![]() In recent years, 3-D disinfection methods have evolved that better exchange reagents into all aspects of the endodontic anatomy (Figure 2). In the early 1990s, NiTi files were introduced and sparked a mechanical revolution in preparing canals by the late 1990s, endodontics witnessed the emergence of a new biocompatible material called mineral trioxide aggregate, or MTA. During this same decade, ultrasonically driven insert tips were refined to better perform micro-instrumentation techniques. In 1988, diagnostic imaging took a leap forward with the advent of CBCT in dentistry. For example, the dental operating microscope was introduced into clinical dentistry in the mid-1970s. ![]() It is a fact that technology has vaulted clinical endodontics toward ever-increasing possibilities. This collage of post-treatment endodontic images demonstrates canal preparation, 3-D disinfection, and filling root canal systems. This raises the question: Is predictably successful endodontic treatment more dependent on technology or proven clinical concepts?įigure 1. Yet, with all the emphasis on technology, it is interesting to note that endodontic success rates today remain virtually the same as were reported over previous decades. Virtually all of these technologically driven innovations have been intended to improve the treatment of root canal systems (Figure 1). Much has changed in global endodontics during the past 40 years, and a great deal of this change has been driven by the relentless introduction of new technology.
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