RESUMO
Erosive Tooth Wear (ETW) is the loss of tooth structure without bacterial involvement. As the resulting loss of tooth structure is irreversible, an early evaluation of the multifactorial etiology, accurate diagnosis and regular follow-up are essential. The ETW is dynamic and its progression should be continuously monitored. A risk analysis table was developed to systematically record risk factors for ETW (Fig. 2). This allows ETW management to be integrated more efficiently into clinical practice and the progression to be documented over the years. If ETW is assumed, the risk analysis should be performed and updated at least every two years. In the assessment, risk-promoting and risk-inhibiting factors are marked, added together and compared. If the negative factors pre-dominate, measures should be taken to minimize the risk for ETW. The main purpose of the risk analysis is therefore to evaluate the individual etiology, coun-teract negative factors, promote positive factors and prevent progression.
Assuntos
Erosão Dentária , Humanos , Fatores de Risco , Erosão Dentária/etiologia , Erosão Dentária/diagnóstico , Erosão Dentária/prevenção & controle , Medição de Risco , Progressão da Doença , Lista de ChecagemRESUMO
This communication presents the treatment of 15 cases of c-shaped canals in molars and their treatment outcome with two different obturation methods. The data from 901 patients who received root canal treatment in a molar tooth were examined regarding c-shaped root canals, their treatment and their status one year post op. Among the 901 cases, 15 molars had a c-shaped root canal morphology (1,66%). C-shaped canals occurred mainly in second mandibular molars (73,3%). The obturation was either performed with gutta-percha and sealer (5 cases) or with Mineral Trioxide Aggregate as apical plug (MTA; 10 cases). All cases reached a symptomless status clinically and 14 cases showed apical healing in the radiographic control.