Kathryn Finn, Dariusz Kasperek, Sanaa Aljamani, Charlotte Wilson-Dewhurst
{"title":"Non-surgical endodontic management for the medically complex - hints and tips for the general dental practitioner","authors":"Kathryn Finn, Dariusz Kasperek, Sanaa Aljamani, Charlotte Wilson-Dewhurst","doi":"10.1038/s41415-025-8561-2","DOIUrl":"10.1038/s41415-025-8561-2","url":null,"abstract":"The management of patients with additional medical complexities is challenging and can cause apprehension when considering if dental treatment is able to be provided in primary care. Non-surgical endodontic treatment is generally a low-risk procedure for many patient cohorts. This paper describes commonly seen medical conditions, the impact on bleeding and infection, and where extraction would preferably be avoided. It explores the risk assessment of these conditions and provides ‘hints and tips'' for the provision of endodontic treatment, allowing for the safe and effective provision of dental care, in the appropriate setting, by the appropriate specialty.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"551-557"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8561-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818837","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":"Straightening out the facts: what are the key factors driving orthodontic treatment preferences in UK adults?","authors":"Triman Ahluwalia","doi":"10.1038/s41415-025-8612-8","DOIUrl":"10.1038/s41415-025-8612-8","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"563-564"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818841","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}
Ahmed Elmatary, Emad Moawad, Omid Heidarifar, Simon Stone
{"title":"Endodontic access cavity preparation: challenges and recent advancements","authors":"Ahmed Elmatary, Emad Moawad, Omid Heidarifar, Simon Stone","doi":"10.1038/s41415-025-8442-8","DOIUrl":"10.1038/s41415-025-8442-8","url":null,"abstract":"Odontogenic pain from various dental issues significantly impacts quality of life, necessitating effective treatment during emergency dental care. Endodontic access cavity preparation is essential for alleviating symptoms and preventing further infection. This procedure aims to achieve symptom relief while conserving as much tooth structure as possible. This paper discusses the importance of proper endodontic access, emphasising the balance between adequate disinfection and preserving tooth integrity. It also identifies challenges in endodontic access cavity preparation. This study reviews existing literature on endodontic access, examining different approaches to access cavity preparation and the tools and techniques used. Factors affecting access difficulty, including tooth anatomy, patient-related challenges and operator skills, are evaluated, alongside advancements in imaging and instrumentation. The review shows conservative techniques, like minimally invasive access cavities, which helps to preserve tooth structure but requires advanced skills and may risk incomplete disinfection. Cone beam computed tomography (CBCT) aids in complex cases, improving canal location accuracy. Operator skills and proper equipment are key to success. Traditional cavities offer better access but can weaken the tooth, while conservative approaches maintain structure but demand more expertise. Imaging tools, including CBCT, are beneficial for complex anatomy but can be costly. To conclude, effective endodontic access cavity preparation requires a balanced approach tailored to each case. While conservative methods offer advantages in preserving tooth structure, their success depends on operator expertise and equipment. Incorporating imaging advancements like CBCT can enhance access success, especially in anatomically complex cases, but careful assessment of case complexity remains crucial.","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"469-475"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8442-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818876","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":"Encouraging children to look after their teeth","authors":"","doi":"10.1038/s41415-025-8654-y","DOIUrl":"10.1038/s41415-025-8654-y","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"593-593"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8654-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818827","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":"Endodontics: a new era","authors":"Fadi Jarad, Alison J. E. Qualtrough","doi":"10.1038/s41415-025-8559-9","DOIUrl":"10.1038/s41415-025-8559-9","url":null,"abstract":"","PeriodicalId":9229,"journal":{"name":"British Dental Journal","volume":"238 7","pages":"427-427"},"PeriodicalIF":2.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41415-025-8559-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818881","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}