Bøger af Anil Tomer

Endodontic practice is not risk-free, a variety of technical accidents can complicate root-canal treatment, influencing the prognosis and prejudicing the chances of success. Every treatment carries potential risk versus benefits. A significant complication, leading to extraction of a tooth would be root fracture or an irreparable perforation. Mishaps such as instrument breakage or transportation of the centre of a given root canal can also have a negative impact on the outcome of treatment. Root Canal therapy fails due to micro leakage and bacterial infection. The precise cause of endodontic failures can be attributable to inadequacies in three-dimensional cleaning, shaping and obturation.

Endodontic therapy has shown a high rate of success in the retention of teeth, in cases where even teeth are not restorable. The reasons for failure are apical resorption, fractures, incompletely formed roots or carious destruction, in addition vital pulp therapy is also not always predictable. Therefore, to regain the natural healthy tissue in order to replace the individual¿s lost or damaged tissue the concept of tissue engineering has been considered as the ¿GOLD STANDARD. Over the past century, endodontic therapy has shown a high rate of success in retention of teeth; however, many teeth are not restorable due to various reasons like apical resorption, fractures, incompletely formed roots or carious destruction and also vital pulp therapy is not always predictable.Recently, there has been an increasing interest in applying the concept of tissueengineering to endodontics. Many of the concepts in regenerative endodontics emerge from this burgeoning field of tissue engineering which emphasizes on the spatial assembly of distinctive stem cells, growth factors/ Morphogens and scaffolds to form a functional tissue or organ.

This book emphisis on microflora responsible for failure of root canal treatment. Endodontic treatment is fairly predictable in nature with reported success rates up to 95%. However, along with these successful root canal treatments there comes inevitable percentage of non healed and endodontic failures .To understand the cause of failure of endodontic treatment it is important to completely understand the microbiology involved in the endodontic pathology. This will help us to modify the conventional treatment plans and effectively combat the microorganisms.

This book lays emphasis on the application of nanorobots in dentistry. Nanorobotics is a technology, an excellent tool for future where the robots and machines are produced at a nanoscale built from individual atoms. Nanorobotics is emerging as a challenging field for dealing with microscopic objects at the molecular level and is used for both medical and dental application including the disease monitoring, diagnostic procedures, treatment, and prevention of oral and dental diseases while reducing the need for invasive procedures.

Biomimetics provide new strategy that translates our knowledge of biological system and create new synthetic pathways to mimic biological processes. Three approaches are being used for the creation of new tissues by mimicking natural ones which includes the tissue engineering triad; the cells, mediators and a biocompatible matrix. It is a challenge to design and fabricate new biomimetic materials like enamel, dentin, cementum, pulp, bone and periodontal ligament. Focusing on to the future, we should direct our goal to regenerate the diseased and necrotic tissues rather than replacing them with some conventional replacement materials.