{"title":"Medico-legal considerations in endodontics","authors":"Alyn Morgan, Callum Youngson, William McLean","doi":"10.1038/s41415-025-8333-z","DOIUrl":"10.1038/s41415-025-8333-z","url":null,"abstract":"A major aim of endodontic care is to successfully treat acute and chronic pulpal and periapical disease and prevent recurrence. Consequently, the tooth can be rendered free of pain and subsequently restored to function and aesthetics. However, each of the stages of the treatment - from diagnosis through to review - can be complex and compromise the intended outcome. Occasionally, this can lead to medico-legal challenges, especially where a valid consent process has not taken place or has not been properly recorded. This paper reviews the key stages in providing care with respect to the clinician''s skillset, the expected standard and discusses how the consent process can mitigate the risk of medico-legal interventions.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"573-579"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8333-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photo story: Professor Brian Cox meets Professor Avijit Banerjee","authors":"","doi":"10.1038/s41415-025-8635-1","DOIUrl":"10.1038/s41415-025-8635-1","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"437-437"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8635-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phillip L. Tomson, Nick Adams, Damian Kavanagh, Satnam Singh Virdee
{"title":"Non-surgical endodontics: contemporary biomechanical preparation of the root canal system","authors":"Phillip L. Tomson, Nick Adams, Damian Kavanagh, Satnam Singh Virdee","doi":"10.1038/s41415-025-8599-1","DOIUrl":"10.1038/s41415-025-8599-1","url":null,"abstract":"Treatment of apical periodontitis requires disinfection of the root canal system through means of biomechanical preparation. This is achieved by a process of shaping the root canal space while simultaneously using antibacterial agents to reduce microbiological load in the root canal system in order for inflammation of the periradicular tissues to resolve and the body to heal itself. The fundamental principles underlying this process have not changed in decades; however, in contrast, the armamentarium available to the clinician continues to evolve rapidly. Nickel-titanium file design has made a significant step forward in the last ten years. Areas of development have focused on the metallurgic properties, motion of the instrument and cross-sectional design. The resulting contemporary designs have allowed the clinician to manage more complex root canal systems more predictably in situations which would otherwise have proved difficult using conventional techniques; effectively, it has made it easier to prepare a root canal. These newer systems also require fewer instruments to prepare a canal and some, which have adopted a reciprocating (rotational) motion, may only require one engine-driven file. Significant energy has been devoted to attempting to enhance efficacy of irrigant activity using different techniques. Although this has shown promise in in vitro studies, this has yet to be shown to translate to an improved clinical success rate based on comparative clinical studies performed. Contemporary biomechanical techniques used to clean and shape the root canal system should result in improved confidence and predictability when managing endodontic disease.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"478-486"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8599-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rethinking dental careers: insights from a national workforce survey","authors":"Selai Saydzai","doi":"10.1038/s41415-025-8608-4","DOIUrl":"10.1038/s41415-025-8608-4","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"562-562"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bringing the UK''s orthodontic community together in Wales","authors":"","doi":"10.1038/s41415-025-8633-3","DOIUrl":"10.1038/s41415-025-8633-3","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"436-436"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8633-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endodontic assessment, complexity, diagnosis and treatment planning","authors":"Obyda Essam, Shakil Umerji, Kate Blundell","doi":"10.1038/s41415-025-8452-6","DOIUrl":"10.1038/s41415-025-8452-6","url":null,"abstract":"A systematic approach to endodontic clinical assessment, case complexity evaluation and precise diagnosis is essential for achieving successful endodontic management and favourable treatment outcomes. Neglecting these foundational elements can jeopardise the entire treatment process. This article is part of a themed issue dedicated to endodontics and serves as a practical guide for clinicians, outlining the comprehensive process of endodontic assessment. It will encompass clinical examination, radiographic interpretation and diagnostic testing, ultimately providing clinicians with the necessary tools for accurate diagnosis and effective treatment planning.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"441-447"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8452-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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