while associating as a general dentist in Trenton, Ontario. He then went on to work as a general dentist for two years prior to embarking on a two-year specialty program at Marquette University in Endodontics. This method is non-invasive and an objective method to determine the pulpal blood flow. A necrotic tooth does not cause radiographic changes at the apex until the periapical pathosis has destroyed bony trabeculae at their junction with the cortical plate. Pavel Cherkas. Pathways of the pulp. Histologically, a mild chronic inflammatory infiltrate is associated with the osseous tissue. All Stores will be closed Dec 25, 26, 31 & Jan 1 for the Holidays. Following the lamina dura usually reveals the number and curvature of the roots. or Prophylactic antibiotic coverage has been recommended for certain medical conditions, depending upon the complexity of the procedure and the degree of bacteraemia expected, but the type of antibiotic and the dosage are under continual review and dental practitioners should be aware of current opinion. Nardini, Karen. Book Online. The presence of metallic restorations interferes with measurements by Pulse Oximetry. Toronto, Ontario M5G 1G6. Anil.Kishen@dentistry.utoronto.ca. (Endodontics) from the University of Toronto. These cases may not have radiographic evidence of bone loss since fluids are rapidly spread away from the tooth. She is a lecturer and clinical instructor at the University of Toronto, Postgraduate and Undergraduate Endodontic Programs and serves as a reviewer for peer-reviewed journals. Similarly, a false positive response may be obtained if the break down products from the pulp is capable of conducting the electrical current. Seltzer S. Endodontology. It is important to realize that the problems must not be dealt with in isolation and any treatment plan should take the entire mouth and the patient’s general medical condition and attitude into consideration. Dept of Endodontics University of Pennsylvania Philadelphia, Pennsylvania, USA Anil Kishen BDS, MDS, PhD Associate Professor, Discipline of Endodontics Dept of Clinical Sciences Faculty of Dentistry, University of Toronto Toronto, Canada Andreas Moritz MD, DMD President der ESOLA Vienna, Austria List of Contributors Sivapathasundharam B, MDS Professor and Head Dept of Oral Pathology … Accumulation of PMNs causes rapid buildup of edematous fluid in the PDL. The periodontal pocket depth is measured from the height of the free gingival margin to the height of the attachment apparatus apically. 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